Dated: 7/14/2021 12:31:09 AM

DHA GUJRANWALA - APPLICATION FORM Form No: 025107

RESIDENTIAL VILLA
www.dhagwa.com

(Form with Bank Receipt be deposited/sent by customer through courier to DHA Gwa or its sub offices at Lhr, Rwp or Khi)

Quota Category General Public 65%

Form Category VILLA BANK DETAILS

Bank Account Number Tick
Plot Category RESIDENTIAL - 5 MARLA Askari ACMS
Soneri 30000071796
Personal Information UBL 0412-252547263
Bank Col. A/c # :0080-900530-
Name of Applicant MUHAMMAD NADEEM AL 01:0175-0980-001017-01-6
Habib
S/O MUHAMMAD JAMIL BOP 403011783 (CMS)
CNIC/NICOP 3420105912379 Attach Bank Receipt and CNIC Copy
Postal Address MOHALLAH MUNSHI IBRAHIM WARD NO 10 KUNJAH DISTT
GUJRAT
City GUJRAT Country PAKISTAN ZIP Code 50620

Mobile No 923335943725 Email Id MUHAMMAD.NADEEM789@GMAIL.COM

Next Person to Contact

Name FOZIA MAQBOOL Relation WIFE Mobile No 923338482382
CNIC/NICOP 3410322159664
TO BE FILLED BY APPLICANT
Amount
Bank Bank Receipt # Refundable Non-Refundable Total Bank Stamp
PKR 100,000 PKR 5,000 PKR 105,000

CUSTOMER COPY - DHA GUJRANWALA

Form No: 025107
Amount
CNIC/NICOP Applicant's Name Mobile # Refundable Non-Refundable Total Bank Stamp
3420105912379 MUHAMMAD NADEEM 923335943725 PKR 100,000 PKR 5,000 PKR 105,000
VILLA 5 M Res

BANK COPY - DHA GUJRANWALA

Form No: 025107
Amount
CNIC/NICOP Applicant's Name Mobile # Refundable Non-Refundable Total Bank Receipt #
3420105912379 MUHAMMAD NADEEM 923335943725 PKR 100,000 PKR 5,000 PKR 105,000
VILLA 5 M Res