Bank Copy PMC Copy Applic ants's Copy

Pakistan Medical Commission Pakistan Medical Commission Pakistan Medical Commission

G-10/4 Mauve Area, Islamabad G-10/4 Mauve Area, Islamabad G-10/4 Mauve Area, Islamabad

MCB TBD Collec tion A/C: 1226540861000010 MCB TBD Collec tion A/C: 1226540861000010 MCB TBD Collec tion A/C: 1226540861000010
TBD Customer Code: PMC02 TBD Customer Code: PMC02 TBD Customer Code: PMC02
Challan #: 2220333148 Due Date: 02-02-2022 Challan #: 2220333148 Due Date: 02-02-2022 Challan #: 2220333148 Due Date: 02-02-2022

Applic ant Name: MUHAMMAD SHAUKAT Applic ant Name: MUHAMMAD SHAUKAT Applic ant Name: MUHAMMAD SHAUKAT
IQBAL IQBAL IQBAL
Applic ant's CNIC: 3310091164053 Applic ant's CNIC: 3310091164053 Applic ant's CNIC: 3310091164053
Applic ant's Reg. Number: 3224-P Applic ant's Reg. Number: 3224-P Applic ant's Reg. Number: 3224-P
Depositor's Name: Depositor's Name: Depositor's Name:
Depositor's CNIC: Depositor's CNIC: Depositor's CNIC:
Depositor's Contac t#: Depositor's Contac t#: Depositor's Contac t#:
Deposit Date: Deposit Date: Deposit Date:
Payment Mode: Payment Mode: Payment Mode:

Sr.# Fee Description Amount Sr.# Fee Description Amount Sr.# Fee Description Amount
1 Renew al Fee (2 Year) 4000/- 1 Renew al Fee (2 Year) 4000/- 1 Renew al Fee (2 Year) 4000/-
2 Bank Charges 30/- 2 Bank Charges 30/- 2 Bank Charges 30/-
3 Late Fee 0/- 3 Late Fee 0/- 3 Late Fee 0/-
Total: Four Thousand Thirty Only 4030/- Total: Four Thousand Thirty Only 4030/- Total: Four Thousand Thirty Only 4030/-

Instructions: Instructions: Instructions:

1. The applic ant must fill in c omplete partic ulars and 1. The applic ant must fill in c omplete partic ulars and 1. The applic ant must fill in c omplete partic ulars and
no field be left blank. no field be left blank. no field be left blank.
2. The fee is payable at any branc h of MCB Bank. 2. The fee is payable at any branc h of MCB Bank. 2. The fee is payable at any branc h of MCB Bank.
3. The fee shall not be ac c epted after due date. 3. The fee shall not be ac c epted after due date. 3. The fee shall not be ac c epted after due date.

Depositor's Signature Cashier's Signature Depositor's Signature Cashier's Signature Depositor's Signature Cashier's Signature

Issuanc e Date: 03-01-2022 Issuanc e Date: 03-01-2022 Issuanc e Date: 03-01-2022