Pakistani Passport Application For Dc Embassy Page 2

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14. DECLARATION:
I, declare on solemn affirmation as under:
(1) To the best of my knowledge and belief the information given in this application is correct.
(2) I have not previously held or applied for a passport of any description or been refused passport facilities.
(3) All previous passports granted to me have been surrendered other than the passport or travel document noted
Below which is now attached, and I have made no other application for a passport since the attached passport
Or travel document was issued to me:
a. No. of attached Passport/Travel Document:
b. Date / Place of issue:
/
Note: If the applicant had a passport, which has been lost, he/she should furnish particulars as per sub para below:
The passport as per details given below has been lost, In the event of its coming into possession I undertake to
return it to the Regional Passport Office or the Issuing Authority (Embassy or Consulate Gen. of Pakistan).
a. Passport No:
b. Date / Place of issue:
c. Circumstances in which passport was lost or destroyed and measures taken to recover it:
d. I have never been repatriated at Government expense.
e. I am /am not a Government servant, an employee of a semi-Government body, a Municipality, and other local
body or a State owned industry.
f. I have / have not served in the Armed Forces of Pakistan.
g. I am / am not a reservist in the Armed Forces of Pakistan.
DECLARATION IN CASE OF MUSLIM.
I,
s/d/w/of
aged
adult Muslim, resident of
hereby solemnly
declare that:
a. I am a Muslim and believe in the absolute and unqualified finality of the Prophethood of Muhammad (peace be
upon him) the last of the prophets.
b. I do not recognize any person who claims to he prophet in any sense of the word or of any description
whatsoever after Muhammad (peace be upon him) or recognize such a claimant as prophet or a religious
reformer
as a Muslim.
c. I consider Mirza Ghulam Ahmad Quadiani to be an impostor nabi and also consider his followers whether
belonging to the Lahori or Quadiani group, to be NON-MUSLIM.
16.
Date
Signature & Thumb impression
17. ATTESTATION:
(Applicable in cases of persons who have not attained the age of 18 years and are not issued with Identity
Card under the National Registration Act, 1973)
I, as Father/Guardian/Attestor hereby attest that the information given above is correct to the best of my
Knowledge and belief and that the photograph on page 1 of this application bears the true likeness of the
applicant.
Date
Signature of Father/Guardian/Attestor
Address:
N.I.C.
Date/Place:
RIGHT/LEFT THUMB IMPRESSION & SPECIMEN SIGNATURE OF APPLICANT
18.
(
RIGHT FOR FEMALE & LEFT FOR MALE MUST BE AFFIXED IN SPACE BELOW.)
Signature and Thumb impression

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