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Application Form Oc

This document is an application form for an original certificate from the Board of Intermediate & Secondary Education Abbottabad. It requests information such as the candidate's examination roll number, name, father's name, date of birth, subjects taken and marks obtained. The candidate must fill out the form carefully and according to their admission/registration records. They must also declare that the information provided is correct to the best of their knowledge. The form is to be submitted along with the prescribed fee and requires the signatures of the candidate and dealing clerk.

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Riaz Mir
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64 views1 page

Application Form Oc

This document is an application form for an original certificate from the Board of Intermediate & Secondary Education Abbottabad. It requests information such as the candidate's examination roll number, name, father's name, date of birth, subjects taken and marks obtained. The candidate must fill out the form carefully and according to their admission/registration records. They must also declare that the information provided is correct to the best of their knowledge. The form is to be submitted along with the prescribed fee and requires the signatures of the candidate and dealing clerk.

Uploaded by

Riaz Mir
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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BY HAND /

POST

BOARD OF INTERMEDIATE & SECONDARY


EDUCATION ABBOTTABAD
APPLICATION FORM FOR ORIGINAL CERTIFICATE

Ordinary / Urgent

NORMAL / REVISED / IMPROVEMENT / ADDITIONAL

This form must be filled in carefully by the candidate in his/her own handwriting and as per
admission form/school/college/Registration record.
1.

Examination (HSSC / SSC) Roll No. __________ Session (Annual/Supply) year_______

2.

Name (in Capital Letters)___________________________________________________

3.

Father Name (in Capital Letters)_____________________________________________

4.

Date of Birth

5.

Name of School/College (for regular Candidates only) ___________________________

6.

Subjects __________________ Group_______________ Marks Obtained ___________

7.

Previous Roll No., Year & Session (marks Improvement only) ____________________

______________________________ District ___________________

Declaration: I do hereby solemnly declare that all particulars filled in by me are correct and as per
school/college/registration record. I shall be responsible for any discrepancy found therein.

40 (1)

(Care Of)


Mailing Address:__________________________________________________________________________
Phone/Mobile No: __________________________
..............................................................................................................................................................................................

2000 1995 iv iii ii i


100 ORIENTAL LANGUAGES

vi 200 100 2000 1995 v


viii vii 250/-

(DUP LICATE) (CANCE L) ix 5

0992-392014-Ex t.228 x (APPLY )


Signat ure of Candidat e: ___________ Signature of Dealing Clerk at Window No.5: ____________ DATED: _________

BISE ABBOTTABAD

ROLL NO. .......................... SSC / HSSC (ANNUAL/SUPPLY) ........................................ ISSUE


SIGNAUTRE OF DEALING CLERK AT WINDOW

DATE: .......................................

NO. 5: ............................................... DATED: .................................................

3 2 1

5 20 4
(APPLY ) (DUPLICATE) (CANCEL)

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