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6 bt thetini Puttrenpdale ArLicipriing otthysiriyhnle elt 7 LiL Aeolian Toe seypnr ese Fume Luk rl wthoue ine 2O hiredinbrt Surv, 8 Kshs Kea esinatinstn SiMe brs Earl edi teeall tack AtEL tatoo SIONS ua ty fife eSALLpaPerbabiterths Apri (AAPL Lala OS EEL Letts strlen mere gocph) ryorbodie pee By ept Mbp yeu A 2 ALAS Fir fe GpatedE sine SDS Worineey spi town SoibiTetub sab Pedy Obed fetal NPacbazp ih yA ALIAS SEP ueAtbtlaals 3 Leo teabstst alread itthesyt Abe orbhetnL sitet SpA NOPLL edhe dia) LeyehSvepuetbls SAR LAS ARR R RolEaiStaee EI 8 athe rtatinry un men gouph) Yobedle ped ntediatasnitintambttpuicoagih eatin batntrLuP bor ih SWGEL Ait nerf iiloh srr cio thy APM tay bbpeierts' ard) AA0 Lion? inteniLaai os ID Ei GoidLethe spi hn teasebiitetisbays(6) Aeint 21437/-201 VBI Levoe ie urbani (Optional = Yes | No ee Bale propre | [S| (thsvetbo piles Auge eesti ahr bul ; Veh “2 Ab Sours AEE A [Li] F [oe] oe Tv [ay [oe Lae A pert ctaeitue ee 4 el | et HE wai br | day | wore] Yar BTL, ene ‘i 5 [2016 . teerler eye seeintbing Srnoncote (be) ht be hassel gSiitSa SrartiaheSirpusist Lnssest Shy mPL6L arity 0LHIC pectin He BANC LMI I IIR EYL AL Ge SSodd tS bovnd Fs 0 Ai 0 Pit PL IL Pos Sisute TIL NL VA SEW ALOE MZ IBS Moe acy 229 5 SKB —Pinbere rnb ge 1500 51/2 £ etwAgionm£ bt 24371-2016 zeit (BY Jatint Bebb urban (Optional aes, ves | No we Sear (ttays ety phere pilealah Awe - Hetil aire eel ; Ser) od Ake Sure bE oA | Joe oe | La [ow [ae [oe _ Lows | Sadeaboe re tm ed . ; rime KE aah ‘Bb [bey | monn] Year Fae] | atta fits his wget ul ae code by) Atle rsdn taSdensSnteatahe oft pnbeceiLeadiseShityLnVE6L op uyOl Hl phat Mp SLUR Beni Lid Ayr bGLordiibe splot btIsbevn£ Pei Limve Fibs 0 AF 0@ (GOVERNMENT HAJJ SCHEME) Application Form For Hajj 2016 (1437 A.H) & Please see the instructions sg Sa Haij Application No, For Ofice Use] _ NADRA'S Identity Card No. « outs enor _ SER H [| iss Fema [Tes | no ————_ Place of Departu el PwR] tsB | LHR] KHI | QTA | MLN | RYK|SKT|FBD] SKR Mass aise ‘Surname of Applicant (As per Passport) Date of Birth (ODMMYYYY) may be pasted ‘wth gum Given Name of Applicant (As per Passport) Leer? Father/Husband’s Name For Office Use Present Postal Address (Please see instructions) ‘Tehsil Code Telephone No.with code or Mobile No. Meham's Application No. (AvP Mann *] on : oan (i agg oihandcsnpediaged Person) Perormed Hal in Want to perform Group eaters poplin No. Deputy Go Lender Aoi No" SRSELECSSESIIRNS™=™ Fadeaodtion We ete 3 3 aL] feds] [ett — anlar suns Qieguimtion cst), yo, Nominoe's NADRA'S identily Card No freyouMariog? _Figa?__‘athapicath seas tte tis ace f » Branch Code ‘Serial No. Nominee's Telephone No, wth code or Mobile No (tess ‘Deposit Date of Ha Amount Eore Passport No. Date of Expir “Amount in Rupees Gegetrtp basa brottole aL yubicebLnasesbbktps nL cLetus (LHL piety nea Fie is seer wifisinss Fie hs bod Foe iss oF Fs (eCngfltysiD Paste Photocopy of 1st Page of Machine Readable Int'l Passport Valid upto 10-03-2017 , ts te bE ELS R/U RGORSISEL IIL coe ieee Bs phe me SL bul Eb bees DKF 10-03-2017 2 LS let Pet Note: Nh Case you fa to dopost te Machine Readable nt Passpo win 7 days of declaration of results, you shall be considered un-successful for Hajj 2016 1. Ris orf tha th Sur Name! Given Name, Fathore band's Namo, NIC No an Photograch oni form are same as on Interatenal Passport 2 Tha amounts verted accocng to POD ana ‘Gurertopton Signature officer Signature of Manager Bank Stamp Including Date) Branch Telephone No. with Area Code(8) hi) AAs ct cd patty ct ate 8 1 9 10 "1 12 13 4 Noon on wile! AFFIDAVIT Irony soley daca that- 1) am Mali ae! blr oho beoktn andunqusfedfralty othe prophatood of Miermed asthe lat of prop. 3) donotrecagrea any person wo car fo be prophet ie ary sense of he wed to any description whasoeror fer Nuhemrudor rnengnnesochacammnt se ropht or gion semi 1) consider Mirza Ghulam Ahmed Quad obo an imposter nab nd iz consicor Ns flower whettar belonging fo he Lshor or Quan gouplobenNon ssn iy) Ihave read ane received lar Nema along wth Hal Recsibt. | agree to follow the inatructions mentioned tn tne lepar Nama. wit provige the sare ih ongnal as and when Ministry cemande, ‘Signature / Thumb Impression ‘of the Applicant MEDICAL CERTIFICATE {Ta bo Attostad br Medical Otfcer of ant Fedara/Provincal Governmtentami Government Armed Fercas/Autoromous BodiesCorporation's Hospital) Name of Doctor. Name of Hospital Tehsil Distict Landline No: ‘Call No: Registration No.of Doctor with Pakistan Medical cr Dental Counct — [_] ] Iie cortified that I have examined Mr. / Ms. ‘Slo, Wie , Do —_______ and my opinion is given below: or Age | ioce Group] ara | Alergy to Following Medicines Chronic diseases requiring regular medication —_______ J 0” @—_______ ] @. @____ dt icant can vies “inter gern | thee ot id Fema | met ourtey see | Char Seal & Signature of the Doctor Seal & Signature ofthe Doctor Instructions :- 1 Dodtorsarorequesiad >be carla iingine above medical corifeats. Uncorroied dlabetas, uncortroled hyperteraion,sevore cherie, heat dacases, vor old / weak persons, daabled (wthouthelber) apsicans suferng from any contaglou dseace and prognant ade (ho wil be bx month recnarit te tine ofdeparurefor Hal) may notbe ecard for Hel 2. Aedica checlup ney else beheld at HaliCamp end eppcenis having atovesymptoms wl ratte ellowed totravel an herent bidings at Makkah ad Matinamay lobe deducted. 3. Anycase ofmosioarepalition asngouto amie dedsrationt medal inaxs woul have ee unded by he aeptcant ‘Note: In case of mis-dectaration or concealment of any medical condition, the Minitry reserves the ight to inate proceeding against he spplicant! ‘crtfying doctor. Such concealimentmay culmhats in his éoportation on ha expanses and no irancal aesistarcewhet a0 ever, shalbe extunded yak Hay Mission.