BOARD OF INTERMEDIATE & SECONDARY EDUCATION, MARDAN

ADMISSION FORM FOR HIGHER SECONDARY SCHOOL CERTIFICATE EXAMINATION

HSSC PART-I
Form No:_________
PHOTO
(NON
ATTESTED
)

Year_________Annual/Supply
Group: Pre Medical:

Roll No:____________________

Pre Eng.:

Regular:

G.Science

Humanities

Private:

District: Mardan:

Swabi:

Fresh Candidate:

Nowshera:

For Compartment:

Enrollment No.
Previous Roll No.

Year_____A/S Board (if other than Mardan)____________________

Name of institution:______________________________________________________________________________
Proposed Center:________________________________________________________________________________
Candidates Name (in block letter):_________________________________________________________________
Fathers Name (in block letter):____________________________________________________________________
Mark of identification:______________________________ Sex:
Religion: Muslim:

Non Muslim:

Male:

Nationality: Pakistani:

Female:
Non Pakistani:

Address: Mohallah:________________________________________Sector:______Street No:______ H#:________

Village:__________________________________________Post office:_______________Tehsil________________
District:___________________________________________Phone/Mobile:_________________________________
S.#

Subjects Part-I

Code

Medium

English

01

Urdu

05

Islamiyat

09

PHOTO
Attested on
Front Side

For Attesting Authority:

This is to certify that He/She is regular student of this school He/She has good character & completed 75% attendance in
each subject:
For Private Candidates: Certified that He/She is personally known to me and all entries and photos attached are correct and I
shall be responsible for the consequences arising out of my inaccuracy.
Admission Fee Deposited Rs._____________in ABL_____________Receipt No.___________Dated________________________
Candidates Signatures: 1_____________________2_______________________

Signature:_____________________
Office Seal

Name:_________________________
Designation____________________

Dealing Clerk

Office Asstt.

Superintendent

ACE(Conduct)

Remarks