Ulearn Online Education System

Affiliated with FBISE

SSC / HSSC – Reg # 0062

Admission / Registration Form

Building # 12, Wapda Avenue, Wapda Town Block D 3 Phase-I Lahore.

Application No:

Submission Date:

Student Name: Midha Rafi

Email: midharafi21@gmail.com

DOB: 21/10/2007

Mobile #: 

Form B No: 4250186225298

Mother Tongue: Urdu

Nationality: Pakistani

Religion: Muslim

City: Jeddah

Country: Saudi Arabia

Province: Out-Side Pakistan

Address: Al Aziziah Distt,, Jeddah, 41200, Jeddah Saudi Arabia

Father / Guardian Name: Rafi Uddin

Father / Guardian Mobile #: 00966509470192

Father / Guardian Address: Al Aziziah Distt,, Jeddah, 41200, Jeddah Saudi Arabia

Qualification: 10th Class

Class Year: 2023

Academic Roll No: 

Registration No: 

Max Marks: 1100

Marks Obtained: 882

Grade: A1

Group: Science

Board: Fedral

School / College Name: Pakistan International School Aziziah, Jeddah

Desired Program to Enroll: Pre Engineering Part-1

Office Use Only

Roll No: 

Registration No: 

Admission Date: 

Refer Code:

Approved by_________________________________________

Approval Date____________________________________________

Copy of Previous Result Card
CNIC or B-Form Original Scanned