Serial No. (Filled by EDO Office) ______________ Examination Centre Code (Filled by EDO Off ice) Your preferred Examination Centre (if any) ___________________________________ School's Name: (In Block Letters) School Registered: (Yes) (No) If yes then Reg. No. ____ __ __ __ __ __ Location:Urban/Rural U R School Gender: Male/Female/Mixed M F Mix Tick relevant box Union Council No. Union Council Name: _ Tehsil : _ _ __ __ District: _ _ _ __ _ Postal Address: _ _________________________________________________________________ Total number of students in school: Total number of candidates: Grade 5 Total Male: Total Female: Urdu medium: Eng. Medium: Candidates Candidates Number of candidates opting Social Studies in English/Urdu medium English Urdu REGISTRATION FORM FOR GRADE 5th EXAMINATION-2012 PUNJAB EXAMINATION COMMISSION PRIVATE SCHOOL um er o can a es op ng s am ya n ng s r u me um ng s r u Six Compulsory subjects for Grade 5:- English, Urdu, Mathematics, Science, Social Studies and Islamiyat Number of Non-Muslim candidates, opting Ethics (Ikhlaqiat) in lieu of Islamiyat Total attached Sheets ( ) Signature Head of Institution Stamp Head of Institute's Contact numbers:- ___________________________________________________ NOTE: RECEIPT: Certified That the registration form for Grade 5 from school__________________________________ ________________________________ has been received. iii) Non-Muslim Candidates may opt the subject Ikhlaqiate in lieu of ISLAMIYAT. i) Information regarding submission of forms, date sheet of examination, instructions to fill the form etc., may be collected from Education Department Offices in the district or from website (www.pec.edu.pk). ii) The examination form will be submitted to Registration Centre established by EDO (Edu) at Tehsil or Town Level in your district. No. _ _ _ _ Dated: __ __ Signature of Receiving Officer/Official