2/18/2021 Application Form
BOARD OF INTERMEDIATE & SECONDARY EDUCATION BAHAWALPUR
Application Form For Duplicate Result Card ( Ordinary )
Application No: 1292
Name:(As per result card) UMAR SIDDIQUE
Father's Name:(As per result card) M SIDDIQUE
Exam Name: SSC Annual 2009
Exam Roll No: 76311
Registration No: 148-BWN-118-2007
Result: 932 , PASS
Institute: GOVT HIGH SCHOOL FORTABBAS Attest Photo Before
CNIC or B-Form No: 3310497426165 Submission of Form
Date of Birth: 01-Nov-1992
Challan No: 180144498
Due Amount: 1100
Paid Date: ________________________
Postal Address:
CHAK # 127GB HOUSE#317 STREET#4 JARANWALA DISTT FAISALABAD
Signature. ___________________________ Contact No. 03094170324
Printed On: 18-02-2021 10:15 AM
221.120.217.252/Apps/(S(pvltpvt2uw1ugsu5tnp5aib3))/OnlineApps/Print/AppDupCertificate.aspx?data=MTI5Mg== 1/3
2/18/2021 Application Form
Board of Intermediate & Secondary Board of Intermediate & Secondary
Education, Bahawalpur Education, Bahawalpur
Online Challan Form Application Copy Online Challan Form Student Copy
Challan No Challan No
180144498 180144498
Account Title BISE Bahawalpur Account Title BISE Bahawalpur
A/C No. 235771153 A/C No. 235771153
UMAR SIDDIQUE S/D/O M SIDDIQUE, CHAK # 127GB UMAR SIDDIQUE S/D/O M SIDDIQUE, CHAK # 127GB
HOUSE#317 STREET#4 JARANWALA DISTT HOUSE#317 STREET#4 JARANWALA DISTT
FAISALABAD, 03094170324, SSC, Annual, 2009 FAISALABAD, 03094170324, SSC, Annual, 2009
Fee Description Fee Description
Duplicate Result Card ( Ordinary ) Duplicate Result Card ( Ordinary )
Total Fee (in figure) 1100 Total Fee (in figure) 1100
Total Fee (in Words) Total Fee (in Words)
ONE THOUSAND ONE HUNDRED ONE THOUSAND ONE HUNDRED
__________________ __________________ __________________ __________________
Candidate's Signature Cashiar's Signature Candidate's Signature Cashiar's Signature
Date : ____________________________________ Date : ____________________________________
Bank Branch/Code : ________________________ Bank Branch/Code : ________________________
May be deposited in any UBL Branch within Pakistan. May be deposited in any UBL Branch within Pakistan.
Print Date/Time 18-02-2021 10:15 AM Print Date/Time 18-02-2021 10:15 AM
Board of Intermediate & Secondary Board of Intermediate & Secondary
Education, Bahawalpur Education, Bahawalpur
Online Challan Form Bank Copy Online Challan Form Board Copy
Challan No Challan No
180144498 180144498
Account Title BISE Bahawalpur Account Title BISE Bahawalpur
A/C No. 235771153 A/C No. 235771153
UMAR SIDDIQUE S/D/O M SIDDIQUE, CHAK # 127GB UMAR SIDDIQUE S/D/O M SIDDIQUE, CHAK # 127GB
HOUSE#317 STREET#4 JARANWALA DISTT HOUSE#317 STREET#4 JARANWALA DISTT
FAISALABAD, 03094170324, SSC, Annual, 2009 FAISALABAD, 03094170324, SSC, Annual, 2009
Fee Description Fee Description
Duplicate Result Card ( Ordinary ) Duplicate Result Card ( Ordinary )
Total Fee (in figure) 1100 Total Fee (in figure) 1100
Total Fee (in Words) Total Fee (in Words)
ONE THOUSAND ONE HUNDRED ONE THOUSAND ONE HUNDRED
__________________ __________________ __________________ __________________
Candidate's Signature Cashiar's Signature Candidate's Signature Cashiar's Signature
Date : ____________________________________ Date : ____________________________________
Bank Branch/Code : ________________________ Bank Branch/Code : ________________________
May be deposited in any UBL Branch within Pakistan. May be deposited in any UBL Branch within Pakistan.
Print Date/Time 18-02-2021 10:15 AM Print Date/Time 18-02-2021 10:15 AM
221.120.217.252/Apps/(S(pvltpvt2uw1ugsu5tnp5aib3))/OnlineApps/Print/AppDupCertificate.aspx?data=MTI5Mg== 2/3
2/18/2021 Application Form
221.120.217.252/Apps/(S(pvltpvt2uw1ugsu5tnp5aib3))/OnlineApps/Print/AppDupCertificate.aspx?data=MTI5Mg== 3/3
