ELECTION COMMISSSION OF PAKISTAN

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“Secretariat”
Constitution Avenue, G-5/2,
Islamabad, the 07th February, 2017.

ENTITLEMENT CARD

Name of Govt. Servant : _______________________________

Father’s Name : _______________________________
Designation : _______________________________
Pay Scale : _______________________________
N.I.C No. : _______________________________
Residential Address : _______________________________

DETAIL OF FAMILY MEMBERS

Signature/
Sr.No Name Age Sex Relation Thumb Impression
1.

2.

3.

2. If the above information is found to be false, I would render myself liable to disciplinary
action to be taken against me, under the relevant rules.

Signature of Applicant

CERTIFICATE
Certified that ____________________________________ employed in this office as
_______________ (BPS-___).

The Executive Director,

Federal Government Polyclinic,
Islamabad.