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Diary No.
PHOTO
Date of
Submission
Relative /
Relative /
SELF Attendants
Attendants Name
Contact No.
Children Information (write age in years only) IF MARITAL STATUS IS NOT SINGLE
Childs Name - Age - Childs Name - Age -
Childs Name - Age - Childs Name - Age -
Applicants Signature
INDEX FORM
VERIFICATION OF CREDENTIALS FOR PREPARATION OF DOMICILE CERTIFICATE
Name with
Parentage KAMRAN AKBAR S/D/O MUHAMMAD IQBAL
Complete QASIM BELA, H.NO.377, ST.NO.6, MOHALLAH ALI PARK PHASE 1, MULTAN CANTT,
Address TEH: & DISTT: MULTAN
Property
(if any) N/A
CNIC #s
SELF
(CNIC)
3 6 3 0 2 - 5 1 4 1 0 6 8 - 3
FATHER / HUSBAND
3 6 6 0 3 - 5 0 0 6 1 7 6 - 3
GUARDIAN
ATTACHED DOCUMENTS
Voter List
CERTIFICATE OF DOMICILE
DISTRICT MULTAN
No. ____________ Date: ___________
Whereas GULL SAMINA S/D/O MUHAMMAD SADIQhas applied for certificate of domicile under
the Pakistan Citizenship Act 1951, (11 of 1951) stating with respect to himself / herself the particulars set out
below and satisfied the undersigned that the conditions laid down in section 17 of said act for grant of a certificate
of domicile are fulfilled in the said case GULL SAMINA , NOW THEREFORE, in pursuance of the powers confirmed
by the said act and Rules made there under the undersigned hereby grant to GULL SAMINAthis certificate of
domicile.
IN WITNESS WHERE of I have here to subscribe my name this_____________ day.
Signature _________________________
Name _________________________
Designation _________________________
I have residence continuously in Pakistan for a period of __SINCE (BIRTH)__ year month
immediately in proceeding this declaration and hereby my intention to domicile of Original in MULTAN
DISTRICT and with a view to require the domicile of Pakistan. I declare my intention to take up fixed addition
in Pakistan during the reminder of my life.
I further affirm that I had migrated to India and returned of Pakistan between the 1st March 1948
to that or this application Exception valid.
Visa no. ___________N/A______________ Casted __________N/A__________
Issued by Pakistan Passport office at
Other particulars are given below
SINGLE /SINGLE /Widow /Widower SINGLE
I do solemnly a firm that above statements is true to the best of knowledge and belief.
permanent resident of CHAK R.S P/O KHAS TEHSIL SHUJABAD DISTT.MULTAN and residing in this area by
CNIC # 36304-8546717-8 ()
TEHSILDAR
permanent resident of CHAK R.S P/O KHAS TEHSIL SHUJABAD DISTT.MULTAN and residing in this area by
CNIC # 36304-8546717-8 ()
TEHSILDAR
CHALAN NO. 32 CHALAN NO. 32
Chalan of Cash paid into the Treasury Sub-Treasury Provincial Chalan of Cash paid into the Treasury Sub-Treasury Provincial
National Bank of Pakistan, Multan CENTRAL National Bank of Pakistan, Multan CENTRAL
Reserve Bank Reserve Bank
State Bank of Pakistan State Bank of Pakistan
To be filed in by the To be filed in by the
To be filled in by Remitter Departmental office or the To be filled in by Remitter Departmental office or the
Treasury Treasury
By Whom Name or Amount By Whom Name or Amount
Designation of the
Full particles of Head of Designation of the
Full particles of Head of
the remittances Order to the the remittances Order to the
perdaughter on
& authority (if the perdaughter on
& authority (if the
whose behalf Bank whose behalf Bank
money is paid
any) Amount money is paid
any) Amount
Dated Dated
-SAME-
MUHAMMAD MUHAMMAD
SADIQ SADIQ
SHUJABAD Signature and SHUJABAD Signature and
DISTT.MULTAN Full DISTT.MULTAN Full
Designation Designation
OTHER RECEIPT
OTHER RECEIPT
of the Officer of the Officer
ordering the ordering the
money to be money to be
TOTAL Rs.200/- Pakistani TOTAL Rs.200/- Pakistani
Signature To be used only in the case of Signature To be used only in the case of
Rupees (In words) Two Hundred Rupees Only Remittance to Bank through Rupees (In words) Two Hundred Rupees Only Remittance to Bank through
An officer of the Government An officer of the Government
SHUJABAD DISTT.MULTAN ,
1. MR. GULL SAMINA is my real son/daughter and is less than 18-years of age.
2. I affirm the truth of the statement made in application (Form-P) for issuing of a certificate of
domicile in favour of my son/daughter.
3. My son/daughter has been continually residing in Pakistan for a period not less than one year and
intends to live permanently in Pakistan.
7. My son/daughter has not obtained domicile certificate from any other district and he/she has not
applied for domicile certificate before this.
8. Domicile Certificate may be cancelled if any other Domicile Certificate is already issued to my
son/daughter indicating any other Sub-Division of District Multan.
Attested by:
Designation: _ _ Signature: _ _
Dated: _ _ Dated: _ _
1. I affirm the truth of the statement made in application (Form-P) for issuing of a certificate of
domicile in my favour.
2. I have been continually resident in Pakistan for a period not less than one year and intend to live
permanently in Pakistan.
6. I have not obtained domicile certificate from any other district and I have not applied for domicile
certificate before this.
7. My Domicile Certificate may be cancelled if any other Domicile Certificate is already issued to me
indicating any other Sub-Division of District Multan.
Attested by:
Designation: _ _ Signature: _ _
Dated: _ _ Dated: _ _
[FOR ATTESTOR] [FOR APPLICANT]