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GOVERNMENT OF KHYBER PAKHTUNKHWA

Finance Department

PENSIONER’s IDENTITY CARD FORM

Personal No: Retired As/Designation:


Clip attested
Date of Retirement: BPS: (BPS at the time of Retirement)
(backside)
Department: District: Passport size
Dealing Account Office: photograph

Personal Information

1. New NIC No: - -


2. Name:
3. Father’s/Husband’s Name:
4. Date of Birth : - - Must include Day, Month & Year

5. Gender:
Male Female
6. Blood Group:
7. Mark of identification:
8. Phone No. Residence: Cell:
9. Marital Status:
Married Single Widower Divorced
10. Present Address:
_________________________________________________

11. Permanent Address:

12. Dependent :

S.No Name Relation D.O.B CNIC


1.
2.
3.
4.
5.
6.

I hereby certify that the information provided


I hereby
above certifyto
is correct that
thethe information
best provided
of my knowledge To be verified by a Gazetted Officer:
Above is correct to the best of my knowledge Designation:
Signature:
Signature: Signature:
Name:
Name: __________________ CNIC:

Contact No:
FOR OFFICE USE ONLY

Entered By: Signature Date:

Checked By: Signature _ Date:

For further inquiry, contact Pension Cell, Directorate of Treasuries and Accounts, Khyber Pakhtunkhwa,
Ph. No. 091-9210310, 091-9211836 or website www.financekpp.gov.pk

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