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permanently Domiciled in Khybcr Pakhtunkliwa having been bom / settled in this pfOVltlC0.
I belong by birth to Mohallah
Village
Tehsil
District Lakki M at.
Se1f/ F•ather / Brother f Husband NIC
No.
Signature of the Applicant
Dated: /2011
Pursuance to the declaration dated:
/2011 filed by
Son / daughter / \Vife
of
domicile in the Khyber Pakhtunkhwa, it is hereby ‹ierti fied that the said
is born of parents who are permanent
residents of the Ktiyber tunkhwa having been born / settled in it.
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