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Grade Form

PUNJAB EXAMINATION COMMISSION

NINSTRUCTIONS:
5 PUBLIC SCHOOL STUDENT REGISTRATION FORM
EXAMINATION 2019 A :
1. FORM MUST BE FILLED IN BLOCK LETTERS. Diary No. _________
2. THE FORM MUST BE SUBMITTED AT THE RESPECTIVE EXAMINATION CLUSTER CENTER (ECC) WITHIN DUE DATE.
3. IN CASE OF FAKE ENTRY, STRICT ACTION WILL BE TAKEN AGAINST SCHOOL ADMINISTRATION SUBMITTING THIS FORM.
4. ATTESTED COPY OF BIRTH CERTIFICATE, NADRA FORM B, COPY OF SCHOOL ADMISSION-WITHDRAWAL REGISTER OF EACH STUDENT IS ALSO REQUIRED.

SSCHOOL INFORMATION: (To be filled in by school head only) :

1. Department Name: _____________________________ 2. School EMIS Code:


If Applicable

3. School Name: ____________________________________________ 4. Level: H. SEC. SEC ELE PRIMARY


Higher Secondary Secondary Elementary
Primary
5. Type: MALE FEMALE BOTH 6. Location: URBAN RURAL 7. Address: ____________________________

_________________________________8. Tehsil: ______________________ 9. District: __________________________

10. NA # 11. PP # 12. UC # 13. UC Name: __________________________


NA (National Assembly) PP (Punjab Province, Provincial Assembly) UC (Union Council)

14. Total No. of students who applied for registration: 15. Total No. of PEC form ‘B’ sheets attached:

INFORMATION OF SCHOOL HEAD: () (To be filled in by school head only) .


16. Name: _________________________________ 17. CNIC No.

18. Mobile No. 0 3 2 1 4 4 7 8 8 1 8 19. Email Address: ___________________________________

20. Signature of School Head: _________________________ 21. Official Stamp: __________________________


AATTESTATION: (To be attested by AEO concerned or Head/Principal Govt. Secondary or Higher Secondary School) .
It is certified that information given in Form ‘A’ and Form ‘B’ is correct.
22. Name: _______________________________ 23. Designation: __________________________

24. CNIC # 25. Mobile # 0 3 2 1 4 4 7 8 8 1 8

26. Signature: _________________________ 27. Official Stamp: __________________________


TO BE FILLED IN BY ECC OFFICE ONLY:
28. Examination Center Code: 29. Examination Center Name: ____________________________________

30. Online Form No. (OSRS Generated Form No.) 31. Date of Registration: ____/____/______

32. ECC School Name: _______________________________________ 33. ECC EMIS Code:

34. Received by: __________________________________ 35. Designation: _________________________

36. Signature: _________________________ 37. Official Stamp: __________________________


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ACKNOWLEDGEMENT RECEIPT: (To be issued by ECC office)
Diary No. __________ Date of Submission: _____/_____/_______

It is acknowledged that a Registration Form containing particulars of _______ Students of School __________________________
for Grade 5 PEC Examination Year 2018 has been duly received.

Received by (Name): ______________________ Signature with Stamp: _________________________