Nicop Form - Cyan Business Solutions

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National Identity Card For Overseas Pakistanis
National Identity Card For Overseas Pakistanis
National Database and Registration Authority
Ministry of Interior, Government of Pakistan
Instructions
Paste your recent
(a) Read carefully the instructions given at the back before filling the form.
photograph
Barcode Sticker
Barcode Sticker
(b) One of the addresses (Present / Permanent) MUST be a Pakistani Address.
here
(c) Form will be rejected if
marked fields are left blank.
Applicant’s Old NIC No.
(d) Both English and Urdu fields are compulsory to be filled.
(e) Use CAPITAL letters to fill the form.
Do not use Pin or Staple
* *
1
Type of Application
Duplicate
Change
Surrender
New
Renewal
Family Head NIC / CNIC / NICOP No.
Relation with Family Head
* *
FILLABLE FORM
* *
2
3
1.5” x 2”
USE SPACE BAR FOR NEXT BOX
Applicant’s Full Name
(First, Middle, Last)
Name length not to exceed 27 characters including spaces.
* *
4
Applicant NIC / CNIC / CRC / NICOP No.
* *
5
6
Father’s Name
Name length not to exceed 27 characters including spaces.
(First, Middle, Last)
* *
7
Father’s NIC / CNIC / NICOP No.
* *
8
9
(First, Middle, Last)
Mother’s Name
Name length not to exceed 27 characters including spaces.
* *
9
10
Mother’s NIC / CNIC / NICOP No.
* *
11
12
Name length not to exceed 27 characters including spaces.
Spouse’s Name
(First, Middle, Last) (compulsory for married or widowed)
* *
13
Spouse’s NIC / CNIC / NICOP No.
* *
14
15
/ /
( Leave blank if not applicable)
Visible Mark of Identification
( (
/ /
) )
16
Country of Stay Abroad
( Where the Applicant is residing / likely to reside)
Date of Birth ( DD / MM / YYYY)
Home Delivery
* *
* *
None
17
18
Pakistan
Pakistani OR Foreign Passport No.
Date of Expiry ( DD / MM / YYYY)
Abroad
* *
19
20
FEE SCHEDULE
New NICOP - C$42
Country of Issue of Passport
Duplicate, Renewal or
Place of Birth
Change of NICOP - C$ 64
* *
21
22
Fee includes home delivery
by DHL
Address should not exceed 45 characters including spaces.
Present Address
Foreign Address with Zip Code
* *
23
C A N A D A
Address should not exceed 45 characters including spaces.
Permanent Address
Pakistani Address with Tehsil & District
* *
24
P A K I S T A N
In case of Jammu & Kashmir citizen
Migrant from Kashmir Valley
Migrant from Jammu Kashmir or Other areas
Azad Jammu & Kashmir
25
* Phone Number
* Mobile Number
Blood Group
E-mail
(Country Code - City Code - Phone No.)
* *
26
27
* *
Applicant’s Signature
Gender
Religion
Profession
Education
28
Status / Purpose of Stay Abroad
Applicant’s Left Thumb
(As it appears on legal documents
* * * *
Emigrant/Employment Abroad
Muslim
Business
Post Graduate
Male
Engineering
Dual Nationality Holder
Graduate
Christian
Female
Resident/Immigrant Visa Holder
Qadiani /
Medicine
Under Graduate
Marital Status
Ahmedi
Resident or intending resident
IT
Others
Abroad: (Please tick one of the
Hindu
Married
Management
below)
Gratis NICOP
Parsi
Law
Student Visa
Dependent
Unmarried
Sikh
Labour
Medical Treatment
OPF Member
Divorced
Student
Budhist
Govt. Duty/training
Father / Mother must sign in case
Thumb impression is not required
Others
Others
Dependent of above
Widowed
Others
of infants one year or less
if the child is one year old or less.
Attester Name
SHOULD NOT BE BLOOD RELATIVE
Attester Signature
Mode of Payment
29
For Official Use Only
* *
* *
30
Date:
Bank Receipt No.
* *
ANY CNIC/NICOP HOLDER,
32
Attester CNIC / NICOP No.
Date:
Bank Draft No.
BUT NOT BLOOD RELATIVE
* *
31
Date:
Nadra Receipt No.
(NICOP OR CNIC holder)
*
33
*Blood Relative Reference Name
Amount:
Currency:
Relation
CNIC / NICOP No.
6 L JQDW XU H RU
*
*
34
I Solemnly affirm that, I believe completely and unconditionally in the finality of the Prophethood of the
7KXP E ,P SU HVVL RQ
Prophet MUHAMMAD (PBUH), and that I am not a follower of any person who claims Prophethood on the
basis of any interpretation of this word, neither I believe such a claimant to be a reformer or a prophet,
0 DQGDW RU \ L QFDVHRI 0 XVO L P
nor I belong to Qadiani or Lahori group or call myself Ahmedi.

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