BOARD OF INTERMEDIATE AND SECONDARY EDUCATION, MULTAN

INTERMEDIATE (SUPPLY) EXAMINATION (PART-II/COMBINED), 2019

S-19
PRIVATE ADMISSION FORM
Ph# 061-9210125
IP2
Form# 1922011730 Roll No.
(Office Use Only.)

Appearing Category: Reappear Group: Humanities

Enrollment # : 0618KHIA804630
Matriculation Details:
10Th Roll #: 116056 Board: MUL Exam: Matric 10th A/2017
Last Intermediate Details:
11Th Roll #: 941527 Board: MUL Exam: Inter A/2018 P-I
12Th Roll #: 642596 Board: MUL Exam: Inter A/2019 P-II
Prev. Result: TILL S-2020, P2:UR ENG, P1:ENG F
Personal Details:
Name: TAIBA AKRAM
Father: MUHAMMAD AKRAM
Gender: Female
Bay-Form / CNIC: 3610421816986
Father/Guardian's CNIC: 3610446416479 Nationality: Pakistani
Father/Guardian's Cell #: 03039200213 Religion: Muslim
Speciality: None Medium: Urdu
Mark of Identification: NIL Hafiz-e-Quran: No
Email Address (optional): abidmhec@gmail.com
District: KHANEWAL
Postal Address: GALA MANDI HOUSE NO 26 GRAIN MARKET MIAN Token # 544501
CHANNU 03039200213

______________________________________________________________________________________________
______________________________________________________________________________________________
Appearance Details & Subjects:
11th: 1. *** 2. ENG 3. *** 4. *** 5. *** 6. *** 7. *** 8. ***
12th: 1. UR 2. ENG 3. *** 4. *** 5. *** 6. *** 7. *** 8. ***

Proposed Centre: 101: Govt. Girls Model High School, Mian Channu (HALL)
Proposed Zone: 51: Mianchannu

Affidavit by Candidate: (Male: Left, Female: Right)

I solemnly declare that I have read this form. The data/information on
this form and in online system is same as last entered / modified /
provided by me and it is corrected upto my knowledge. I understand
that only the information / data provided in the online system along Candidate Signature in Urdu
with the photograph and some other handwritten details on this form
will be used for further processing. I further declare the thumb
impression and signatures are affixed by my ownself. I further declare if
any discrepancy found in my bio data at later stage, I should be held
responsible. I accept all the terms and conditions in this regard.
Candidate Signature in English Candidate's Thumb Impression

Certificate from Attesting Authority:

1. Certified that the Bio-data & Photograph of the above candidate is
checked and found correct
2. Certified that the candidate has affixed his 'THUMB IMPRESSION & Signature of Attesting Authority
SIGNATURES' in my presence.
Name Of Attesting Authority:
Mon, 16-Sep-2019 (10:46 AM)

CNIC Number of Authority:

Contact Number of Authority: Stamp of Attesting Authority

For Office Use Only:

Signature
Name of dealing official checking the eligibility of candidate: ____________________ with Date: ________________
 BOARD OF INTERMEDIATE AND SECONDARY EDUCATION, MULTAN
INTERMEDIATE (SUPPLY) EXAMINATION (PART-II/COMBINED), 2019
COMPUTERIZED BANK CHALLAN
Ph# 061-9210125
1
Challan #1922011730 Roll No.
(Office Use Only.)

Appearing Category: Reappear Group: Humanities

Enrollment # : 0618KHIA804630 For Office Use:

Matriculation Details: Fee Due : _____________

10Th Roll #: 116056 Board: MUL Exam: Matric 10th A/2017
Last Intermediate Details: Fee Paid: _____________
11Th Roll #: 941527 Board: MUL Exam: Inter A/2018 P-I
12Th Roll #: 642596 Board: MUL Exam: Inter A/2019 P-II Arrears : _____________
Prev. Result: TILL S-2020, P2:UR ENG, P1:ENG

Personal Details:
Name: TAIBA AKRAM
Father: MUHAMMAD AKRAM
Gender: Female
Speciality: None Cell # 03039200213
District: KHANEWAL
Postal Address: GALA MANDI HOUSE NO 26 GRAIN MARKET MIAN CHANNU 03039200213

Appearance Details & Subjects:

11th: 1. *** 2. ENG 3. *** 4. *** 5. *** 6. *** 7. *** 8. ***
12th: 1. UR 2. ENG 3. *** 4. *** 5. *** 6. *** 7. *** 8. ***

Valid Upto: 16-09-2019

FEE INFORMATION
A/C No.: 1204-00700016-01
Fee Deposited By Challan # 1922011730 BANK STAMP
Printed On: 16/09/2019
Note: Errors & Omissions Excepted. Amount: 2025/- Officer Cashier

Main Branch, Mian Channu;

H.B.L. (BISE MULTAN) H.B.L. (BISE MULTAN)

A/C#: 1204-00700016-01 A/C#: 1204-00700016-01

2 3
Challan# 1922011730 Date:16-09-2019 Challan# 1922011730 Date:16-09-2019
Name: TAIBA AKRAM Name: TAIBA AKRAM
Student Info: 0618KHIA804630 Student Info: 0618KHIA804630
Address: GALA MANDI HOUSE NO 26 GRAIN Address: GALA MANDI HOUSE NO 26 GRAIN
MARKET MIAN CHANNU 03039200213 MARKET MIAN CHANNU 03039200213
1922011730

1922011730

Purpose : Admission Fee Purpose : Admission Fee

Total Amount: 2025/- Total Amount: 2025/-

Amount In Words: two thousand and twenty-five rupees Amount In Words: two thousand and twenty-five rupees
only only

Officer Cashier Officer Cashier

Challan Valid Upto: 16-09-2019 Challan Valid Upto: 16-09-2019
 BOARD OF INTERMEDIATE AND SECONDARY EDUCATION, MULTAN S-19
INTERMEDIATE (SUPPLY) EXAMINATION (PART-II/COMBINED), 2019
STUDENT RECEIPT
Ph# 061-9210125
IP2
Form# 1922011730
Appearing Category: Reappear Group: Humanities
Enrollment # : 0618KHIA804630
Matriculation Details:
10Th Roll #: 116056 Board: MUL Exam: Matric 10th A/2017
Last Intermediate Details:
11Th Roll #: 941527 Board: MUL Exam: Inter A/2018 P-I
12Th Roll #: 642596 Board: MUL Exam: Inter A/2019 P-II
Personal Details: F
Name: TAIBA AKRAM
Father: MUHAMMAD AKRAM
Gender: Female
Bay-Form / CNIC: 3610421816986
Father/Guardian's CNIC: 3610446416479 Nationality: Pakistani
Father/Guardian's Cell #: 03039200213 Religion: Muslim
Speciality: None Medium: Urdu
Mark of Identification: NIL Hafiz-e-Quran: No
Email Address (optional): abidmhec@gmail.com
District: KHANEWAL
Postal Address: GALA MANDI HOUSE NO 26 GRAIN MARKET MIAN
CHANNU 03039200213
Appearance Details & Subjects:
11th: ***
1. 2. ENG 3. * * * 4. * * * 5. * * * 6. * * * 7. *** 8. ***
12th: 1. UR 2. ENG 3. * * * 4. * * * 5. * * * 6. * * * 7. * * * 8. * * *
Proposed Exam. Centre: 101: Govt. Girls Model High School, Mian Channu (HALL)
Proposed Exam. Zone: 51: Mianchannu
Fee Details: 2025 (Valid Date: 16-09-2019)

Token No: 544501 Form Received By