GOVERNMENT HAJJ SCHEME Data Collection Form For Hajj … · 2020-02-24 · GOVERNMENT HAJJ SCHEME...
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Group Leader’s Application No. * (Please read the instructions before filling) Gender Male Female GOVERNMENT HAJJ SCHEME Data Collection Form For Hajj 2020 (1441 A.H) Hajj Application No. Photo with Light Blue Background of size 4 x 3 cm may be pasted with gum Blood Group Are You Mehram of Lady? Yes No Mobile Number District (Postal Address) Date of Expiry (Atleast 01-02-2021) Passport No. NADRA’S Identity Card or NICOP No. Given Name of Applicant (As per Passport ) Father/Husband’s Name Present Postal Address (Please see Instructions) Sur Name of Applicant (As per Passport ) Date of Birth (DDMMYYYY) PWR ISB LHR KHI QTA SKR FBD Place of Departure SKT MLN RYK Leader Member Group Category General Aged 70+ 3 years Unsucessful Applicant Information Amount in Rupees Hajj App No. (2017) * Hajj App No. (2018) * Hajj App No. (2019) * Only for substitution cases, Substituted against Application No. * Tehsil (Postal Address) Have You Performed Hajj in Last 5 years Yes No Nominee Information Nominee’s Mobile No. Nominee Name (must be adult and Blood relative) Nominee NADRA’S Identity Card No. Mobile Network Group Information Applicant Type Group Size Yes No (For Shia Pilgrims Only) 03 Mehram/Helper’s Information Mehram’s Application No. (Female Applicants only) * Relationship with Helper (Only Blood Relations) Helper required for: Aged 70+ Handicaped Other Helper’s Application No. 0 Bank Logo Yes No 3 Do you require Shia Facilities Overseas Pakistani ø x » * * x Are You Overseas Pakistani? Yes No Do you have NICOP? Yes No Years being Overseas Pakistani Dues Deposit Date 2020 - - - -
Transcript of GOVERNMENT HAJJ SCHEME Data Collection Form For Hajj … · 2020-02-24 · GOVERNMENT HAJJ SCHEME...
Group Leader’s Application No.
*
(Please read the instructions before filling)
Gender
Male Female
GOVERNMENT HAJJ SCHEMEData Collection Form For Hajj 2020 (1441 A.H)
Hajj Application No.
Photo with Light Blue
Background
of size 4 x 3 cm
may be pasted
with gum
Blood Group
Are You Mehramof Lady?
Yes No
Mobile Number
District (Postal Address)
Date of Expiry (Atleast 01-02-2021)Passport No.
NADRA’S Identity Card or NICOP No.
Given Name of Applicant (As per Passport )
Father/Husband’s Name
Present Postal Address (Please see Instructions)
Sur Name of Applicant (As per Passport ) Date of Birth (DDMMYYYY)
PWR ISB LHR KHI QTA SKR FBD
Place of Departure
SKTMLN RYK
Leader Member
Group Category
General Aged 70+ 3 years Unsucessful
ApplicantInformation
Amount in Rupees
Hajj App No. (2017)
*Hajj App No. (2018)
*Hajj App No. (2019)
*
Only for substitution cases,Substituted against Application No.
*
Tehsil (Postal Address)
Have You PerformedHajj in Last 5 years
Yes No
Nominee Information
Nominee’s Mobile No.
Nominee Name (must be adult and Blood relative)
Nominee NADRA’S Identity Card No.
Mobile Network
GroupInformation
Applicant Type
Group Size
Yes No
(For Shia Pilgrims Only)
0 3
Mehram/Helper’s InformationMehram’s Application No. (Female Applicants only)
*Relationship with Helper (Only Blood Relations)
Helper required for:
Aged 70+ Handicaped Other
Helper’s Application No.
0
Bank Logo
Yes No
3
Do you requireShia Facilities
Overseas Pakistani
øx»**x
Are You OverseasPakistani?
Yes No
Do you have NICOP?
Yes No
Years being Overseas Pakistani
Dues Deposit Date
2020
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