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    Punjab School Education Board

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    taransaini1606

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    Punjab School Education Board

    Uploaded by

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    5 views2 pages

    Punjab School Education Board

    Uploaded by

    taransaini1606

    Copyright:

    © All Rights Reserved
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    Punjab School Education Board

    Matriculation Examination Form For Additional (Private) , March-2025


    Reference No. : For Office Use Only : Old Set : Dealing Set : ..................................
    1030325103460 Sheet No.: ............................... Roll No.: ............................... Centre Code: ...............................

    District Code/Name S.A.S NAGAR Category Additional


    Exam Type PRIVATE
    Differentaly abled N.A. Do you want Writer (Scribe) (Attach Certificate) No
    Desired Exam Centres 1. S.A.S. NAGAR (MOHALI) 2. S.A.S. NAGAR (MOHALI)
    Hard Copy of Certificate YES
    Personal Information
    Ref. No. 1030325103460
    Candidate Name TARANDEEP KAUR / ¼ÏÅÂÛÆ ¨ïÏ
    Father's Name GURMEET SINGH / ¬ÝÏÌÛ¼ ÚÓâ®
    Mother's Name RAVINDER KAUR / ÏÚÒâÂÏ ¨ïÏ
    Caste OBC Date of Birth 06/07/2003

    Gender FEMALE Religion SIKH


    Mobile No. 8278825468 Stream/Group GENERAL
    Email ID [email protected]
    Address VILL. SURAJPUR, P.O PURUWALA (KANSHIPUR) TEH. PAONTA SAHIB, DIS SIRMAUR
    STATE HIMACHAL PRADESH,PAONTA SAHIB,CHANDIGARH & OTHER
    STATES,CHANDIGARH & OTHER STATES,173025

    Previous Class Details


    Old Roll No. 2334286 Session / Year May / 2019 Result Details MATRIC PASS

    Fee Details
    Challan No. 3011425262252 Challan Amount 1350 Challan Valid Date 21/10/2024 00:00:00
    Bank/Branch HDFC Bank / HDFC
    17/10/2024
    Bank Ref No. 113507991925 Deposit Date
    10:47:21PM

    Subjects Details
    Sr. Code Subject Name Sr. Code Subject Name
    1 01 PUNJABI - A 2 72 PUNJABI - B
    3 72 PUNJABI - B
    Declaration

    ¦ÝÌÛÂÒØÏ ÂØ ÚɤØÅ :-
    (¦) Ìè ÚɤØÅ ¨ÏÂØ / ¨ÏÂÛ ÕÙ Ú¨ ÌãÏã ÂݤØÏØ ÇØÏÌ ÚÒó° ÊÏã ¬¥ã ÓØÏã ÒãÏÒã ÓÕÛ ÕÅ ¢ Ìè Ðë¾ÛÂã ÂÓ¼ØÒã² ÅóÁÛ ¨Ï ÚÏÕØ/ÏÕÛ ÕÙ ¢ ÇØÏÌ ÚÒó° ¨Û¼Û Ú¨Óã ÒÛ ¬Ð¼ ÚɤØÅÛ Ð¥Û Ìè ÆÞÏÛ ¼ÏðÙ Ú²âÌãÒØÏ ÕëÒÙ¬Ø/ÕëÒÙ¬Û¢ Ìè
    Éëϸ ÂݤØÏØ ÌØÅ¼Ø ÆñØƼ Ú¨Óã ÓâÓÁØ ÂݤØÏØ ÚŨØÐØ-ÆñØƼ ¨óºã ¬¥ã Õë» Âã ¨ØÏ» ÆÏÛÚª¤Ø ÚÒó° Éè·» ¼ë ÒÏÚ²¼ ÅÕÛ ²Ù Éëϸ ÒóÐë ÌèÅÞâ Ú¨Óã ÆÏÛÚª¤Ø ¼ë ¤Íë¬ ¨ÏØÏ ÅÕÛ ÚÂó¼Ø Ú¬¤Ø¢ Ìè Ú¥Ó ÚÒóÚ¤¨ ÓØÐ ÚÒó° Ú¨Óã Paste Recent
    ÒÛ ÓϨØÏÛ/ÌØÅ¼Ø ÆñØƼ Ó¨ÞÐ ÚÒó° ÅÕÜ Æ¾ ÚÏÕØ/ÏÕÛ ÕÙ¢ Ìè Ú¥Ó ÆÏÛÚª¤Ø ÇØÏÌ ¼ë Ú¥ÐØÒØ Ú¥Ó ÆÏÛÚª¤Ø Ð¥Û ÕëÏ ¨ë¥Û ÆÏÛÚª¤Ø ÇØÏÌ ÅÕÛ ÊÚϤآ (¤) ÌãÏã ÒÐë Ú¨Óã ÒÛ Ú¨ÓÌ Âã ´¬¾ã ÂÛ ÓÞϼ ÚÒó° ¨ØÅÝâÅÛ Attested
    ¨ØÏÒØ¥Û ¨ãÒÐ ¤²Û¼¬¾ð ÓÚÁó¼ ¤ÂØм ÚÒó° ÕÛ ¨Û¼Û ²ØÒã¬Ûã¢
    Ú̼Û...................................................................... ÓÁØÅ...................................................................... ¦ÝÌÛÂÒØÏ Âã ÕӼتÏ...................................................................... Passport size
    ¼ÓÂÛ¨ :- Colored
    Ìè ¼ÓÂÛ¨ ¨ÏÂØ/¨ÏÂÛ ÕÙ Ú¨ ¦ÝÌÛÂÒØÏ ...................................................................... ÓÆÝó¼Ï/ÓÆÝó¼ÏÛ ÓñÛ ...................................................................... ÓñÛ̼Û
    ...................................................................... Åã ........ ÓÖñã»Û ÂÛ ÆÏÛÚª¤Ø ÏëÐ Åâ ............................................ÓèÓÅ/ÓØÐ ..................Éëϸ ............................¼ë ÚÂó¼Û ÓÛ, Ú²ÓÂØ Å¼Û²Ø ..................... Õè, Photograph.
    ÆÏÛÚª¤Ø ÇØÏÌ ÚÒó° ÊÏã ÒãÏÒã ÓÕÛ ÕÅ, ¦ÝÌÛÂÒØÏ Åã ÕÓ¼ØªÏ ÌãÏÛ ÕزÏÛ ÚÒó° ¨Û¼ã ÕÅ ¤¼ã Ú¥Õ ¦ÝÌÛÂÒØÏ Ú¥Ó ÆÏÛÚª¤Ø Ð¥Û Íë¬ Õè¢ ...........................................................(ÆÝÏØ ÅÙ)
    ...........................................................(ÆÝÏØ ÅÙ)
    ¤ÕÝÂØ ..................................................................... DO NOT STAPLE
    ÌëÉØ¥ÛÐ Åâ /¶èÐÛÇëÅ ÅâÉÏ ¨ë¸ ÓÌã¼ ........................... ¼ÓÂÛ¨ ¨ÏÅ ÒØÐã ¤ÚĨØÏÛ Âã ÕÓ¼ØªÏ ¤¼ã ÌëÕÏ

    Permanent Address of Candidate


    Roll Number Ref. No. 1030325103460 Roll Number Ref. No. 1030325103460
    Name TARANDEEP KAUR Name TARANDEEP KAUR
    Father's Name GURMEET SINGH Father's Name GURMEET SINGH
    Address VILL. SURAJPUR, P.O PURUWALA (KANSHIPUR) TEH. Address VILL. SURAJPUR, P.O PURUWALA (KANSHIPUR) TEH.
    PAONTA SAHIB, DIS SIRMAUR STATE HIMACHAL PAONTA SAHIB, DIS SIRMAUR STATE HIMACHAL
    PRADESH PRADESH
    CHANDIGARH CHANDIGARH
    District & OTHER Pin Code 173025 District & OTHER Pin Code 173025
    STATES STATES
    Mobile 8278825468 Mobile 8278825468

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