Anda di halaman 1dari 1

Government of Pakistan

Directorate General of Registration


Ministry of Interior

FORM “B”
This form will be returned to the applicant after registration for keeping its safe to enable for future reference

The Following Are My Family Members


Name of persons older then 18 years
Name Father’s Name I.D. Card No. Relation ship with Gender Date of Birth
head of family
1 Muhammad Riaz Jamal Din 220-37-027221 Head of family Male 05-10-1937
2 Muhamamd Riaz
Ulfat Begum 220-45-098241 Wife Female 24 years
(Husband)

Name of Children Under age of 18 years


Relationship with
Name Father’s Name I.D. Card No. Gender Date of Birth
head of family
1 Muhamamd Fiaz Muhammad Riaz 220-65-027222 Son Male 11-12-1965
2 Imtiaz Akhtar Muhammad Riaz 220-68-027223 Daughter Female 15-04-1965
3 Nisar Ahmed Muhammad Riaz 220-71-027224 Son Male 14-11-1971
4 Shazia Begum Muhammad Riaz 220-73-027225 Daughter Female 10-16-1973
5 Ijaz Ahmed Muhammad Riaz 220-75-495900 Son Male 30-10-1975
6 Shehzad Ahmed Muhammad Riaz 220-77-495901 Son Male 21-08-1977
7 Iftikhar Ahmed Muhammad Riaz 220-79-495902 Son Male 15-03-1979
8 Nazia Begum Muhamamd Riaz 220-81-539499 Daughter Female 17-09-1981
9 Muhamamd Zulfiqar Muhammad Riaz 220-82-557509 Son Male 17-12-1982
1
Shehnaz Begum Muhamamd Riaz 220-82-557510 Daughter Female 17-12-1982
0
11 Mehnaz Begum Muhamamd Riaz 220-84-587310 Daughter Female 09-15-1984
1
Zainab Khatoon Muhammad Riaz 220-86-608289 Daughter Female 15-11-1986
2

Name and Address of the Head of Family


Muhammad Riaz S/O Jamal Din Signature or Thumb Impression
House No. 99 of Head of the Family
Mohallah Maghrabi, Post Office Kala Gujran
Tehsil & District Jhlum

I certify that I personally know the applicant and the particulars given in the form are true to the best of my knowledge

Seal & Signature of the Person Attested by Name of the Person Attested by

I.D. Card No

This form can attest only those persons who have their own id cards from the same district register office where he applicants want to submit this form

Anda mungkin juga menyukai