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 #: 2220582639 Due Date: 28-01-2023 Challan #: 2220582639 Due Date: 28-01-2023 Challan #: 2220582639 Due Date: 28-01-2023

Applic ant Name: FARMAN ALI Applic ant Name: FARMAN ALI Applic ant Name: FARMAN ALI
Applic ant's CNIC: 1530208728885 Applic ant's CNIC: 1530208728885 Applic ant's CNIC: 1530208728885
Applic ant's Reg. Number: 10665-N Applic ant's Reg. Number: 10665-N Applic ant's Reg. Number: 10665-N
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 Bank Charges 30/- 1 Bank Charges 30/- 1 Bank Charges 30/-
2 Renew al Fee (5 Year) 10000/- 2 Renew al Fee (5 Year) 10000/- 2 Renew al Fee (5 Year) 10000/-
3 Late Fee 0/- 3 Late Fee 0/- 3 Late Fee 0/-
Total: Ten Thousand Thirty Only 10030/- Total: Ten Thousand Thirty Only 10030/- Total: Ten Thousand Thirty Only 10030/-

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: 29-12-2022 Issuanc e Date: 29-12-2022 Issuanc e Date: 29-12-2022