PRICE : Rs. 25/= SERIAL NO.

BOARD OF INTERMEDIATE EDUCATION KARACHI

APPLICATION FORM FOR THE ISSUANCE OF ORIGINAL
H.S.C/P.T.C/C.T./D.P.E./H.Eco. CERTIFICATE FOR THE YEAR_______
BOARD OF
M E D I AT E E D U C AT I O N
INTER
KARACHI

Most Recent Passport

The Secretary, Size Photograph be
Board of Intermediate Education, pasted here
Karachi

Sir,
It is requested to kindly issue my Original H.S.C/P.T.C/C.T./D.P.E. Certificate for the Examination passed in
the year__________ (Annual/Supplementary). My necessary particulars are as under:

ROLL No. GROUP

NAME :
(IN CAPITAL LETTERS AS ENTERED IN MATRIC CERTIFICATE)

FATHER’S NAME :
(IN CAPITAL LETTERS AS ENTERED IN MATRIC CERTIFICATE)

GRADE/DIVISION: MARKS OBTAINED

COMPULSORY SUBJECTS: 1. 2.

3. 4.

OPTIONAL SUBJECTS: 1. 2.

3.

NAME OF COLLEGE / PRIVATE

RESIDENTIAL ADDRESS:

RESIDENTIAL TELEPHONE NO.

DATE : SIGNATURE OF THE CANDIDATE

MARK OF IDENTIFICATION:
(MUST BE WRITTEN OTHERWISE THE FORM WILL BE REJECTED)
Certificate will be issued to the actual candidate only on production

For Bank Use For Office Use Applicant Copy S. NO.

09:30 A.M. to 12.30 P.M. Friday 09.30 A.M. to 11.30 A.M.

To be filled by applicant
Date of Issuance
Name :
Note: Timing: Monday to Thursday & Saturday

Roll No.

Year

Date of Receiving Group

Name of College/Private
of C.N.I.C. in Original.

MD/03/09/50,000
IMPORTANT:

Date of issuance
Signature of Receiver Signature of receiver & date
 DOCUMENTS TO BE ENCLOSED WITH THE APPLICATION FORM

01) Most Recent Passport Size Photograph.

02) Passing Admit Card of H.S.C. Part-II (Original).
03) Enrolment card of H.S.C. Part-I in case of Regular Candidate (Original).
04) Registration Card, in case of Private Candidate (Original).
05) Attested Photocopy of S.S.C. (Matric) Certificate.
06) Attested Photocopy of H.S.C. Part-II (Intermediate) Marks Sheet of passing Roll Number.
07) Attested photocopy of C.N.I.C.

FEE SCHEDULE

ORNDINARY = No Fee
URGENT = Rs. 250/=
SPECIAL FEE = Rs. 400/= (in case applied before
issuance of notification)

DURATION FOR THE ISSUANCE OF CERTIFICATE

ORNDINARY = One Month

URGENT/SPECIAL = 10 Days

IMPORTANT

01) Original Certificate will be issued only to the actual candidate on presenting Original Receipt and
his/her C.N.I.C. at the time of issuance.
02) Original Certificate will be issued between 09.30 A.M. to 12.30 P.M. from Monday to Thursday
and Saturday. From 09.30 A.M. to 11.30 A.M. on Friday.
03) Incomplete forms are liable to be rejected.

DECLARATION
I have read, understood, agreed with the conditions and requirement laid down in the Original
Certificate Form.

SIGNATURE OF THE CANDIDATE:

NAME :

DATE :