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DA-1 GOVERNMENT OF PAKISTAN NATIONAL SAVINGS CENTRE,_________________________ Account No.

APPLICATION FOR OPENING OF AN ACCOUNT I/We, desited to open with a sum of Rs. 1. Name of Depositor: N.I.Card No. Address: Account Cash/Cheque No. If account is is to joint names Joint A: Payable to holders jointly or Dated

Joint B: Payable to either (Strike out whieveris not applcable) NOMINATION

2.

Name of Depositor: N.I.Card No. Address: In the event of my/our death I / we nominate the following to receive the amount of deposits. Name & Address Share

FOR PUBLIC BODIE, BANKS & FIRMS ETC. Name of public bodies and individuals of fund Signature/Thumb Impression "DECLARATION" I/we am/are follower(s) of the fiqh (i) FOR MINORS (ii) Date of Birth 1 2 During minority account will be operated by: Name Address Signature/Thumb Impression Relation with minor Introduced by: Name Occupation Address Account No. Signature(s) or thumb impression(s) of depositor(s) Signatures an attested copy of my / our declatation in Form CZ-50, annexed to the Zakat (Collection and Regund) Rules, 1981, duly executed, is enclosed with the application. I / We have already filed an attested copy of my / our declaration in Form CZ - 50, annexed to the Zakat (Collection and Refund) Rules, 1981, duly executed, with this National Savings Centre under Serial No.__________ on _____________________.

and

Hence Zakat may not be deducted on compulsory basis in respect of this asset / investment."

I/We hereby/agree to abide by NSD A/Cs Rules.

( Signature of II Officer )

( Signature & Stamp ) Of Officer Incharge of The Centre

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