G O V E R N M E N T O F PAK I S TAN

MINISTRY OF COMMERCE
APPLICATION FORM
FOR PURCHASE OF LOCALLY ASSEMBLED CAR UNDER DISABLED PERSONS SCHEME
NAME (IN BLOCK LETTERS): ----------------------------------------------------------------------------------NATIONAL IDENTITY CARD NO:-------------------------------------------------------------------------------ADDRESS:----------------------------------------------------------------------------------------------------------------------------------------------------------------------------TELEPHONE NO:--------------------------------------DETAIL OF DISABILITY:-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------TYPE OF CAR TO BE PURCHASES:----------------------------------------------------------------------------ANNUAL INCOME:--------------------------------------------------------------------------------------------------SOURCE OF INCOME:----------------------------------------------------------------------------------------------PREFFERED PLACE FOR INTERVIEW:----------------------------------------------------------------------PARTICULARS OF CAR EARLIER IMPORTED (IF ANY):----------------------------------------------------------------------------------------------------------------------------------------------------------------------------THE REQUISITE DOCUMENTS:
i.

National Identity Card (attested photocopy)

ii. Valid Driving License in the name of the applicant (attested photocopy)
iii. An affidavit on stamped paper that the car fitted with special gadgets will be in the exclusive use
of the applicant (in original)
iv. Conclusive evidence of income (income must be within the range of Rs.10,000 to Rs. 50,000 per
month)
a) Assessed Income Order from Department of Income Tax for the last three years.
--OR-b) Land ownership certificate attested by the Tehsidar/District Coordinator. Total revenue
generated from land must be stated clearly.
--OR-c) In case of the Government Servant, attested copy of Gazette Notification along with his
play slip issued by A.G.P.R.
v. Medical Certificate issued by the District Assessment Board for Persons with Disabilities.
(attested photocopy)
Signature:_________________________
Dated:____________________________
Muhammad Awais Abbasi
Research Officer M/o Commerce,
A Block, Room No.332
Pak Secretariat, Islamabad.
Telephone No. 051-920 8693