AFFIDAVIT

I, Mr./Miss/Mrs.________________________ S/O, D/O, W/O----------------------------------------------Mother

Name ________________________________ Telephone No __________________________________

Resident of __________________________________________________________________________

Do hereby solemnly affirms and declares of oath that I have obtained two CNICs/NICOP/CRC bearing number

(1)------------------------------------------------------- and (2) -------------------------------------------------------- respectively with

details as per detail column mentioned below, due to some mistake of facts on my part for which I submit my
unconditional apology and surrender one of the CNICs/NICOP/CRC bearing No.------------------------------------------- to
NADRA authorities for cancellation / necessary action along with connected transactions. I hereby assure NADRA
authorities that I had no mala fide intentions in obtaining double CNICs/NICOP/CRC and will be liable for any legal
action, if any subversive intentions are detected on my part later on. I also assure that the CNICs/NICOP/CRC being
produced for cancellation has not been used in any of activity by me and NADRA has Authority to cancel all the
connected transaction made by me against surrendered CNIC----------------------------------------------- if any i.e. Bank
account, Mobile connection, passport, others transactions, etc. I take full responsibility and liability in relation to
surrendered CNIC and its connected transactions.

Detail column.

Sr. # Detail as per Retained CNIC Sr. # Detail as per Retained CNIC

1. CNIC # ___________________________________ 1. CNIC # _________________________________

2. Name: ___________________________________ 2. Name _________________________________
3. Father Name:______________________________ 3. Father Name: ___________________________
4. Date of Birth:______________________________ 4. Date of Birth:____________________________
5. Old NIC # _________________________________ 5. Old NIC # ______________________________
6. Permanent Address: _________________________ 6. Permanent Address: ______________________

______________________________________________ _______________________________________

Witness No. 1. _____________________________________ Deponent __________________________________

CNIC No. __________________________________________ CNIC No. ___________________________________

Witness No. 2. _____________________________________

CNIC No. __________________________________________

Attested by: ________________________________________

Oath Commissioner