Domicile 6q2c6k
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DOMICILE SUBMISSION FORM Diary No.
PHOTO
Date of Submission
GULL SAMINA
Full Name Full Address
MUHAMMAD SADIQ
Father’s Name
CHAK R.S P/O KHAS TEHSIL SHUJABAD DISTT.MULTAN
Tehsil
SHUJABAD
District
MULTAN
Date of Arrival
14-12-1992(Since Birth)
Occupation
STUDENT
Date of Birth
14-12-1992
Mark of Identification
A WOUND ON LIFT EYE BROW
CNIC NO.
36304-8546717-8
Marital Status
SINGLE
Spouse Name
NIL
Mobile NO. Relative / Attendant’s Name
Relative / Attendant’s No.
SELF
ATTACHED DOCUMENTS (tick
the relevant box)
CNIC
Father CNIC
Husband CNIC
Birth Certificate
Bank Receipt
Photographs
Property Documents
Utility Bill
Resident Certificate
School Certificate
Voter List
Duly Filled P1 Form
Domicile Affidavit
Form B
Children Information (write age in years only)
-
IF MARITAL STATUS IS NOT SINGLE
Child’s Name
-
Age
-
Child’s Name
-
Age
-
Child’s Name
-
Age
-
Child’s Name
-
Age
-
Applicant’s Signature
INDEX FORM VERIFICATION OF CREDENTIALS FOR PREPARATION OF DOMICILE CERTIFICATE Name with MUHAMMAD IQBAL Parentage KAMRAN AKBAR S/D/O 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) FATHER / HUSBAND
3
6
3
0
2
-
5
1
4
1
0
6
8
-
3
3
6
6
0
3
-
5
0
0
6
1
7
6
-
3
GUARDIAN
ATTACHED DOCUMENTS School / College Certificate Voter List Residential Certificate
ATTACHED
Purpose for Certificate
FOR ISSION / JOB
Other Documents (if any)
-------
Stamp Paper of Affidavit Fee Submission through Challan No.
Dated
UNDER SECTION 23 PAKISTAN CITIZENSHIP RULES, APPENDIX XIV FORM “P” 1 THE PAKISTAN CITIZENSHIP ACT, 1951, (11 OF 1951) & RULES MADE THERE UNDER (VIDE RULES 23)
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
_________________________
PARTICULARS RELATING TO THE APPLICANT Name
GULL SAMINA
Father’s Name
MUHAMMAD SADIQ
Address in Pakistan
CHAK R.S P/O KHAS TEHSIL SHUJABAD DISTT.MULTAN
Address in Country outside of Pakistan NA Place AS ABOVE Tehsil: SHUJABAD.
District MULTAN
Place of Domicile
Province/n. PUNJAB
MULTAN
Date of Birth Date of arrival at the place of the Domicile:
14-12-1992 Since (14-12-1992)
Single/Widow/Widower
SINGLE
Name of Wife or Husband
N/A
Name of Children & their ages
N/A
Trade or Occupation
STUDENT
Marks of Identification
A WOUND ON LIFT EYE BROW Signature
_________________________
Name
_________________________
Designation
_________________________
Date
_________________________
PHOTO
APPENDIX VIII [ Form “P” ] (Vide Rule 23 Pakistan Citizenship Rule 1951) Application for a Certificate of Domicile in Pakistan To,
The District Coordination Officer, Multan. Sir, GULL SAMINA
I Age
14-12-1992
S/O
MUHAMMAD SADIQ
years resident of
hereby state I was formerly a resident of I have arrived in Pakistan Tehsil Province/ n.
CHAK R.S P/O KHAS TEHSIL SHUJABAD DISTT.MULTAN
SHUJABAD PUNJAB
District
MULTAN
in Pakistan
BY BIRTH
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 port office at Other particulars are given below SINGLE /SINGLE /Widow /Widower
SINGLE
Name of Wife / Husband
N/A
Name of children and their ages
N/A
Trade of occupation Marks of identification
STUDENT
A WOUND ON LIFT EYE BROW
I do solemnly a firm that above statements is true to the best of knowledge and belief. Attestation __________________________ Signature ____________________________ Designation _________________________ Place ____________MULTAN__________ Place and date _______________________
Certified that the applicant GULL SAMINA S/D/O MUHAMMAD SADIQ to a bonafide permanent resident of CHAK R.S P/O KHAS TEHSIL SHUJABAD DISTT.MULTAN and residing in this area by birth or more than three years. CNIC #
36304-8546717-8 ()خود
TEHSILDAR
Certified that the applicant GULL SAMINAS/D/O MUHAMMAD SADIQ to a bonafide permanent resident of CHAK R.S P/O KHAS TEHSIL SHUJABAD DISTT.MULTAN and residing in this area by birth or more than three years. CNIC #
36304-8546717-8 ()خود
TEHSILDAR
To be filled in by Remitter
GULL SAMINA S/O MUHAMMAD SADIQ SHUJABAD DISTT.MULTAN
Name or Designation of the perdaughter on whose behalf money is paid
-SAME-
By Whom
Full particles of the remittances & authority (if any)
Fee for Domicile
TOTAL
Signature Rupees (In words) Two Hundred Rupees Only
Received Payment Treasurer
Dated Amount
Amount
Rs.200/-
Rs.200/-
Provincial CENTRAL
Chalan of Cash paid into the
To be filed in by the Departmental office or the Treasury Head of the Amount
To be filled in by Remitter By Whom
Order to the Bank
Name or Designation of the perdaughter on whose behalf money is paid
Full particles of the remittances & authority (if any)
Amount
Dated
Correct Rs. Received & Grant Receipt
Signature and Full Designation of the Officer ordering the money to be Pakistani
To be used only in the case of Remittance to Bank through An officer of the Government
GULL SAMINA S/O MUHAMMAD SADIQ SHUJABAD DISTT.MULTAN
Fee for Domicile
TOTAL
Signature Rupees (In words) Two Hundred Rupees Only Received Payment Treasurer
Treasury Officer Agent / Manager Date:
Date:
Treasury Sub-Treasury National Bank of Pakistan, Multan Reserve Bank State Bank of Pakistan
-SAME-
Treasury Sub-Treasury National Bank of Pakistan, Multan Reserve Bank State Bank of Pakistan
OTHER RECEIPT C-033806 CITIZENSHIP NATIONSHEHRAZZATION PORT & COPYRIGHTS FEE
Chalan of Cash paid into the
CHALAN NO. 32
Dated Amount
Rs.200/-
Rs.200/-
Provincial CENTRAL
To be filed in by the Departmental office or the Treasury Head of the Amount
OTHER RECEIPT C-033806 CITIZENSHIP NATIONSHEHRAZZATION PORT & COPYRIGHTS FEE
CHALAN NO. 32
Order to the Bank Dated
Correct Rs. Received & Grant Receipt
Signature and Full Designation of the Officer ordering the money to be Pakistani
To be used only in the case of Remittance to Bank through An officer of the Government Treasury Officer Agent / Manager
A F F I D A V I T (By Parents of Child)
MUHAMMAD SADIQ
I CNIC#
36304-1398840-1
R/O
NOOR MUHAMMAD CHAK R.S P/O KHAS TEHSIL SHUJABAD DISTT.MULTAN S/D/O
SHUJABAD DISTT.MULTAN
,
do hereby solemnly affirm as under: 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.
4.
My son/daughter is not a citizen or national of any other country.
5.
My son/daughter is a permanent resident of SHUJABAD. Sub-Division District Multan.
6.
My son/daughter is a permanent resident of District Multan at the address given above.
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: Name: _
_
Thumb Impression: _
_
Designation: _
_
Signature: _
_
Dated: _
_
Dated: _
_
[FOR ATTESTOR]
[FOR PARENT]
A F F I D A V I T (By Applicant) I CNIC#
GULL SAMINA 36304-8546717-8
S/D/O R/O
CHAK R.S P/O DISTT.MULTAN
MUHAMMAD SADIQ KHAS
TEHSIL
SHUJABAD
do hereby solemnly affirm as under: 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.
3.
I am not a citizen or national of any other country.
4.
I am a permanent resident of SHUJABAD. Sub-Division, District Multan.
5.
I am a permanent resident of District Multan at the address given above.
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: Name: _
_
Thumb Impression: _
_
Designation: _
_
Signature: _
_
Dated: _
_
Dated: _
_
[FOR ATTESTOR]
[FOR APPLICANT]
PHOTO
Date of Submission
GULL SAMINA
Full Name Full Address
MUHAMMAD SADIQ
Father’s Name
CHAK R.S P/O KHAS TEHSIL SHUJABAD DISTT.MULTAN
Tehsil
SHUJABAD
District
MULTAN
Date of Arrival
14-12-1992(Since Birth)
Occupation
STUDENT
Date of Birth
14-12-1992
Mark of Identification
A WOUND ON LIFT EYE BROW
CNIC NO.
36304-8546717-8
Marital Status
SINGLE
Spouse Name
NIL
Mobile NO. Relative / Attendant’s Name
Relative / Attendant’s No.
SELF
ATTACHED DOCUMENTS (tick
the relevant box)
CNIC
Father CNIC
Husband CNIC
Birth Certificate
Bank Receipt
Photographs
Property Documents
Utility Bill
Resident Certificate
School Certificate
Voter List
Duly Filled P1 Form
Domicile Affidavit
Form B
Children Information (write age in years only)
-
IF MARITAL STATUS IS NOT SINGLE
Child’s Name
-
Age
-
Child’s Name
-
Age
-
Child’s Name
-
Age
-
Child’s Name
-
Age
-
Applicant’s Signature
INDEX FORM VERIFICATION OF CREDENTIALS FOR PREPARATION OF DOMICILE CERTIFICATE Name with MUHAMMAD IQBAL Parentage KAMRAN AKBAR S/D/O 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) FATHER / HUSBAND
3
6
3
0
2
-
5
1
4
1
0
6
8
-
3
3
6
6
0
3
-
5
0
0
6
1
7
6
-
3
GUARDIAN
ATTACHED DOCUMENTS School / College Certificate Voter List Residential Certificate
ATTACHED
Purpose for Certificate
FOR ISSION / JOB
Other Documents (if any)
-------
Stamp Paper of Affidavit Fee Submission through Challan No.
Dated
UNDER SECTION 23 PAKISTAN CITIZENSHIP RULES, APPENDIX XIV FORM “P” 1 THE PAKISTAN CITIZENSHIP ACT, 1951, (11 OF 1951) & RULES MADE THERE UNDER (VIDE RULES 23)
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
_________________________
PARTICULARS RELATING TO THE APPLICANT Name
GULL SAMINA
Father’s Name
MUHAMMAD SADIQ
Address in Pakistan
CHAK R.S P/O KHAS TEHSIL SHUJABAD DISTT.MULTAN
Address in Country outside of Pakistan NA Place AS ABOVE Tehsil: SHUJABAD.
District MULTAN
Place of Domicile
Province/n. PUNJAB
MULTAN
Date of Birth Date of arrival at the place of the Domicile:
14-12-1992 Since (14-12-1992)
Single/Widow/Widower
SINGLE
Name of Wife or Husband
N/A
Name of Children & their ages
N/A
Trade or Occupation
STUDENT
Marks of Identification
A WOUND ON LIFT EYE BROW Signature
_________________________
Name
_________________________
Designation
_________________________
Date
_________________________
PHOTO
APPENDIX VIII [ Form “P” ] (Vide Rule 23 Pakistan Citizenship Rule 1951) Application for a Certificate of Domicile in Pakistan To,
The District Coordination Officer, Multan. Sir, GULL SAMINA
I Age
14-12-1992
S/O
MUHAMMAD SADIQ
years resident of
hereby state I was formerly a resident of I have arrived in Pakistan Tehsil Province/ n.
CHAK R.S P/O KHAS TEHSIL SHUJABAD DISTT.MULTAN
SHUJABAD PUNJAB
District
MULTAN
in Pakistan
BY BIRTH
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 port office at Other particulars are given below SINGLE /SINGLE /Widow /Widower
SINGLE
Name of Wife / Husband
N/A
Name of children and their ages
N/A
Trade of occupation Marks of identification
STUDENT
A WOUND ON LIFT EYE BROW
I do solemnly a firm that above statements is true to the best of knowledge and belief. Attestation __________________________ Signature ____________________________ Designation _________________________ Place ____________MULTAN__________ Place and date _______________________
Certified that the applicant GULL SAMINA S/D/O MUHAMMAD SADIQ to a bonafide permanent resident of CHAK R.S P/O KHAS TEHSIL SHUJABAD DISTT.MULTAN and residing in this area by birth or more than three years. CNIC #
36304-8546717-8 ()خود
TEHSILDAR
Certified that the applicant GULL SAMINAS/D/O MUHAMMAD SADIQ to a bonafide permanent resident of CHAK R.S P/O KHAS TEHSIL SHUJABAD DISTT.MULTAN and residing in this area by birth or more than three years. CNIC #
36304-8546717-8 ()خود
TEHSILDAR
To be filled in by Remitter
GULL SAMINA S/O MUHAMMAD SADIQ SHUJABAD DISTT.MULTAN
Name or Designation of the perdaughter on whose behalf money is paid
-SAME-
By Whom
Full particles of the remittances & authority (if any)
Fee for Domicile
TOTAL
Signature Rupees (In words) Two Hundred Rupees Only
Received Payment Treasurer
Dated Amount
Amount
Rs.200/-
Rs.200/-
Provincial CENTRAL
Chalan of Cash paid into the
To be filed in by the Departmental office or the Treasury Head of the Amount
To be filled in by Remitter By Whom
Order to the Bank
Name or Designation of the perdaughter on whose behalf money is paid
Full particles of the remittances & authority (if any)
Amount
Dated
Correct Rs. Received & Grant Receipt
Signature and Full Designation of the Officer ordering the money to be Pakistani
To be used only in the case of Remittance to Bank through An officer of the Government
GULL SAMINA S/O MUHAMMAD SADIQ SHUJABAD DISTT.MULTAN
Fee for Domicile
TOTAL
Signature Rupees (In words) Two Hundred Rupees Only Received Payment Treasurer
Treasury Officer Agent / Manager Date:
Date:
Treasury Sub-Treasury National Bank of Pakistan, Multan Reserve Bank State Bank of Pakistan
-SAME-
Treasury Sub-Treasury National Bank of Pakistan, Multan Reserve Bank State Bank of Pakistan
OTHER RECEIPT C-033806 CITIZENSHIP NATIONSHEHRAZZATION PORT & COPYRIGHTS FEE
Chalan of Cash paid into the
CHALAN NO. 32
Dated Amount
Rs.200/-
Rs.200/-
Provincial CENTRAL
To be filed in by the Departmental office or the Treasury Head of the Amount
OTHER RECEIPT C-033806 CITIZENSHIP NATIONSHEHRAZZATION PORT & COPYRIGHTS FEE
CHALAN NO. 32
Order to the Bank Dated
Correct Rs. Received & Grant Receipt
Signature and Full Designation of the Officer ordering the money to be Pakistani
To be used only in the case of Remittance to Bank through An officer of the Government Treasury Officer Agent / Manager
A F F I D A V I T (By Parents of Child)
MUHAMMAD SADIQ
I CNIC#
36304-1398840-1
R/O
NOOR MUHAMMAD CHAK R.S P/O KHAS TEHSIL SHUJABAD DISTT.MULTAN S/D/O
SHUJABAD DISTT.MULTAN
,
do hereby solemnly affirm as under: 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.
4.
My son/daughter is not a citizen or national of any other country.
5.
My son/daughter is a permanent resident of SHUJABAD. Sub-Division District Multan.
6.
My son/daughter is a permanent resident of District Multan at the address given above.
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: Name: _
_
Thumb Impression: _
_
Designation: _
_
Signature: _
_
Dated: _
_
Dated: _
_
[FOR ATTESTOR]
[FOR PARENT]
A F F I D A V I T (By Applicant) I CNIC#
GULL SAMINA 36304-8546717-8
S/D/O R/O
CHAK R.S P/O DISTT.MULTAN
MUHAMMAD SADIQ KHAS
TEHSIL
SHUJABAD
do hereby solemnly affirm as under: 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.
3.
I am not a citizen or national of any other country.
4.
I am a permanent resident of SHUJABAD. Sub-Division, District Multan.
5.
I am a permanent resident of District Multan at the address given above.
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: Name: _
_
Thumb Impression: _
_
Designation: _
_
Signature: _
_
Dated: _
_
Dated: _
_
[FOR ATTESTOR]
[FOR APPLICANT]
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