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TRAFFIC VIOLATION TICKET

District

A-2011-13

Ticket No. Book No.

Date and Time of offence

Offenders Name

Address

Registration No. of vehicle Violation Code

Document Seized Fine Imposed

1. The offender is to deposit the prescribed fine at any branch of the National Bank of
Pakistan at the District Tehsil Hqrs.Within 10 days failing which he shall be prosecuted
in the court of
2. If the offender is held guilty by the court. he shall be convicted to fine Double to that
mentioned in this charge.

Signature of the Offender Ticket Issuing Officer


For Bank Use Only
Received Rs. (In words)
To be credited to the Punjab Government Account No. 1 (N -F) under head
1230000-Law and Order Receipts
123220 Police
1232208-Traffic Fines (PROVINCIAL)

Official Stamp of Bank


Signature