BOARD OF INTERMEDIATE AND SECONDARY EDUCATION, D.G.

KHAN
ADMISSION FORM FOR MATRIC(PART-II/COMBINED) SUPPLEMENTARY EXAMINATION 2019

APPEARING CATEGORY: REAPPEAR STATUS: PRIVATE:

0000000002165
FORM No: 216
_________________________ Roll No:_________________________________
Serial No:
________________
Candidate Name: MUHAMMAD QASIM
__________________________________ Name in Urdu:______________________________
Father's Name: ZAMAN
__________________________________Father's Name in Urdu:______________________
Registration No: 817-32110035-112753
Father CNIC: 5640144699550
__________________
Speciality: Nothing Date Of Birth: 05-04-2002 PASTE YOUR
RECENT COLOUR
Candidate CNIC/Bay Form: 5640144699550
ATTESTED
Appearing Status: 9th: RE-APPEAR 10th: RE-APPEAR PHOTOGRAPH
Srno Part I Part II WITH GUM

1
Group: SCIENCE
_________
2 ENG Religion: Muslim

3 Gender: Male
4 Medium: Urdu
Personal Mobile No: 03317979849
5
6 PHY PHY

7
8
_______________________________________________________________________________________________________________________
Last Matric Detail: Last Ninth Detail:
Ninth Rno: 127725 Ninth Year: na2018
Last Previous.Roll No: 224745 Year: MA2019 Board: DGK
Board: DGK
Old Obtained Marks: R/A S2020

District: DGK Tehsil: DGK Permanent District: Dera Ghazi Khan

Proposed Nearest Exam Centre: _____________________________________________________________________
D.G.KHAN CITY
Address with(Distt&Tehsil) Chabri Bala,Dera ghazi khan
________________________________________________________________________________________

Data Feeding Date 17-07-2019 Challan Paid Date _________________

Printing Date 17-07-2019
______________________________________________________________________________
______________________________________
Challan No 216
________ Amount 1650
________ Bank Name ___________________
___________________________________
____________________________________________________________________________________________________________

Page 1/3
 BOARD OF INTERMEDIATE AND SECONDARY EDUCATION, D.G.KHAN
ADMISSION FORM FOR MATRIC(PART-II/COMBINED) SUPPLEMENTARY EXAMINATION 2019

APPEARING CATEGORY: REAPPEAR STATUS: PRIVATE:

0000000002165
FORM No: 216
_________________________ Roll No:_________________________________
Serial No:
________________
Candidate Name: MUHAMMAD QASIM
__________________________________ Name in Urdu:______________________________
Father's Name: ZAMAN
__________________________________Father's Name in Urdu:______________________
Registration No: 817-32110035-112753
Father CNIC: 5640144699550
__________________
Speciality: Nothing Date Of Birth: 05-04-2002
Candidate CNIC/Bay Form: 5640144699550
Appearing Status: 9th: RE-APPEAR 10th: RE-APPEAR
Srno Part I Part II

1
Group: SCIENCE
_________
2 ENG Religion: Muslim

3 Gender: Male
4 Medium: Urdu
Personal Mobile No: 03317979849
5
6 PHY PHY

7
0000000002165
8
_______________________________________________________________________________________________________________________
Last Matric Detail: Last Ninth Detail:
Ninth Rno: 127725 Ninth Year: na2018
Last Previous.Roll No: 224745 Year: MA2019 Board: DGK
Board: DGK
Old Obtained Marks: R/A S2020

District: DGK Tehsil: DGK Permanent District: Dera Ghazi Khan

Proposed Nearest Exam Centre: _____________________________________________________________________
D.G.KHAN CITY
Address with(Distt&Tehsil) Chabri Bala,Dera ghazi khan
________________________________________________________________________________________

Data Feeding Date 17-07-2019 Challan Paid Date _________________

Printing Date 17-07-2019
______________________________________________________________________________
______________________________________
Challan No 216
________ Amount 1650
________ Bank Name ___________________
___________________________________
____________________________________________________________________________________________________________

Page 2/3
 BOARD OF INTERMEDIATE AND SECONDARY EDUCATION, D.G.KHAN

(1)
HBL B.I.S.E COMPLEX BR.(1470) DERA GHAZI KHAN A/C NO 14700000001701
___________________________________________________________________ 0000000002165
Date: _________________ Challan No: 216
_______________

Name: MUHAMMAD QASIM

________________________ Amount: 1650
Father's Name: ZAMAN
________________________ Amount in word: __________________
Roll No: 224745 Fee purpose: Admission Matric (2019)
Examination: Matric Supplementary 2019 Mobile No: 03317979849
Address: Chabri Bala,Dera ghazi khan
______________________________________________________________
Applied Date 17-07-2019 Officer: ____________ Cashier: ____________ Challan No: 216

-----------------------------------------------------------------------------------------------------------------------------------------------------

(2)
HBL B.I.S.E COMPLEX BR.(1470) DERA GHAZI KHAN A/C NO 14700000001701
___________________________________________________________________ 0000000002165

Date: _________________ Challan No: 216

_______________

Name: MUHAMMAD QASIM

________________________ Amount: 1650
Father's Name: ZAMAN
________________________ Amount in word: __________________
Roll No: 224745 Fee purpose: Admission Matric (2019)
Examination: Matric Supplementary 2019 Mobile No: 03317979849
Address: Chabri Bala,Dera ghazi khan
______________________________________________________________
Applied Date 17-07-2019 Officer: ____________ Cashier: ____________ Challan No: 216

-----------------------------------------------------------------------------------------------------------------------------------------------------

(3)
HBL B.I.S.E COMPLEX BR.(1470) DERA GHAZI KHAN A/C NO 14700000001701
___________________________________________________________________ 0000000002165

Date: _________________ Challan No: 216

_______________
Name: MUHAMMAD QASIM
________________________ Amount: 1650
Father's Name: ZAMAN
________________________ Amount in word: __________________
Roll No: 224745 Fee purpose: Admission Matric (2019)
Examination: Matric Supplementary 2019 Mobile No: 03317979849
Address: Chabri Bala,Dera ghazi khan
______________________________________________________________

Applied Date 17-07-2019 Officer: ____________ Cashier: ____________ Challan No: 216

Page 3/3