You are on page 1of 1

UNDERTAKING

(for Only Witness Information / S.I Case)

I ………………………………………….……….. S/O D/O W/O …………………………………………………………….


DOB ……………………….……………….. CNIC/NICOP No...………………………………………………………….
stating hereby on oath that;
a) I personally know the applicant Mr./Ms. ……………………………………….. S/O D/O
……………………………………..
b) Applicant is genuine Pakistani citizen and his particulars are correct vide tracking id
…………………………...
c) Applicant has no blood relative CNIC/NICOP and no one in alive in his blood relatives.
d) My relation with applicant is ……………………………………

I hereby assure NADRA authorities that the above statement is based on fact and will be liable for
any legal action, if any subversive intentions are detected on my part later on.

Signature ……………………………………………………………….

Thumb …………………………………………………
CNIC/NICOP No. …………………………………..
Dated …………………………………………….......
Contact No. ………………………………………….

Witness 1 …………………………………………………. Witness 2 ..…………………………………………..


CNIC/NICOP No…………………………………………. CNIC/NICOP No…………………………………….
Signature ………………………………………………….. Signature …………………………………………….
Contact No. ………………………………………………. Contact No………………………………………….

You might also like