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COMPUTER PROFORMA

Location ___________________________________ Serial No. _______________________________

1. Ministry of Interior_________________________________________________________________

2. Department________________________________________________________________________

3. Subject of the Case__________________________________________________________________

4. Full Name____________________________________
SALMAN HASHMI

5. Date of Birth _02___/06____/1989_______/ 6. Sex (Male/Female) ____________________


MALE
DD MM YY
7. Father’s/Husband Name______________________________________________________________
IFTAKHAR AHMED HASHMI

IT SYSTEM ENGINEER
8. Profession/Designation_______________________________________________________________

BB6844092
9. Passport No.__________________________ 10. Nationality__________________________
PAKISTANI

11. Address/Addresses in_______________________________________________________________

HOUSE NO: 387/B, MOHALLAH INAM ABAD


Pakistan (where to stay)________________________________________________________________

MUZAFFARGAH; PAK
_____________________________________________________________________________________

SCHANZENSTRASSE 18
12. Permanent Address (In Germany)____________________________________________________

90478, NURENBURG
_____________________________________________________________________________________

13. Visit Sponsored by___________________________________________

14. Purpose : Renunciation of Pakistan Nationality

FOR THE USE OF CLEARING AGENCY


Cleared/Not Cleared C/N Clearing Criteria (R/G)
Reference No. __________________________ Dated __________________________
NOTE:
INSTRUCTIONS FOR FILLING THE PROFORMA
a. The form should be filled in CAPITAL letters.
b. Maximum information should be provided in the serial number 4 to 12
c. In case of foreigner, contact address in Pakistan should be mentioned in Item No. (11) And address
abroad be mentioned in item No. (12).

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