BOARD OF INTERMEDIATE & SECONDARY EDUCATION ABBOTTABAD
APPLICATION FORM:
FOR DUPLICATE CERTIFICATE (SANAD)
(To be filled in by the candidate in his/her own handwriting)
Attested
Photograph to
be pasted here
(For Males) &
thumb
impression for
Females)
1.
Name (in Capital Letters)________________________________________
2.
Father Name (in Capital Letters) __________________________________
3.
Date of Birth
4.
Roll no. _____________ Examination ______________Year_______________ (A / S )
5.
Name of School/College (District in case of Private) ____________________________
6.
Bank receipt of Rs.500/-No_________ dated _________ Bank/Branch______________
______________________________ ______________
Declaration: I do hereby solemnly declare that all particulars filled in by me are correct and as per school/college record.
I shall be responsible for any discrepancy / misstatement found therein.
Signature of Dealing Clerk at Window Now.5 _________
CERTIFICATE “A” (Regular Candidates Only)
(To be signed by the Head Master/Headmistress/Principal)
I hereby certify on the basis of school/college record that
Mr/Mst.___________________ Son/Daughter of __________________
whose particulars are given in this application form is the same person
who passed the SSC /HSSC (Annual/Supply) examination ________
from (School/College Name) ______________________ and the
particulars filled in by him/her are correct.
Signature of Candidate: __________ Dated:_______
CERTIFICATE “B” (Private Candidates Only)
(To be signed by a gaetted officer of education department)
I hereby certify on the basis of available record presented before me
by Mr./Mst ________________Son/Daughter of ________________
who passed SSC / HSSC (Annul /Supply) examination__________
from BISE Abbottabd and the particulars filled in by him/her in this
application form are correct.
Name:__________________ Signature___________
Name: __________________ Signature___________
Designation:_________OfficeSeal: __________
Designation:_________ Office Seal: _____________
SPECIMEN OF AFFIDAVIT: I_____________son/daughter of _____________ have lost my Original Certificate in the following
circumstances ____________. Nothing has been concealed and I shall be bound for any legal action if any statement proved to be
incorrect.
Signature of applicant ____________
Witness No.1 ___________________ Witness No.2 ___________________
Magistrate First Class (CO in case of Military Personal) ___________________Court Seal to be Affixed_______________
(FOR USE IN THE OFFICE OF THE BOARD)
I have checked the above particulars and found correct. Duplicate Certificate may please be issued.
___________
Dealing Clerk:
__________
Assistant
_________
Supdtt.
___________
Asstt. Secretary (Certificates)
_________
Secretary
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
 Bio-Data
BISE ABBOTTABAD
Roll No. 
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      Session         For         Issue Date       
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
(2)
Signature of Dealing Clerk at Window. ________________
Application No. 
     Dated        