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NAME OF APPLICANT
Paste Photograph
FATHER'S / HUSBAND's
MEMBERSHIP REGISTRATION FORM FOR GENERAL PUBLIC
CNIC # - -
DATE OF BIRTH - -
POSTAL ADDRESS
HOME
TELEPHONE # OFFICE
CELL #
Membership Fee RS-10000/- (non refundable)
EMAIL ADDRESS
Paste copy of CNIC (Front Side). Don’t staple Paste copy of CNIC (Back Side). Don’t staple
Applicant's Signature
DATE OF APPLICATION - -
(dd-mm-yyyy)
APPLICANT'S COPY
Membership Registration Form
Received with thanks from Mr./Mrs./Ms.________________________________________________ CNIC
A Membership Registration Form along with demand draft/pay order/cash For the sum of RS-(In Figures)
(In Words) _____________________________________________________________________
Vide demand draft/pay order/bank reciept no._______________________________________ Date:
Note: Please submit a copy of demand draft alonwith original Authorised Officer ________________________
application form at PHAF head office for record. Stamp and Signature ___________________________
GENERAL INSTRUCTIONS