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: VERIFICATION FORM
. ° ‘Special Branch, Karachi
wf Appligant Name
2 Sio.DiO.wio,__
- 3. CNICNo, . 4, Issue Date__
5. Passport No. 6, _ Issue Date,
7. Present Address.
8, Period of Present Address.
8. Permanent Address,
10. CellNo., House Phone No.
11, Education Qualification, 12. Pass out Year.
43, Name of Institute, “1
14. Nationality 15. _ Religion
16, Married (Yes/No) 17. Language,
18, Dale of ith_» : 19, Place of Birth,
20. Name of Organization/Department, Appointed/Working
21. Profession / Designation.
22. Lenglh of Service in the Organization/Departmyat,
3B. ‘Address / Phone of Organization/Department.
24, Travel out of Country
Countries), Te
25. Pollical / Religious afiiation Gelfamy)
2. Participate in any Jehad Camp or Training__*
2]. Involvedlconvicted for any crime, :
pa
. Signature of Applicant
canned with CamScanner WITNESS NO. 2
1. Name «1. Name’
2. SIO. . 2. S10.
3. C.NILCNo. . | 3, CNC No,
4. Known to me. : Year 4, Known tome__* + Year
5. Address, 5. Address -
6, CeliNo, 6. CelINo, :
7. House Phone No. : 7. House Phone No,
Itis verified: «
a, Thal particulars provided arg correct
b, Thathelshe is a citzen of Pakistan,
¢, —_Thalhelshe bears a good moral characler.
4. Thathelshe is neither involved/convicted of any crime.
e
Thal helshe isnot affiited with any terrorist, extremist or banned party or association
1, Witness Signature 2. Witness Signature
(STATEMENT OF POLICE OFFICER!
|__ (Field enquiry Officer) have cdnducted the enquiry
‘and found that particutars/information provided are correct, He/She is not affiiated with any terrorist,
extremist or banned party or association.
Hisiher characler antecedents are verified.
Signature Enquiy Officer.
Name and Designation,
Required Documents
Applicants (02) CNIC Card Copies.
Valid Organization J Department Card,
Valid Passport Copy. :
{02) Witnesses CNICs Copies. *
Proof of Present Address.(Bill Copy)
(04) Passports Size Photographs of Applicant,
Education Certlicale Copies and Domicile (PRC)
Alida
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eNoosens
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“Scanned with CamScanner
