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NPHP Registration Form 2 PDF
NPHP Registration Form 2 PDF
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2 CNIC NUMBER / � ��� �� ��
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3 MOBILE NUMBER / � ������ 4 PHONE NUMBER - RESIDENCE / � �� � ����
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SERVICE CODE / ��
� ���� NUMBER / � � � ��� ���� � � ��
INCLUDE AREA CODE ALONG WITH PHONE NUMBER - �� ���� ��
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FARMER / �� LABOR / �������� � OTHERS / ���
JOINT FAMILY HOME / � �� RENTAL HOME / � � ���� KATCHI ABADI / ��������ٓ� � OTHERS / ���
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7 TOTAL FAMILY GROSS INCOME ( PKR / MONTH ) / ���ٓ� ��� � � ����� ( PLEASE TICK � � � ����� )
ONLY ONE - � ���
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FROM 5,000 TO 10,000 FROM 10,001 TO 15,000 FROM 15,001 TO 20,000
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9 NUMBER OF RESIDENTS EXPECTED TO LIVE IN THE HOUSE / � ��� � � ��� � ����� � ��������� �� 1 2 3 4 5 6 7 8 9 10
( PLEASE TICK � � � ����� )
ONLY ONE - � ��� FOR MORE THAN 10, MENTION THE � NUMBER
10 DESIRED LOCATION OF HOUSE / �� �� � � � �� ����� � � ��������� � ١٠ ���
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i SELECT ONE DISTRICT FROM THESE OPTIONS / �� ���
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FAISALABAD / �������ٓ� � GILGIT / � QUETTA / �� MUZAFFARABAD / �������ٓ�� SWAT / ���� ISLAMABAD / �������ٓ� ����� SUKKUR / �
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iv TOWN - VILLAGE / ������ - ����
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11 I solemnly affirm that there is no concealment or misrepresentation of facts stated herein above. � � � ���� ��� � � �� ���� ��� ��� ����� � �� ���� � � ����� ��� �
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SIGNATURE OF THE CANDIDATE / ��� � ����� ��������� DATE / ������
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DD MM YYYY
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CNIC NUMBER / � ��� �� �� REGISTRATION FORM NUMBER / � ���� ����
FOR OFFICE USE ONLY
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SIGNATURE OF THE OFFICIAL / ��� � ����� �� ���� ���� ���������
An Amount of Two Hundred and Fifty Rupees ( PKR 250 )
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DATE / ������ has been received.
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DD MM YYYY
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