AFFIDAVIT
IMR J/Miss/Mrs. «0. ++. S/O, D/O, W/O.
Mother Name «0 Telephone No.
Resident of soossesssseeo0 a
Do hereby solemnly affirms and declares on oath that
Thave obtained two CNIC / NICOP bearing numbers
(D) ceerecnnnmnntnninnnesscnnne ANd (2) sess respectively with details as per
detail column mentioned below, due to some mistake of facts on my part for which I submit my
unconditional apology and surrender one of the CNIC / NICOP bearing No.
to NADRA authorities for cancellation / necessary action alongwith
connected transactions.
I bereby assure NADRA authorities that | had no malafide intentions in obtaining double
CNIC/ NICOP and will be liable for any legal action, if any subversive intentions are detected
‘on my part later no.
Talso assure that the CNIC / NICOP being produced for cancellation has not been used in
any of activity by me and NADRA has Authority to cancel all the connected transactions made
by me against surrendered CNIC / NICOP «0. z
Mobile connection, Passport, Others transactions, etc. I take full responsibility and liability in
relation to surrendered CNIC / NICOP and its connected transaction,
.if any i.e. Bank account,
Detail column.
SrA Detail as per Ret
Sri Detail as per Surrendered CNIC / NICOP
1. CNIC /NICOP # oes soos
2, Name.....ssese0
3, Father’s Name...
1.CNIC /NICOP #
2. Name...
3, Father's Name.
4, Date of Birth... 4. Date of Birth o
5. O14 NIC # 5. Old NIC# ...
6. Permanent Address: ae 6. Permanent Addres
Deponent:
Witness No.1: :
CNIC/ NICOP Now... CNIC /NICOP No:
Witness No.2: 2... .
CNIC/ NICOP No: eee Stamp of Oath
‘Commissioner OR
quiveleot
Attested by: ..
SignatureAFFIDAVIT
I MRJ/Miss/Mrs. «0. seseeee: $/0, DIO, W/O.
Mother Name so... esses Telephone No.
Resident of .. ee
Do hereby solemnly affirms and declares on oath that
Ihave obtained two CNIC /NICOP bearing numbers
@.. and (2) oe
detail column mentioned below, due to some mistake of facts on my pert for which I submit my
unconditional apology and surrender one of the CNIC / NICOP bearing No.
to NADRA authorities for cancellation / necessary action alongwith
. respectively with details as per
connected transactions.
Thereby assure NADRA authorities that 1 had no malafide intentions in obtaining double
CNIC / NICOP and will be liable for any legal action, if any subversive intentions are detected
‘on my part later no.
also assure that the CNIC / NICOP being produced for cancellation has not been used in
any of activity by me and NADRA has Authority to cancel all the connected transactions made
by me against surrendered CNIC / NICOP ..
‘Mobile connection, Passport, Others transactions, etc. I take full responsi
relation to surrendered CNIC / NICOP and its connected transaction.
--nif any Le. Bank account,
ty and liability in
Detail column.
Sr# Detail as per Retained CNIC/NICOP —Sr#_ Detail as per Surrendered CNIC / NICOP-
1.CNIC /NICOP # 1. CNIC /NICOP # «50,
2, Name.sec-csseseses 2, Name...
3. Father's Name, 3, Father’s Name.
4, Date of Birth... 4, Date of Birth.
5. O1UNIC # 5. Old NIC# 7
6. Permanent Address: 6, Permanent Address:..
Witness No.1: ..
NIC / NICOP No.’
Deponent:.
+. CNIC/NICOP No:
CNIC/ NICOP Noe TT Stamp of Onth
Commstonee OR
‘equivalent
Signature