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COMMISSIONERATE OF MINES LABOUR WELFARE

KHYBER PAKHTUNKHWA
‫ﻣﺎﺋﻨﺰ ﻟﯿﺒﺮ رﺟﺴﭩﺮﯾﺸﻦ ﻓﺎرم‬ Sr# 03105

Regist rat io n Purpo se Dat e o f Accident Dat e o f Deat h

Active Mine Labour ( ‫) ﻓﻌﺎل ﮐﺎن ﮐﻦ‬ Nil Nil

Personal Information
Name Fat her Name CNIC

Falak Sher Zar Noosh 16202- 2589977- 5

Married Gender Dat e o f Birt h Do micile Mo bile Number 1 Mo bile Number 2

Yes Male 01- 01- 1971 Swabi 0345- 9208400 0345- 9208400

EOBI EOBI No

No Nil

Bank Account Detail Work Detail


Acco unt No Bank Wo rk St art Fro m Wo rk Type

Nil Nil 01- 09- 2020 Labour

Permanent Address
Permanent Address

Mohallah Ahmad Khel, Sheikh Jana, Tehsil Razzar, Swabi, Khyber Pakhtunkhwa

Lease Holder
Lease Owner Name Lease No Mineral

MS Abaseen Marble C/O Said Rahman MDW/MR/ML/Marble(112)/87 Marble

Lease Address

TARAKO GHUNDO (BANDI OBA),Swabi, Khyber Pakhtunkhwa

Labour

Sign Thumb Impression

Verified By Mine Owner/Lease


Holder

Sign St amp
Verified By
Assist ant Commissioner Mines
Labour Welfare Near Judicial
Complex Khyber Road Peshawar
091-9211723 Sign St amp

For Office Use Only ‫ ﻓﺎرم ﮐﮯ ﺳﺎﺗﮫ ﺷﻨﺎﺧﺘﯽ ﮐﺎرڈ ﮐﯽ ﮐﺎﭘﯽ ﻣﻨﺴﻠﮏ ﮐﺮﻧﺎ ﻻزﻣﯽ ﮨﮯ‬: ‫ﻧﻮٹ‬
Ent ry Made On Wednesday 10t h of March 2021 03:02:36 PM

Received in Office On _ _ _ _ / _ _ _ _ / _ _ _ _ _ _

Approved | Reject ed

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