PROVISIONAL RECEIPT (valid subject to realization of instrument) POFTL Branch Name: CT} PQFTL Branch Location: L_EVSTOE POFTL Branch Code: — PQFTL $ub-Office: Received with thanks trom __ PARAN {| iy having Be SN i gy i wd oes arcane Dapostiors Batais Name SHER A ~ Relation __IC+_ © Signature Break-up of deposited amount ____ | _ Amount in/Rupees (__Firstyear contribution Individual Family 4) Renewal contribution [FEI Advances 3 Note: Any outstanding regular contribution wil be adjusted fral Tot te Contribution exceeding Rs. 50,000/= should not be accepted in cash. ntribution Deposit Slip: Tite of Account Branch Coe ‘Aecount Mamber Pak Qatar Individual 6leiian iG wi L Family Participant Fund [© [2 |& |S | S LLgye Sr. No Type Number Location Amount in Rupees 1 | cash @ _| cheque | Faysy 3 Credit Card ] 4 __| Demand drat : f | 5 _| Pay order Ti Ho noes. Teun otmupees LU HU WV OZ/ 2D ONC A\ The above amount can oni be deposited in“ Pak Qatar in \witp-Mazzsn Bank. Vey AL Authorized Officer ROagHed by Meezan Bank Name & signatures with official stamp Namo & slanatures with ofcal stamp (MBL) PAK-QATAR FAMILY TAKAFUL LIMITED buses: Arcade, Blok 6, PE.C.HS., Sharae Faisal, Karachi 7ov00 Phone : (92-21) 34311747-56, 94386452 Fax = (82-71) sasaaas1 E-mail: info@pakqatar.compk Web wiv.pak AN: 111 - TAKKAFUL (825238) Distribution of Copies: White=Participant; Gr Please s6e instctions avers Suit # 10 Bank; Yellow=Operation: Pink=Fin ance; Blue=PQFTL Branch