Signature & Seal of The Head of Office Signature & Seal of The Head of Department
Signature & Seal of The Head of Office Signature & Seal of The Head of Department
I do solemnly affirm and verify that the contents of the above application are true to the
best of my knowledge and belief and that I have concealed nothing. I know that in the event of making
a willful deception to this representation or suppression of facts, I shall be liable to criminal
prosecution.
____________________
Signature of Applicant
INFORMATION/DATA OF APPLICANT/BENEFICIARY
1. Name ___________________________ Father’s/Husband’sName _________________________
2. Relation with Deceased/Shaheed employee _________________CNIC No.____________________
3. Account No. _____________________________ Bank Name _________________________________
4. Bank Address ________________________________________________________________________
5. Postal Address ______________________________________Phone/Cell No. _____________________
6.Pensioner’s I.D/Personnel No.____________________________________________________________
I do solemnly affirm and verify that the contents of the above application are true to the
best of my knowledge and belief and that I have concealed nothing. I know that in the event of making
a willful deception to this representation or suppression of facts, I shall be liable to criminal
prosecution.
____________________
Signature of Applicant
Bank Address___________________________________________________________________________
I do solemnly affirm and verify that the contents of the above application are true to the
best of my knowledge and belief and that I have concealed nothing. I know that in the event of making
a willful deception to this representation or suppression of facts, I shall be liable to criminal
prosecution.
I do solemnly affirm and verify that the contents of the above application are true to the
best of my knowledge and belief and that I have concealed nothing. I know that in the event of making
a willful deception to this representation or suppression of facts, I shall be liable to criminal
prosecution.
____________________
Signature of Applicant