NADRA

NAYA PAKISTAN HOUSING PROGRAM ‫ﻧﯿﺎ ﭘﺎﮐﺴﺘﺎن ﮨﺎؤﺳﻨﮓ ﭘﺮوﮔﺮام‬

�� �
1. This form is only for registration at e-Sahulat franchise. �  �  �  ����  �  �� �����  ���  ���  ��  ����  �
� � � �� �� �
2. Do not forget to get your computerized receipt for your payment at e-Sahulat franchise. ��  ��  �  ���  ���� ����  ���  �  �� �����  ���  ���
�� �
�  ���  �  �  �  ������  � ، ���������  �  ����  �  ���  �  ���  ��  ��  �  ����  ���
3. Based on the data collected from these forms, housing specification including design,
price and site will be decided for the applicants.
� �
4. Preference will be given to candidates who do not own any independent residential unit in Pakistan. �  �  �  ��  �  �  ���  �  ������  �����  �  �  �  ��  ���  ��  �  ���  ���
� �
5. Only one person per family ( husband, wife and children ) is eligible to apply in this scheme. �  ���  �  ��� ���������  �  �  ���  �  �����  �����  ��  �  � ( �  ������  �� ، ����) �����  �����
�
6. PKR 250 per form should be deposited along with this registration form. ����  �  ��� �  �  ����� 250 �  ����  ���������  �
� � � � � � � �
7. It is compulsory to fill every field. Please fill this form in ENGLISH using BLOCKLETTERS. � �
��  �����  ��� �  ����  �  ���  ��� �  �  �������  ��� ��� - �  ��� �  ���  ���  ��  �� ��  �  ����  ���������

� �
1 NAME - As Stated in CNIC / ����  ��  �  ��� ��  ��

�
2 CNIC NUMBER / �  ��� ��  ��

�
3 MOBILE NUMBER / �  ������ 4 PHONE NUMBER - RESIDENCE / �  ��  �  ����

� � � �
SERVICE CODE / ��
�  ���� NUMBER / � �  �  ���  ����  �  �  ��
INCLUDE AREA CODE ALONG WITH PHONE NUMBER - ��  ����  ��

5 PROFESSION / � ( PLEASE TICK � �  �  ����� )

ONLY ONE - �  ��� 9 NUMBER OF RESIDENTS EXPECTED TO
� � � LIVE IN THE HOUSE / �  ���  �  �  ���  �  �����  �  ���������  ��
GOVERNMENT EMPLOYEE / �����  ����� PRIVATE SECTOR EMPLOYEE / �����  �  ���������  �������

1 2 3 4 5 6 7 8 9 10
�
SELF EMPLOYED / ����������� ��� FARMER / ��
( PLEASE TICK � �  �  ����� )
ONLY ONE - �  ��� FOR MORE THAN 10, MENTION THE � NUMBER
� ��  �����  �  �  ���������  � ١٠ ���
LABOR / �������� � OTHERS / ���

10 NUMBER OF BEDROOMS EXPECTED / �����  �  ������  ��

6 CURRENT RESIDENCE / ����  ����� ( PLEASE TICK � �  �  ����� )

ONLY ONE - �  ��� 1 2 3 4
( PLEASE TICK � �  �  ����� )
ONLY ONE - �  ���
JOINT FAMILY HOME / �  �� RENTAL HOME / �  �  ����

11 DESIRED LOCATION OF HOUSE / ��  ��  �  �  �

KATCHI ABADI / ��������ٓ�  � OTHERS / ���
�
i DISTRICT / ����

7 TOTAL FAMILY GROSS INCOME ii TEHSIL / �

�
( PKR / MONTH ) / ���ٓ�  ���  �  �  ����� ( PLEASE TICK � �  �  ����� )
ONLY ONE - �  ���

� FOR ANY GOVERNMENT HOUSING SCHEME?

HAVE YOU PREVIOUSLY APPLIED
LESS THAN 20,000
� �
FROM 20,001 TO 40,000 12
�  � ٢٠٠٠٠ �� ٤٠٠٠٠ � ٢٠٠٠١ ‫���  �  �  ����� ����  �  ������  � ؟‬
�  ����  ������  �  �  �  ���  �  ��
� ٓ�  �
� �
FROM 40,001 TO 60,000 FROM 60,001 TO 100,000
�� ٦٠٠٠٠ � ٤٠٠٠١ �� ١٠٠٠٠٠ � ٦٠٠٠١ YES / �� NO / �

� 100,000
ABOVE
���������  � ١٠٠٠٠٠ i IF YES, WERE YOU ALLOTED A HOUSE UNDER THIS SCHEME?
� �
‫��  �  ���  �  �  �  ��  ����  ��� ؟‬
� ٓ�  �  �  ��  ���

YES / �� NO / �
8 YOUR PREFERRED MONTHLY INSTALLMENT PLAN
( PKR / MONTH ) / �  ��� ��  �  ��
� ٓ� ( PLEASE TICK � �  �  ����� )
ONLY ONE - �  ���

�
FROM 5,000 TO 10,000
�
FROM 10,001 TO 15,000
13 DO YOU ALREADY OWN LAND FOR THE � PURPOSE � OF
�� ١٠٠٠٠ � ٥٠٠٠ �� ١٥٠٠٠ � ١٠٠٠١ BUILDING THE HOUSE? / ‫��  �  �  �  ��  ��  �  �  ���  ����  � ؟‬
� ٓ�  �
YES / �� NO / �
�
FROM 15,001 TO 20,000
�� ٢٠٠٠٠ � ١٥٠٠١

� �
14 I solemnly affirm that there is no concealment or misrepresentation of facts stated herein above. �  �  �  ����  ���  �  �  ��  ����  ��� ���  �����  �  ��  ����  �  �  �����  ���  �

� �
SIGNATURE OF THE CANDIDATE / ���  �  �����  ��������� DATE / ������
�
DD MM YYYY
��� � ����