Registration Form

STUDENT REGISTRATION FORM

DATE

CONTESTS *

INSTITUTION DETAILS

INSTITUTION’S DETAILS

INSTITUTE NAME

TEHSIL

INSTITUTE POSTAL ADDRESS

DISTRICT

PRINCIPAL’S CONTACT DETAILS

NAME

CELL NO.

LANDLINE NO.

COORDINATOR’S CONTACT DETAILS

Institution must nominate an official to coordinate and to correspond in the absence of Principal.

NAME

CELL NO.

LANDLINE NO.

Email *

I. Please fill all the columns with Capital letters only.
II. The Contest will be held on as per ICA schedule.
III. The fee of all contests is Rs. 2475/- per student, which can be paid through Bank Draft/Pay Order/Internet Banking, drawn in favour of INTERNATIONAL CONTESTS AND ASSESSMENTS.
IV. The fee can also be directly transferred to our:
MEEZAN BANK Account Title:
INTERNATIONAL CONTESTS AND ASSESSMENTS
IBAN: PK73MEZN0026410108378839
A/C NO: 2641- 0108378839
Branch: MEEZAN BHERA BRANCH
V. The registration fee once paid is non-refundable and non-transferable.
VI. PAID BANK DEPOSIT SLIP must be attached along with the registration form.

Deposit slip/Bank-draft/ Pay order in Original *

Click or drag a file to this area to upload.

PLEASE ATTACH HERE

Please fill the particulars of the students carefully according to your institution’s office
record using capital letters.
1. These particulars will appear on the student’s certificates / reports.
2. If the number of students are exceeding from the given form, please attach another page of student registration form.
3. No student can be Replaced/Exchanged once registered.

STUDENT PARTICULARS

Please fill the particulars of the students carefully according to your institution’s office record using capital letters.

Student Particular

Student Name

Phone No & Email

D.O.B

Class

Layout (copy)

Student Name 2

Phone No & Email 2

D.O.B 2

Class 2

Layout (copy) (copy)

Student Name 3

Phone No & Email 3

D.O.B 3

Class 3

Layout (copy) (copy) (copy)

Student Name 4

Phone No & Email 4

D.O.B 4

Class 4

Layout (copy) (copy) (copy) (copy)

Student Name 5

Phone No & Email 5

D.O.B 5

Class 5

Layout (copy) (copy) (copy) (copy) (copy)

Student Name 6

Phone No & Email 6

D.O.B 6

Class 6

Layout (copy) (copy) (copy) (copy) (copy) (copy)

Student Name 7

Phone No & Email 7

D.O.B 7

Class 7

Layout

Student Name 8

Phone No & Email 8

D.O.B 8

Class 8

Layout (copy)

Student Name 9

Phone No & Email 9

D.O.B 9

Class 9

Layout (copy) (copy)

Student Name 10

Phone No & Email 10

D.O.B 10

Class 10

STUDENT REGISTRATION FORM

INSTITUTION DETAILS

PRINCIPAL’S CONTACT DETAILS

COORDINATOR’S CONTACT DETAILS

STUDENT PARTICULARS

FOR DOKA, SASMO, VANDA (SCIENCE), Dr.CT, SINGA (Maths), AMERICAN MATHEMATICS OLYMPIAD https://www.high-endrolex.com/42

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