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New-verification - Federal Board Islamabad

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Federal Board of Intermediate Education Islamabad

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									FEDERAL BOARD OF INTERMEDIATE AND SECONDARY EDUCATION,
               H-8/4, ISLAMABAD (PAKISTAN)

          APPLICATION FORM FOR VERIFICATION OF CERTIFICATE


I, __________________________________enclose herewith 2 photocopies of Certificate
       (self/Authorized Person)
with the below mentioned particulars and request for its verification:


1. Name of candidate (In block letters) _______________________________________
          s
2. Father’ name ________________________________________________________
3. Registration No. ____________________             4. Roll No. ____________________
5. Marks obtained ____________________               6. Division/Grade _______________
7. Examination Passed _________________              8. Date of Birth ________________
9. Year of Examination Passed (Annual/Supply) _______________________________
10. Name of Institution from which appeared __________________________________
11. Verified copy/ies required to be submitted in the office of ______________________
12. I have paid the required fee of Rs.200/-:
       (Rs.200/- per copy)

       Bank Challan No. _____________ dated _______________Amount___________
       Bank Draft/PO No. ____________ dated _______________Amount___________
Name of bank from which drawn able (in case of BD/PO) _________________________
_______________________________________________________________________.


13. Postal Address: ______________________________________________________
_______________________________________________________________________.
14. Phone No. __________________________
                                      CERTIFICATE
         I hereby solemnly declare that the documents presented/attached are genuine, and
have neither been altered nor tampered with. I understand that in case of falsification of
documents tendered or the wrong information supplied/concealment of correct information,
I shall be held responsible for the legal/criminal action.



                                                     __________________________
Date: _____________                                  SIGNATURE OF APPLICANT


ATTACHMENTS:

								
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