New-Provisional Certificate by kpk12345

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									    FEDERAL BOARD OF INTERMEDIATE AND
   SECONDARY EDUCATION H-8/4, ISLAMABAD.
     APPLICATION FORM FOR SUPPLY OF PROVISIONAL CERTIFICATE
                          (SSC / HSSC)

   1. Name of Candidate (in Block Letters) _________________________________________
             s
   2. Father’ Name (in Block Letters) _____________________________________________
   3. Enrolment/Registration No. _____________________ 4. Roll No. __________________
   5. Marks obtained _____________________ 6. Division / Grade ______________________
   7. Examination (SSC / HSSC) __________________________________________________
   8. Year of appearance in the Examination (Annual / Supplementary) _________________
   9. Date of Birth ____________________ 10. Group _________________________________
   11. Name of Institution from which appeared _____________________________________
   _____________________________________________________________________________
   12. Bank Challan No. ________________ dated ____________ Amount ________________
      Bank Draft No. __________________ dated ____________ Amount ________________
   13. Name of Bank from drawn    _________________________________________________
   14. Postal Address _____________________________________________________________
   _____________________________________________________________________________


   I solemnly declare that the particulars mentioned above are correct and nothing has been
   concealed.


   Date: _________________                            ________________________________
                                                      SIGNATURE OF CANDIDATE


                  FEE FOR PROVISIONAL CERTIFICATE

                    PAKISTAN                          ABROAD
                     Rs. 500/-                         US$ 30/-
                                                      or equivalent

                                                              s
              Fee is to be paid through Bank Challan in Board’ Branch. Bank Draft payable
to the Federal Board of Intermediate and Secondary Education, Islamabad drawnable on a
                                                s
bank at Islamabad is also acceptable. Depositor’ copy of Challan / Original Bank Draft and
attested photocopy of Marks Sheet may be attached with application form.

								
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