Board of Intermediate & Secondary Board of Intermediate & Secondary Board of Intermediate & Secondary Board of Intermediate &
Board of Intermediate & Secondary
Education, Gujranwala Education, Gujranwala Education, Gujranwala Education, Gujranwala
Student Copy Board Copy Board Copy (Along with Scroll) Bank Copy
Challan No: 12469816 Challan No: 12469816 Challan No: 12469816 Challan No: 12469816
1Bill Challan No: 100114500812469816 1Bill Challan No: 100114500812469816 1Bill Challan No: 100114500812469816 1Bill Challan No: 100114500812469816
HBL CMD A/c No. 0042-79000721-03 HBL CMD A/c No. 0042-79000721-03 HBL CMD A/c No. 0042-79000721-03 HBL CMD A/c No. 0042-79000721-03
KONNECT/JAZZCASH/EASYPAISA KONNECT/JAZZCASH/EASYPAISA KONNECT/JAZZCASH/EASYPAISA KONNECT/JAZZCASH/EASYPAISA
Name: AMEN SHEHZADI Name: AMEN SHEHZADI Name: AMEN SHEHZADI Name: AMEN SHEHZADI
Father's ABDUL NAVEED Father's ABDUL NAVEED Father's ABDUL NAVEED Father's ABDUL NAVEED
Name: Name: Name: Name:
Mobile No: 03127174919 Mobile No: 03127174919 Mobile No: 03127174919 Mobile No: 03127174919
Candidate's Pakistan palai wood store Candidate's Pakistan palai wood store Candidate's Pakistan palai wood store Candidate's Pakistan palai wood store
Address: street no.2 house no. 1 mor Address: street no.2 house no. 1 mor Address: street no.2 house no. 1 mor Address: street no.2 house no. 1 mor
sambrial sambrial sambrial sambrial
Purpose of Fee Amount Purpose of Fee Amount Purpose of Fee Amount Purpose of Fee Amount
Rechecking Fee for 3 Answer 4000/- Rechecking Fee for 3 Answer 4000/- Rechecking Fee for 3 Answer 4000/- Rechecking Fee for 3 Answer 4000/-
Sheet(s) + Form Fee Sheet(s) + Form Fee Sheet(s) + Form Fee Sheet(s) + Form Fee
____________________________________ ____________________________________ ____________________________________ ____________________________________
Total Amount (Rupees) =4000/- Total Amount (Rupees) =4000/- Total Amount (Rupees) =4000/- Total Amount (Rupees) =4000/-
Amount in Words: Amount in Words: Amount in Words: Amount in Words:
FOUR THOUSAND Only (Rupees) FOUR THOUSAND Only (Rupees) FOUR THOUSAND Only (Rupees) FOUR THOUSAND Only (Rupees)
_____________________ _______________ _____________________ _______________ _____________________ _______________ _____________________ _______________
Candidate's Signature Bank Stamp Candidate's Signature Bank Stamp Candidate's Signature Bank Stamp Candidate's Signature Bank Stamp
Date:______________ Date:______________ Date:______________ Date:______________
Bank Branch/Code:_____________________ Bank Branch/Code:_____________________ Bank Branch/Code:_____________________ Bank Branch/Code:_____________________
_____________________________________ _____________________________________ _____________________________________ _____________________________________
Printing Date: 11-10-2023 Printing Date: 11-10-2023 Printing Date: 11-10-2023 Printing Date: 11-10-2023
