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Payable on or before Due Date 11,333 Payable on or before Due Date 11,333 Payable on or before Due Date 11,333
Rs. eleven thousand three hundred thirty-three Only Rs. eleven thousand three hundred thirty-three Only Rs. eleven thousand three hundred thirty-three Only
Payable After Due Date 11,900 Payable After Due Date 11,900 Payable After Due Date 11,900
Rs. eleven thousand nine hundred Only Rs. eleven thousand nine hundred Only Rs. eleven thousand nine hundred Only
567 FBR Validation FBR Validation FBR Validation
Depositor ______________ Signature: _____________ Depositor ______________ Signature: _____________ Depositor ______________ Signature: _____________
CNIC # _______________ Contact # _____________ CNIC # _______________ Contact # _____________ CNIC # _______________ Contact # _____________
Authorize Signature _______ Authorize Signature _______ Authorize Signature _______ Authorize Signature _______ Authorize Signature _______ Authorize Signature _______
49
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