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Barcode Sticker
Hire Purchase Scheme
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a) Please follow the instructions printed on the back
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B) I Marked Fieldrc A,ps Mandatory
Item Name :tc,r-;J;EJt ,I 6tv:,

No of lnsta'llments ,riO-r)rLa * Down Payment Option *A;:eltg$;*ereferred CSD Shop (Please see Annex-D)

12 24 36 4A 6() 72 a4
Choice of Colour (CarlMotorc tK--t.i 2nd Choice of colour for car only
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* Customized Deposit Slip No - Date of Enrolment

l,c2 'j', * customized Deposir slip Dale Down Payment Amount -7-,,, r.6-; t,$ i,l
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Previous Service No (ln case of JCO)
(;f t,aJ- r>>-"/. )<;f :t/ Remaining Service e"rtrlla

Ra n k/Des ig nation D4/-l_' Corps/Service/Organization,,rll;.,.71r{

Applicant Name 1 t6l<;e/i,:

Father's / Husband Name ruf,.i/!iJ

" Addresses Unit/Organization/Formation {t13/otl:ll3;l > Bde/Fmn ci:,e t;l;

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Contact(Office) 7'4D Mobile/Residence .4uv

cNrc No /ar(&Ltd i Jtt-|t{ Monthly cross Salary ,,fl,yt6

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Relationship with Next of Kin :)t+e.,,lt Please select one

cNlc No r4:,CGe:O jt;';a{

fflApplicantDeclaration -Ulr(ot<tsti,,
* I agree with the terms and conditions printed on the back of the fom at Annex-A
EEf*Ssre{r"lrfformation eLr.J ? os(LftL/
Service No ,4.ltf " Rank Jt
Applicant Signatures
L?:i.atrtst,L-,

CNIC No ,.,{Ge:L'}J'DJ

*PermanentAddress :;

Contact Remaining Service er4!q

I agree with the terms and conditions printed on the back of the form at Annex-B
EEI' ocol*oc/Direcioi,Admio lirformarian ii, tf i j J1 (2i 4i Jt (e t p I 1 1

Service No ,{.1'f *Rank J,

Thumb lmpression Sr=ty S'g""t"r"s

* UnivFormation/Organization
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I agree with the terms and conditions printed on the back of the form at Annex-c

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+ for independent sub unit only.

CO/D|rector Signature & Date

Date: with Otricial Stamp