Domicile
Domicile
Domicile
FORM P
APPLICATION FOR A CERTIFICATE OF DOMICILE IN PAKISTAN
To,
The District Coordination Officer,
Sir,
S/o, D/o
(Name in block letters)
Aged resident of
Here by state that was
born at and have been residing continuously in District
since I was formerly the resident of
have arrived in Tehsil
District Prov./Admn.
Pakistan on day of
Trade of occupation
Marks of identification
I do solemnly affirm that the above statement is true to the best of my knowledge and
belief and further declare that I have not previously obtained a Domicile Certificate of Pakistan
Signature
Place
Date
Attestation
Designation
Place and Date
OFFICE OF THE DISTRICT COORDINATION OFFICER, KHUSHAB
CHECK LIST OF ISSUANCE OF DOMICILE CERTIFICATE
1. Name of the applicant.
4. Father’s Name
- -
5. Whether I.D. Card attached / District
13. Supporting documents (if the above documents are not attached)
e) Resident Certificate
f) Any Other.
Domicile Clerk.
To be Filled in By the
To be Filled to By The Remitter Department Officer or the
Treasury
By Whom
Name or designation and Amount
Tendered Full particulars of the
address of the Person on Head of Order to
remittances and the
whose behalf money is Account the Bank
authority (if any)
Paid
Date
Correct,
Received
and grant
Receipt
Signature
and full
designation
of the
Officer
ordering
the money
to be paid
in
CERTIFICATE OF DOMICILE
WHEREAS______________________ S/o/D/o ____________________
applied for certificate of domicile under the Pakistan Citizenship Act, 1951 (II) of
1951 alleging with respect to himself/herself the particulars set out below, and has
satisfied the undersigned that the conditions laid down in section 17 of the said act
for the grant of a certificate of domicile are fulfilled in is said _______________
_________________________________________________________________
_
______________________________________________________________ case
now. THEREFORE, in pursuance of the powers conferred by the said Act and the
rules made hereunder, the undersigned hereby grant to the said _______________
_________________________________________________________________
_
______________________________________________________this certificate
of domicile in witness where of I have hereto subscribed may name this day of __
__________________2007.
Signed________________________
Name ________________________
Signature District Coordination Officer _________________________________