PPFQ - MEMBERSHIP FORM PERSONAL DETAILS Name : Malik Adnan Imtiaz Department : Financial Consultancy & Advisory CONTACT

DETAILS Office Phone : 00-974-44999530 Email : Malik.adnan.imtiaz@gmail.com Malik.imtiaz@bdo.com.qa QUALIFICATIONS Degrees / Certificates Chartered Accountant Associate Chartered Accountant Year 2006 2010 University / Institute Institute of Chartered Accountants of Pakistan Institute of Chartered Accountants of England and Wales Mobile Phone: 00-974-33842246 Job Title : Senior Consultant Employer : BDO Management Consultant Qatar

INTRODUCTION I personally know the applicant and believe that he meets the criterion of PPFQ membership. I, therefore, introduce him to the executive committee to approve his application for the membership of the Pakistan Professional Forum. Introduced by : Sheraz Malik I will abide by the rules of the Pakistan Professionals Forum Qatar and agree to pay the PPFQ either: A onetime fee, which have currently been set at QAR 350 for life time membership (inc. spouse); or PPFQ No. Signature

An annual subscription fee of QR100 paid in advance (inc. spouse)

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Applicants Signature Malik Adnan Imtiaz

Date February 07, 2012

FOR PPFQ EXECUTIVE COMMITTEE USE Received By: Registration Date:

Subscription Received, QAR

Allotted PPFQ Number:

Approved By

Remarks

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