Jerjees Haider Shah

FORM NO.32.A PROVINCIAL/CENTRAL Treasury/Sub Treasury National Bank of Pakistan State Bank of Pakistan.

By who Tendered

To be filled in by the Remitters

Amount

To be filled in by the Department officer or the treasury

Name or designation and address of the

Person whose behalf money is paid

Full particulars of the remittance

and of authority (if any)

Head of Account

Order to The Bank

District Coordination Officer Khushab

Fee for the issuance of Domicile Certificate

B03806

Date Correct receive and grant receipt Signature and full designation of the officer ordering the money to be paid in. Total

Signature Received Payment Accountant Date Rupees Treasury(in words) ____________________________________________________

To be used only in the case of

remittance to bank through an officer of the Government.

Treasury Officer Agent/Manager

FORM NO.32.A

PROVINCIAL/CENTRAL Treasury/Sub Treasury National Bank of Pakistan State Bank of Pakistan.

By who Tendered

To be filled in by the Remitters

Amount

To be filled in by the Department officer or the treasury

Name or designation and address of the

Person whose behalf money is paid

Full particulars of the remittance

and of authority (if any)

Head of Account

Order to The Bank

District Coordination Officer Khushab

Fee for the issuance of Domicile Certificate

B03806

Date Correct receive and grant receipt Signature and full designation of the officer ordering the money to be paid in. Total

Signature Received Payment Accountant Date Rupees Treasury(in words) ____________________________________________________

To be used only in the case of

remittance to bank through an officer of the Government.

Treasury Officer Agent/Manager

Jerjees Haider Shah

OFFICE OF DISTRICT COORDINATION OFFICER KHUSHAB

ACKNOWLEDGMENT

Form for issuance of Domicile Certificate in respect of ____________

______________________________________________________________________________

______________________________________________________________________________

has been received in this Office vide entry No ____________________________________

dated _____/_____/______ for grant of Domicile Certificate.

The domicile certificate will be issued after the Approval of the District

Coordination Officer Khushab on _____/_____/______.

OFFICE OF DISTRICT COORDINATION OFFICER KHUSHAB

ACKNOWLEDGMENT

Form for issuance of Domicile Certificate in respect of ____________

______________________________________________________________________________

______________________________________________________________________________

has been received in this Office vide entry No ____________________________________

dated _____/_____/______ for grant of Domicile Certificate.

The domicile certificate will be issued after the Approval of the District

Coordination Officer Khushab on _____/_____/______.

Jerjees Haider Shah

APPENDIX VIII FORM "P" (Vide Rule 23 Pakistan Citizenship Rule 1952)

To

____________________________________________

____________________________________________

Subject: APPLICATION FOR A CERTIFICATE OF DOMICILE IN PAKISTAN.

Sir,

I _____________________________________________________________

Son / Daughter / Wife of _________________________________________________________

(Name in block letters) aged _____/Years _____/month_____/Days,

resident of __________________________________________________________________

hereby sate that I was formerly the resident of ___________________________________

I have arrived in _____/_____/_____ Tehsil__________________________ District KHUSHAB

Pvov./Admn ________________________________ in Pakistan on day of _____/_____/_____

immediately preceding this this declaration and intend to take up my fixed habitation in

Pakistan during the remainder of my life.

I further affirm that I have not migrated to India and returned to Pakistan

between the 1st March 1952 to the date of this application except a valid visa No

____________________dated _____/_____/_____ issued by the Pakistan Passport other

Particulars are given below.

Married/single/Widower _____________________________________________________

Name of wife or husband _____________________________________________________

Name of children and their ages___________________________________________________

Trade or occupation _____________________________________________________

Marks of identification _____________________________________________________

I do solemnly affirm that the above statement is true to the best of my knowledge and belief.

Attestation _____________________ Signature ______________________

Designation _____________________ Place ______________________

Place and Date_____________________ Date ______________________

Jerjees Haider Shah

No. ______________________ dated _____/_____/_____ APPENDIX-XIV

FORM P.I

THE PAKISTAN CITIZENSHIP ACT, 1951 (II OF 1951) AND RULE MADE THEREUNDER (VIDE RULE 23)

CERTIFICATE OF DOMICILE

WHEREAS _____________________________________________________________________

Son / Daughter / Wife of _________________________________________________________

has applied for a certificate of domicile under the Pakistan Citizenship Act, 1951, (II of 1952)

alleging with respect of himself/herself here is the particulars set out below and has satisfied

the undersigned that the conditions laid down in section 17 of the said act the grant of

certificate of domicile are fulfill in the said ______________________________________ Case.

NOW, THEREFORE, in pursuance of the Powers confirmed by the said Act and the rules made

thereunder, the undersigned hereby grant to the said __________________________________

this certificate of domicile.

IN WITNESS WHEREOF I have hereto subscribed my name this day of _____/_____/_____

Signed ___________________

Name ___________________

Designation ___________________

PARTICULARS RELATING TO THE APPLICANT

Full name: ____________________________________________________________________

Father's name: _________________________________________________________________

Address in Pakistan: _____________________________________________________________

Address the country outside Pakistan: ______________________________________________

Place of domicile

Place _____________________________ Tehsil______________________ District KHUSHAB

Prov/adm: ___________________________________________________________________

Date of arrival in the place of domicile _____/_____/_____

Single/married/widow/widower ____________________________________________________

Name of wife/husband ___________________________________________________________

Name of children and their ages ___________________________________________________

Trade or occupation _____________________________________________________________

Marks of identification ___________________________________________________________

Signed ___________________

Name ___________________

Designation ___________________

Date ___________________

PHOTO

Jerjees Haider Shah

OFFICE OF THE MAGISTRATE _________________DISTRICT KHUSHAB

No. ______________________ dated _____/_____/_____

Forwarded in original to the Tehsildar for favour or report on the following

points:

1. Whether the particulars contained in the application are correct.

2. Whether he recommends Use grant of a domicile certificate to applicant.

3. Whether the applicant is a Pakistani by migration or by birth if so for how long he is residing

in the place of his residence in the district.

4. It may be clearly certified that the applicant is continuously residing at the place indicated in

the application for the last two years.

5. The statement of the Member or Chairman Union Council or Lambardar or advocate should

also be recorded.

Superintendent For District Magistrate District Khushab

Jerjees Haider Shah

SUBJECT: APPLICATRYN FOR THE GANT OF DOMICILE CERTIFICATE

Mr/Miss/Mrs/ ______________________________________________________

Son / Daughter / Wife of _________________________________________________________

Resident ______________________________________________________________________

Tehsil ____________________ District KHUSHAB has applied for the grant of Domicile

Certificate. The requisite fee RS ________________ has been paid by the applicant in the

Treasury vide Challan No. ____________________dated _____/_____/_____ Enclosed.

The following documents have been produced by the applicant in support of

his/her contention that he/she is a permanent resident of ______________________________

Tehsil ________________ District KHUSHAB.

Fard Arazi showing ownership/cultivation over land, or document showing title to other property.

Verification by Revenue Officer Concerned. Copy of Identity Card/ Father's Identity Card. Copy of Voter's list. Copy of Matriculation Certificate. Affidavit Affirming the truth to the statement in the application in Form P-I

The Domicile Certificate are issued under Section 17 of the Pakistan Citizenship

Act 1951 read with Rule 23 of the Pakistan citizenship Rules,1252 and all the District

Magistrates have been empowered to issue such certificate within their respective jurisdiction

vide the Government of West Pakistan, Home Department Circular letter No. 8987 - HPP (ii) -

57 ,dated 02.10.1957.

The application has been duly examined. The entire evidence placed on record

by the applicant in proof of claim has been found to be satisfactory/ unsatisfactory. The

application fulfills/does not fulfill the requisite conditions for the grant of Domicile Certificate

and his / her case is accordingly recommended/not recommended for the same.

The applicant is being directed to produce the following documents to

substantiate his/her claim:

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Submitted for order please.

OFFICE INCAHRGE PASSPORT/DOMICILE CLERK

DISTRICT KHUSHAB

hahS rediaH seejreJ

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