To be filled in by the
By whom
o be fil d by the remitter Amount i Department Officer of
tendered
the Treasury
ame or
Full particulars
de ignatio ,
of the
andp ddresslof Head of
remittances Order to
the person On Account
and,the the batik
whOse behalf
authorty (if
the money s " ,
any)
paid i' ,
G-11
Ak4N
t Special
Deposits -
.... ..\ ,„ Investment
...,\r,,‘ -
./114#
6,,,,:,. , , Date
i
.1 ,,,...
.-iNS.,\ . G-112- 30-3413
! - Others Correct,
:4. 1'',,,!•,.
•
0 ii 3 • . osits received
7,)\* ) I
2 a ' e W,- ; : tint and grant
.., * .9
Receipt.
AI \ ,
•
I1, "*I. ,,.
A , i i /0,,,,
ID/posits in
- Aonnection
Signature
and full
1 ' with , designati ,
t ,, ‘ ■ '. / ' c) \:. . , i .....; i efections : on of the
..
'N...., J ,..;"‘ IS1 1 % ' officer
' ordering
-"'\■ • ,\ the
' , money to
. \,
1 be paid
.1 i -
. in.
I,
To be used In the cash of remittance 1 bank through an officer of the Government
IA,
•v 1
Accountant Treasury Officer
gent/ Managbr
i nk Ate. .3
(In words) Rupees-
Received Payment
ett
NA-17341
_PP
PP-256-114 G
11,F
f. •
G VE liSIIVIEfft OF PAKISTAN
NATIO AL CCOUNTABILITY
, • . • ..., , BUREAU
, ..._..._ .......----ki„;..-,7-
G- Atita- Turk Avenue 2 ' 2 ' '''-1. •-• --
Islatilbad
' , •
No.3-5/COD/NAB HQ/2013/EleCtiOn •1
2 April 200
Constituency: A3-256
It is certified that no information adopt any conviction or plea bargain or willful loan
default exists with NAB against thq candidate.
•
Maj,(R)
Tariq MehmOod Malik)
OIC NEC
RETURNING OFFICER
NA-17Z44.
PP-25441GarlAV ' I
e,e-266441.0;ath-Vi
DIRECTORATE GENERAL
INTELLIGENCE 8t., INVES'
'REVENUE
..---
Tax details available in the computer system of Federal Board of Revenue (FBR) in respect of the
CNIC provided by Election CoMmission of PakistanJECP) are provided as Follows:
CMC 3.2304-2232086-7
NTN 3201678-6
i
pate of NTN Issuance 11 Oct 2008
TAUQEER AHMAD
Deputy Director/Incharge
Central Verification Cell (CVC)
' 1 111 pl 1 11
Apr 3 2013 6:08PM
ifs
P'akistan Muslim League
EN.P
(4.)
4froor"""
LETTER OF AUTHC
e £rovflCC of
1 :1
1-
I
1 11 •
i •y
1
■
''
4 •
I, 1 .
a
i, if --i:1;1
N.
F5/1- :=2:,,'"'
DIREJCTORATE OF SOCIAL SECURITY
G-59 SHERWANI CI10WkAAILWAY ROAD, 'MUZAFFARGARI-I
0
7/'
'n
ACCOUN S\ OFFICER DIRECTOR (MED L)
67,5703
`venue Division
CEritral Board of REvenuE
Government of Pali-tarn
Name:
Address:
It RA00
NEAR CANAL'REST HOUSE AU PU
MUZAFFAR GARH
Date of Issue
0806 sairiast,p112?1,
Details
Date" 26-03-2013
Time' 14:1:07
NTN/FTN i I 3/.01678 Category -OTHER
INDIVIDUAL
Name- M HAMMA
Ref rence
retisys.lbrig*WRegistrationtsearchDetail.aspOra
--- - ..,, • RETURN OF TOTAL I fCOIIE TATEMENT OF A NAL TAXATION I T-2(Pago 1 12)i
F El, FR . • . I
. UNDCR THE INC.:P.1z TAX OR MANCE, 2001 (FOR INDIVIDUAL / AOPC •
IIC r,.,,.... :
L 2' 1 . '' r 1/-- .).-- :3 2- (-- ' 6- 7 . NTN !
1 is >4).•:"s t1.1-1:- ' "( 11 / .' ,,'),17-)17 it , -iint K-;;,- , .,3 if 7 e—s h / Genaer
3 20 / e: 7 '
Male I
3--
emarle
. . 2 Ch.....s.r.i•s Na-ne ' rear Enc,ng i/Sic> : -
, 3 N..; :,ci.s .L.J.:.reS3 TaA Yclar
200187
4 11‘.3 Adcress .a 4.' U ' ",Slot I c i .e.o.j .Zeir.)tPi.stt Ad- ezz0- 4. ,,,,,>,
Aalit IND .:
_, , :
v-- AOK
1 E•m,u1A.;:orcLs P i't,r.ne i lies Siatus , hy:.C1 ;•1•) •' 1.:„..... .
-..----
' 5 1Ph ,co,■'/<.1.,.1, .. (1.142 7r ' • jiy7,24aZI.zo,..cr- 2 ...,)44;fc. ;LesJ Cone Umil Date 1
2--li -6 - /9(S-
7 EmpiwO r:ir, , taw,/ -t`1" //el
11 iitypreicrl!.it,ve WIN ria■no , ; .. , RTO/l. TI.) ,A.t.t_itltzr .
I
4TN Propriator/i lember/P rtners' t. arvo %In:coital Capital Atnouint
-,
E , ,
--++—
.1
I !i
OtheT 1
Total: j 1 poy,
Items • '.
Manufacturing/ Trading. Pr ofit &Loss I
...—
9 Gross Sales -I I 13101 I '' i
10 Cost of Sales (11 + 12 + 13 141 ) `3116
11 Opening Stock 3117 I I I
12 Purchases -3104
13 Manufactunno/ Trading Expenses 3111
14 Closing Stock ., ,1 .3118
15 Gross. Profit/ (Loss) (9-10) ' 3119 •
18 Other Pevenues/ Fee/ Charges for Services 3131
17 Profit e. Loss Expenses . 3170 -
i6 Net Profit,' (Loss) [(15 4: 16) - 171 ' 3190 :.
.19 Inadmissible Expenses (Including proOrtionate expenses relating to PTR) ' 3191
Adjustments
ii,
cii
-1 40 Tax Reductions, Credits & Averaging I 9249 •
2 ....-0-"`""
41 Minimum Tax (Section 235(4)) - 9292e1
N41
1— CL
Ec. 42 Tax Already Paid including Adjus t men t .; 1 (Attach Annex-C) /9499
0 4.3 Tax Payable/ Refundable (transferred f orn Finalii Fixed Tax ) 4594.
-,: 44 Net Tax Payable [(39 - 40 - 42) + 43) 1
.. i,,,.
..'a...
45 Tax Paid as per CPR No.
46 Net Tax Refundable, may be'credited to my bar*
L
ounT■asiGricIf ,,,,, or: F; Ea
9471
9999
/
4.. ii
, REOCI"" v-„b411 ../ '
.-..., 17 ,r, i3onk tr•!;,7 1 .;.., JA/
P - , ;,zi.i.ti- 1,
' 18 Branch :si:irilc F., Code .......,_,... _ . . , . , ._pfp ' .1.1. ___7, — ...,,..--
- . at res.
49 AiC Number
50 It..V.Ivf,P/aid ■
,..1th Relorn•as per CPR No 9308
riote.1 C. cy blank tf■tris are lor uff ■ c ■Ol ut.r
ormelc.?"
Anil - C
.„:
Tax Already Paid Including Adjuspounts
Regilriatitiffc!.,
Particu
Advance Tax
First instatImer- No. Evident:Olt pa ym0ett att
t-coryl Iry !alln , ..ot Cr No 'ince ^rt realph401 attaq
tin
)Trd i ' :C' e Ersistr • ' *Ome fti
:dent.o..04;:itityr.Aerx.4.q.
. .
:ell arzrt !!!qt at Sours„
kL
.:)112. '!!!' r, r )t I ( to 4irri7iri.7
Or iirr of c; is ‘.1311,,,na Alta!'
24. Others
26. Refund adjustments (To the extent adjustment is required a ainst the
1-telund Assessed
Tax Year Amount (ff•-• ax Year
rcr-
...• I
Cnn,rmslannrUtu..er.19.21
,„',
-------
1! 10 r1 "i
. 301
, 1,,
•
(19..er S.
[41." ln
InC e_
Z
Call•tlf
In 0.00 0
A11,01,1,11,141•1■ , %%%%% i•
1.1,11■1.•
■■ •.77.1117, 3 • SY '!! 'NOW° ,
t•7,7. 1
I.•• 1.. 4. 'L7007,, (7 !,n,,;:,t:
,"
174771ti
1„1 .,4 1'1•.
1. 7
.1r
•ll lll 411,10
'1(1,1,
1.I•
I,
T;14
:t. diili t1,1
kill,: I: • as undo
.t l ""1,0,j 6,1,W,1,14•1,....
:sh.st
/VG No ' t
1):114411.US4
1
.320 7
Male
C.Innot Amount
, •.
f;,1 el Cnnirlmolnnittii,Kctii9e)
. .3116 •
3"7"
3113C'
I. 14f, Comm.:WO:mm..01e)
. • I ....••• 3111
3118
.3110
.3131
• A.••‘.,
;11:- .1`
.o.11•1,
■••■ •••••
Clv.011.1 ••• t.• ,DI•nn 11•
11•••'
LAernt11 Inc Inv •Lt,!--fo t.•••■
ej-
1,.11.1ry
r --
nro, 9249
Ltr.
F..o!.:•,•;•0 Co
Av1.1,111.1,:
•nn.../Crt•iti•• 920V06
:14 1,4
.1•111•1,01• It;t01'
.1 ,10,t1111./..1 9209
Or 9499
.•1,1 I • -1909-
I Wit! T:1
.4..) to.
:1:• ■• ■
telot•J
NJ la.
■•••, •;111601.utit
1 1:,:c 1 4'•:1 041. • 14,1; ;
•
t
!ti Annex-13
Ta Already Paid
2-" 7$ -F f Reg/Inc/CNIC N
7.01i tttt 40.1 +1/ TA*
potto.'111 Obeid
r ar(ictr1,1115 (1
,0(y6, , Al.;;itros.15.1:114..
4.1,) •tt
I •
4;40)/1, OSS 72:7."'t
a
ygtnnr1Incornr tott•er than fit. ePit.ct On ••e,ite.-1 as final tax) '04039
h tin" OyernMi.nt• t•r4,1..f. 94041.:
Alit on'Oebt (0 ?ler Than :at. CeJ tfoa:ea as ',nal taxi
0404O
4!****,4***VistIt • It. 11,,r‘cr Sila.A
; on • ilynlen: tete ell by non4c5.0en: .other man ta. deduct.on treated as final tax) 940539
8 On payments for n ods (other than has fle4uCt■ On treated as (mai tax) 0.00k
9 0 payments for .rv.ces (other mar tar riectunon !mated as final tax) 94
10 0 payments for xecufion of contract% toper th.in tae deduction treated as final lax) ' 0400
11 0 cash withdraw from banli
94ji9 •J.
CO.f*Cr Itr**A,r H . ■••• •• branch Sh folit■ '
10014
•' r - -
l• With tet.h(ti in,rfjlidls. ;nnhi4• WI me ..”.11t. P.m) c.ild• 1141•69
N S.,b‘r..a../zr'S Grit SLoschbers NAM,: Share%
t ,;7
is
Total Tax 0 duction, at source (41tistab)e Tax) (set 1 of 1 to 18) 04509 -7L txttl 7,7
Total Tax 0 ductions at source (F not Tax) 591
•"
▪ ArsterCniT-•••••■••..
• 6
d
•
A
1.1
[ALL tat,,,inez T.1Y 2009
Ott RTO/LTti
Hale
Co 1c Receipts/ Value Code Tax ay.:Table
:Cr 92011_
1
92a 2
640 52015
10 52037
75 52033
VON r4f±1,/ ' 6•10.11 10 92041
6•1051,1 15 920511
540512 92051
4 ntiacti 0476n esice:P•11 61052 020571
50 lin urance Prenu n iNon-Rciw.:(trIt 640524:1 5 9205241
A Cisco.; •,eriei s iNotn•Ri;:s•rtent, 640525,', 10 920525'
xv or (1.nNIs C4051 1 • 3.5 920611
;.■
c 640612 15 920612
co 640611 9206
1-•
55 11111 onts to Ginner:: 640514 92 IA
640523 920623
58 C onlia Ct i. 112it.Sident'l 640531 6 520631
.64:-54 7 05
114, 1
1 1.
c.1"iti •
-- •
`, 1
10
■
92122
d To .1.-
14
•
•^C' .1
r eU
,la C :salt Palol4c of 114 ref AssoeiAn of PeisonsiReoresentatie (as diAintri in section -17:' U
0
14 the 1ntoctici 14.11 n45ce.2001) nflta.payer nd(bod aocve, a° soiemnly declare :nal to Inc 0)
co tscis4 At my plawk.dip alto tict4e( 1,411411014■■,11,011 Tven in et 4en.S1a1 ent i is 115(4;
0 Ci
me' 1114) 4lt.theli,Ame.(eo.:51,1e54er;;%u oecurncnos; • rae(s) at correct and
CtfllrFeetle •14caohia*.ictsIth tee 1$0##,05,, or Inc income r narlce, 01 and Incontt O
;; 104 lades. 2002 Obti1a11111naltv1: ot 1n¢ relit:A:ion. iyhich 1 n snO4ld be scored
4.)
'I 1
1 Signatures' ftl,
pat tt of Receiving pflicei,410ith Delo
1.
we"
: RETURN OF TOTAL INCOME/STATEMENT OF FINAL TAXATION - . ..., 11-2 (pato I 012) -
.... I A.■ ' , UNDER THE INCIONE TAX ORDINANCE. 2001 (F9R INDIVIDUAL / AOP)
c_t.
"- ''' ',.''' ‘..-----j7
--.:- — 22-32_ O'77.--
-- 7 • Rrt,, . 32 o
• I ,,,,;,., , N.,,,„. — — a l
f\-' -
(Trin..-v-e,sivt 1,4-.1 ' .n . ,91-1
)7)1 )- ' r (.5 0 Gen4" ' 'Asia . fora**
H ,...1-v• .41.ji..-, . Yew End.) 3 c ,--.- 6:- ›.. 0 i. c,
o 04,...... , A,,,,,,... I T i.Year' •
26f 0
Pi ... A.c.of-.% Ilt ett t et , trre,sita "ic,, .K/tad yet, Person IND 4••• AOP 1-... .
'En
r 14m A01, ess ,(PtA f _ 4- (7 et ir /4 ' p,„„.. Kai SLAW! A. Aeirdell 1,.'"
111 •
C4 , •AC.pol Ai. ,Ii Cute ''''''_'..1 41-.:`:!:',. Aun. Date .24 ....... K...... /9.4.s,
Lr 000.1 •.:.„ '4.,”.. F SecUon : /14'
140turyil,lite.e till: Nal, RTO/LTU
Am~ftpn 4,e41 Rep,, , taN N 'me Authowed Rop....epol aye
". frITN j Proprietor/Member/Partners Name *.in Collet Capital AmoOnt
•
/
!hers i
' alai ,• : 100%.
•- Heins ... Code Total
3-
.a4. fr, ).. .7
-et" c .' •-• ie. lutl.04S.Ve4 Tani Feoc,,II E rase Duty & Net of Commission/ Brokerage)
„pales .. -- ,-
.4.• v . . (To be ivuoicitud w ■th Annex-C) 3103
z r---/
o w -- Cos t of:Satel 13 • 4 • 5 - 61 i 110 bej rotontiled wilh Annex-CI 3116 --
a: ,1
-3 Opening Stock . ;31-17.-.
-11 1 NW Purehnses (e.clibro) Sties tia,/ F ederal
Excise Duty & Not of Commission*/ Brokerage) 3106
o rivi
,.. 1
-0 Mahulacturingr Trading Expentes 3111
* • .1 •
r / clam, sioo 3118
5 LI T Gross 'Profit! (Loss) (I •■2) (To DO reconciled with Annox-C) 3119
S I S. Other 'Revenues/ Fee/ Charges for Professional and Other Services! Commission • 3131
1ll 9: Profit 8 LoSs Expenses 3189 '
i 4 I -'
• 10 Not Prat/ (Loss) ((7 • 8) • 9) 3190 ,.1 ,:/i,
ST1.1 Inadmissible Deductions cini-A,,rii-i, / ...cowl; ribepierliai,on) 3191
i
t12: Admissible Deductions ie.ciiiu n•.: Lir Oc:..44,c,a1.00: .4.cIudol of0;.o,I,onale PTR ineome , 3192-1 .,
, 13 Unadjusted Lriss (torn business kr pteviotis year(s)urran■.tet from Sr 24 ut Annex -A) 3902
, . of j14 Unabsorbed Tax Depreciation for previous/ current year(s) (Annex-A) 3988
is Total Incoine (Sum of 16 to 211i 9099 -zr jj eilre-4:1--
IG Salary Income including Arrdars Excluding Bonus 1999 n''' 4 agliZ, ••
17 Bonus 19991
la Business Income/ (Loss) (10. 11) - 12. 134.4, - - 3999
° - 19 Share from AOP .,/ 312021
1.-,:•i
.20 Capital Gains ./0 4999
co'' it Other Sources Into .1- 11111.1"-- — 4° . - . $999::-, . ... ....•
E% '
, 8, 22 Foro n Incomer (Los 4
....---771 . 6399
u, 23 Deductible Allowances (24 + 2b • 26( ..,. ;*
1 -1 --- .9139'
E
0 24 9121'
Zakal
i 9--1-22'
Workers Welfare Fund
.r., /, 25 J
26 Charitable donations admissible as straight deduction 9124
aa .
0, 27 Exempt1ncerne/ (Loss) [Surd, of 28 to 32) • •119 2:3. y 8 j 2. _ .i-
Z' ' • A.4, /0479 L.-c--5 6101- ' 72:3_2. Lo .--4
i.d 28 Salary Income "
,,..f 61. .
29 Property Income! (Los )s
30 Business Income/ (Loss) / 7 7' /4 0 f" .„„c /4„.4._. - 0 '61 riqt 2:
31 •, Capital Gains j 6104 .
3Z ..,
,._„ : - Other Sotirces.Incomet tC757
........ ( 010' :•
33 Ag icutture Income - 0106., .:' '''' 6--e 0 —
34 Taxable Income! (Loss) 15 ,- 23 0199.. .c 6-43-0ti
3% Tax Ci ,ir treble on TaxaOlolincomo - 4111011111111 '9201 - ell-e) `-
Tax RieluchonsfCrethIs/Avera9m9 (inyuchnq rebate on Baftbood Certificates. ()le.) 9249 i
31 Mennen Tax. Charrabtn kinattr Snclihn 233A 2) 9303 /
.1tr: Mtiumbni Tax Char ()able rider EiecliOn 235 4) 60208
.01 Total ax Chariteable J(35- (1) or (37'38), whichever is Inherl .1 81 NW...l'' ,.; ' &It.- -,-
. < ,. ....
40 Tot oljax . Payments (Tien or )rem Sri 23 et Annex43) ' • 0488 ',' 4
41: Tax-Payable) Refundable 9 - 40 • WwF Payable from Sr. 24 of Annex-131 9999
.4i, Refo <1 Adjustments (not t At:widow-1 urrnnl yowl' tax payable) ' - 5908 : ,
NM d1x Nitheidablo, may be cruciiI0LI to my bank account as under:
' I 1
C No: : . , V •
----i--i
AO' -
I i-
x,-::
•t, ., ,
;ink
4 — .
, ,,,,...,- : C-,..1 ,--,
,rer--
cr.
, -
• •Annex-s
i 2010 1
PA441..41•414 Tax Already Paid 'B ,
i
NTN z4 I 67R-6 ■ CNIC (for individual) 3 2.6 : . A
1, , , t Amount,of Tax
Piirticulars - cd0. ‘ . , .
, • I, , ctfaucted Rs.
On int rt of roods (other thon tax ded CtiOn treated as final tax) —71 940191 •'
On with rawal from pension fond • ' ,940.2111
I bey u/s 149 - ',.1 R4.$0291 °,3,t6.16,Crich
r
00 divi end Income (other than tax de Ilion treated 'as final tax) . . 04039t; ,I
.
• .'
Pn Goveirrmont secUnters , 941)43
1.
n polo no debt (nth..r than lax dedric ton treated as final tax)
91049 :
Hank „i i BrAnCh Share%
't "i?.;telit
O; c* ;minion's received by nonabsident (otf er than tax deduction treated as final tax) ' 940539
X
far f On itaynients ioi goods (other lftan tax de ' iction treated as (Ina! tax) 94066. ..,•
n payreents for Services (oth61 than tax .dUction treated a5 final tax) 940629, .1 ,
'
OryDayinenls for execution of contracts ( or than lax deduction treated as final tax) ' . 940639 ,: •
11 On cat.h.aathdrawat from Dank.)
94119
' Bonin Blanch Share%
••••4 .; '"^t:
i•l'
il .-
w .-;
. .. .
= On sale!purchase of sha es through a Merfiber of Stock Exchange 94t31
.„ .
C// 13 On trading of snares thiough a 'pember of iStOck Exchange ' 94138 .
fl4 94130' .
On financing of carry over trade
With melor vehicle token las Other th.ineends transited vehicles) ' '94146.;
Ito.,,,u;.... N. L 1.:LN. s...e...,1Coi..14.4y Owner's N-uno
..
Ill. •
M F*' -. -7 /I . el
','•,'.7i
1 ..■:.''.:
•
With bill for electricity consumPtron 94159
Consumer No Subscribers ONIC Subscriber's Name • Share%
t4a7,:,
, . :2-".•
:4404
.
With telephone bills, mobile phone and pie- aid cards - .....' 94169-
• ,
1 Number Suticneer's NiC Subscribers Name Share%
( ■
1 .
.
7.,:•••".
, le.;,:" i
Toti&Tax Deductions at source (Adjustable Tax) (Sum of 1 to 18) -: 41450 ;•,•::
tiatatTax Deductions at source (Final Tax) " 445 I ,
il Advditco Tax U/S 147(1) I a * b + c' + dJ 848• 1
a First inslallinum PPR No A 'Gr.. .',.
061415701151ia
. .N:PAI,Pe
i ., • . 'II ' .
i•
i ,‘ i.
,
h I. . .
,, vi k ., t ,..
' •
' ,'',..?;—';' 4t--_--;;4•.-!t."--
- ■ ; • -
4'f.„ ■.;
,kit? RN OF :TOTAL It•ICOMEJOATEMENT OF FINAL TAXATION..
NIN) ,, •1T-2 (page 24312)
4•Irours
. , ?, U DER THE INCOME T ORDIN A NCE, 2001 (FOR INDIVIDUAL / AOP)
' N'
Oti5,‘,..' tt',....,,,,,.,,
{
t ).payee Norm
,•:(311-2._ 2- e4) 8-6--- NTN , ,3./..e„te 7 jp-4
to
notelet! 01 %Wien in of Ow
••
el Ott Prorer a( I embat 01 AitOCIA110/101 omen,/ kmitosttnItiliro to
1.4 pia' na,Tott Ortf moce. 2009 of Taxpay• named aticno, CO ;01"/1.11,7 01:1DIC PIM ID Ilia oost of
•,
-0 irli• knowiedgeratid tet•el the IntOrmatron ten al in !.teturniState it te; 115 ) an. 00 allaChed
,4:1, i Arinex(esh Statdmento). Ctocument(s) or etart(s)Iseatie correct and fotete a ()Mance with the'
"'"" ' ow:Miaow% of th•ttricorne Tax Otchmtnce. 6001 and Ingnut Tax Ru s a h 4Icn1aIrue in,the ,. ,
' wredication. Wm' er it• not Appl•catree. shout • be scored dial ,
if Signatures & Slam
t's).
Date : ■/ 4 ro
W', of Receiving Officer with al
w
Nets 1,;Oray,b1An fields ate loi official us • 1t .
.2.--;•-------N..-= cot „._. 177
I...4 , RETURN • F TOTAL if EOM EISTAT EMENT OF FINAL TAXATION •IT:e2 ri•ki".•vor- 4-.
UNDER IIE INCOMEr AX ORDPIANC L. 2001 (FOR INDIVIDUAL r AOP) )1• - •
• C711: or -7 , • e 6—
J - t, • NTT:. , 32:0/ .61
7e;:Art 1:.•-,, 4-4 1t'r --2.•-• 'T11 t, 410 -.,,..1— • . ..0. _.,
.
•
Elt i14.i-;,4,...ir•fo..', ,. ,.i 1• : . 2011 '• ,
; I • ,,
4.•,,,447: • .4 -d CC 1.. Alt a .....,,D.41,4c- 41- 4. r?-1 ,..„ IND • L.:VIP • •
g L.2,.•1 1 •••-,
:4„(4.„.•.... • ' 4.,, sni,.• • .,...:." • I‘ ........i. , 1,...-, ''
• r-1*-4.4 ..
A' 7'6'
•. .
Teel iefiTa Ll i,e4S
kr ,, Y - 1, k''. 4 '''-',4.r,j
1V.' iT,Tih r-,iii:
-1,,1s r ,
24 ---...(S)T4-- l' ,9.•Lig c ''
1
44,;•••■•1■ ••' ••• ' 4TC4L'ru V1iii ,
10, rwl Poi, , , ., -• • . ; • Authrovorl Roil 4 4 n(+1ca
i
MTN P o1 rietoriMember/PartnIrs' Name % In cliout Capital Amotin1
to..
"Z H--•
.1 7
t. hors
1 Total -•100W -
ill 1
. Items .1 Code Total
ii i i Net s si,..,‘,1$,,, x.„,, j • ••• r,,,t,r, t , , rho? ", q,-,, ,-,f Cem -..toonnt lml,n,pqe) (___
To Tortru•not,...)!...............
1 woh._,.. Annt x.C1 3103
c. I •i
2 Gant 0 iSales I.1 • 4 • - ("' 'Tr. bi,,,,,
,,..r1 .., t' Antler •C: 3116
r r 3 ObOriinti $to:k • i 31,17
5
- 4 • NO•PDIT.11,15es i,../,',;.(,d
-a IA:- I,' r • hi:.-Th it'.;rot DI & Nr.:1,.!Cortrtrc to: Dolt e matt] 3106
5 • it. anetar.leorxit 1 ehr! no r .piell,f"!G ' 34,11
'i
i I; C1OS • SlOtk 311/1
g r Gross • tobt,&as:Ail-1'1 I.-, t,tt.,-,nr, rt., ,,,.1" Agosj•c: 3119
Y e gh .. wni.rng Fee',Chatonli or Professjonrhnd OL•e..Aervicesi Corriqussbn 3131
. ........--..
3 i to • . • ., •.psn_c 31,09
J 10 Nut P •l km:: (y 7 • ytt • 411 31410
, .%
3 II Ina. . soble Deduct,ons I r6.,W10) Ai fr rAr,,,, 1,,pli,e.tqn) 3191
(2 Admi 1blo Deduchont leodurSrilai-rIfwet.alawr .1/41•.1. y.,c,p(sil,orkste FTC .-r.0,-,c 3192
4 t4 unsri steot OVS ft m:rtitIlhinhOSS tot Prevh0V5 YC:Ir(S) ITNP'S,44 0 Sr 24 ,711SEILLP,7LAI 3902-
.4 1 41,1 1130i1 T•Ix 1 npriTctalTcritof 1/11,V111(1r4 cuireoi year/e li Ann. _ i. 3908
0 Tbtaf ere !Stun of ,;16 tp 241 11111 . ,.• i ..IN 9099, xfi ' -.41,' .07Cf-..— 1
i'fl • • t li(r.r.hi - i , ."----`• • • 1999,
• ' s or er .
,,, , . ...1„ .6,,, my . .1 .....;, ,41r 'X . 3999' ,
0 fire 'of incnniT,• rhi:1111/P-
1 • .01"'" , 312021
h .
r .
I 1rn.. . .• 4P99'
t. '
"To that SOUrt l 0 ITI (045) ,T ' i (0)09 •
21. Or0i0n IntOr0e. (LOSS) ' 6309 . ,• .. . . .• • , .
u 77 N.*, 1414e -Altr.vani • .1it . 24 • 251 . ;" 9139 . ' l• — '
, - nt, • ' '• - •9121. - •-. .
$ 34 • qkrft)- WE4f, r Furl • , ..., • . 1' 9122
• . .;, • ' •' ... .,:,
• 1.5 ' h./Mal:le' ii n5 ailmisi.b'e as s!raoht (leducton '••• 9124 - • . J.
3 2e Exe I let:cene' f 1 (Sum of Q7 Io 311 • 6190• 2: .....t. 4 1 7 .,
77 ITtry fr-erne A ef.0-143-C1.-tt'C i
r; X 6101 1Y0 eret —
I i• ' 6192
0 qt to co
L. s
M..
•A . Fiv1ohess 10rr. 0/ ft. 1 •
. C-C4-7 e-- 7 211At, A ' 7(3,27 6103 ..t.11(i1e__
t- ,:l, ., capitol Gu1Sff 01;51 6104
Jt Olher Sources nrome/ 11°55) • 6105 -' _ i•
32 A lure Inc-1.4n+. 6106 0-6-e,6410.v11-.-
al la ble.iestom(iril .c.) 115 - 22.1 9199 j; ?erz, -
3.1 N hargeable on xaele Incorno 0.1 •-..5,* V al ' 020 —32. —ri
35 Tip( tl,:firettOnsicrelas!Averacrir10 fincludIng abate on Birtbod Certificates. etc.) 9249,
x DI nen nl tn.nrMiin tex charrientle on Crimm buene transaclions 13601(v) minus 36(1)001
f (s) ___vil___ - (ii) (iv) , . (v),-
t..„,,..:::: i
, 149.115trifti)
am., Mirtm.,,.. el, 6,./)
■
:1
(al t000lt TOo• VI.. 4143.11)
(b) . rix.e,,,,,tx,- . vs
..x. • .5)5,
5% - 9303
(c) ),....,..,s........ e .1500 7%
(d) s.,..,,.. to ,7••,o .It u.i, Seen l.,, ■ .■‘61 1%
(e) text,i.se..ipn US • Jiti, 6%
••••• (1) Iota , • , , ,
& • 134 mirms g Allytt*td by 33 multiply by 16(0(0 or 311631(0 or 36(c)1i o■ 36(.1)(ii) or 3E4000, as iho cash m4y_bol •
37. elyrel3k.on et tricity consunIption under section 215(4) . _9304
u , Amount of la collected abnowith ily bill whire the monthly bill amount is upto Rs. 30,000 i
14 0 . x .hr) Vie l 14 minu• 3-5 ckic
.1 c 37 w . ever hi her^ , 9305
, •- --- .
39 I) fence of mini m Tax Charoeobie tys 13 39(1v) fhinus 38, if greater than zero, olso zero) . xzr.,- I'
(i) .Total•Tumov r • '1, (iii) Reduction @ 1 , ., 9306 • .
,, , minimum lila ., 154 (iv) Net Minimum tax
60 14,' 't@x eh,rfieahl,130. 39 • 851 .- '307' c I132.-..5 'Z.
.
41 15 SUMharrr on Monate net lax ch able for -1/2 months ((col 40 divided by 12 multiplied by 3.51'0.151 93080 1
.15 Zi-
42 • . I Tpx and Synth:Iron Ch,rrieable (40 + 11 ilf , • 9299 6 c, 3 •--- .. I.
640512 92051
I. Contracts (Non.Resident) 640521 02
is
6 6.106 1 1 !1 11X:12
6 640613 920613
62 Pa menls to Goners 640614 970614
11
Zz' , =Wm
FttolN,Palletet w t !metre"( of AZNI.ocoolon ofiPer5ons/14leeseelilli e (ie. tinfined in 63(1011 172 of (lie
111(4)11W Taw Old lame. 2001) of Tapit,41t ttttloilltInon•, II. Minntly •lan hal le Ilin Inn,l91
4411hnovAud0o Al,d 64,hol trio' mlorm.11on igiven in Mil
, I
is I I
µ r ° iiiiii
y.%?-
i •
"aw■
eeeeeewet484*...,--- -•—••.-mmol
Annex-B .
2 01 0
7: 1. -:
0 -
177 t:S h‹
P MOIL t AN T x Alr,ady Paid (Including
. Surcharge) '
N NT N UM' • .....
.
••1
CNIC (for individual) 230 )2...2:.,;.? 6--7
—I
, knount of Tix
.tode. !No.s . • •
P4)iiculars dodu cted (Fs.)
1 On Import 'if 000ds (otner th,In 11 , 7A dr.:duCtion treated as final tax) - Incl. Surcharge - 94019
2 From- 5x71111 - Ind Surctiortte - 94029 /1 4.414
3 on clividonrt income other lhani tax (1.r1td.tion Vented as final tax) - Ind Surcha Ale. 94019
4 04(10%0.1nm to. sf-ciir.ers . Inc/ SH-1..x-oi) 9404?
5 On proP neirteht tillhtf lil an lax cl whir 1,0X• trolled as final lax 1 - Inci. Surcharge . 94049
I• 6 Itroerti St.or04,
---'—■
6 rintpaym,e. tvr.1,•1.,.•.1 t2k nno.n...,0 .yriticlhe•:iharl tax (14,1.chic,Iton treated as final lax) - Inc( Surcharge 1,00539
b.P rnavnlent. inr rmerli r„,(1 U. in ax dui(ticiiHn melted an final lax) - Incl. Surcharge (P40019 -•
Tax Colletted/Deducteilat'-SOurce (Adjustable Tax only)
H' 1111payry.1..1c; tto •.ory / 4“, I. .......•/ 11,1 t LI• 11 ,11:.1 ' ri trPall•if :1•. lifl.t1 L1 , 1 Im I •,13fr:t ■ ottpt - '1.4(1139",1
9- On novnient: in, ever1,!en or rnntr:1rtn Inthor,Ihan tax (Induction trolled an foal 1nx) - '!Inc( Surcharge 940639
in 1 Inner o' II, 1,0 11. - V1(1 1 ,11, h:11,:t .1
'I
• •I'l• A
1ti CA ..al;•••rpurr h. rin f ..ii i-i• Ih•iii gh .1i Mono,' I .̀ ;tisk I kr hart iv 111(1 !;' lirCII:11. 110 ' 94131
1fi On Iriidin9ii1 •.14 ire.. thrriiii0 , .1 (.li•nili x 01 :14ix.x. 1. Ai..hiii)ji, -. Incl. 1, i1i1.l1iirijo 114130
17 0 fmanctor;.)1 i, 0,4 kw, • - Ind ! -.itirr hard.1 94139
18 w m nwnot vo,, It token I. ••• irnht!rtIiaii + inorIl Irdrcport volurins) Incl Surc.1) rile
1:?"1,;vot.rbri 1 94149
0',.. ler'S Name Share%
---.,6 ...,
20 wit toppribma hslIc mobilo phnno andt pre -paql • rd$ , fret. Surcharge • ..
94169'
Nent,e, si,h‘reher (we. , o
Solmcbor's Name Share% - -
:i 4
21 On ate by Aucto •• Inc Siirrharcr
ti
9q 166
7 nn irrnre,..r• ft, rt ele•-.11r atritr;wel hrks-4 . Inc I '.:tin•harrin 114121
!
23 !Ions a t:sottrce (Adjustable Tax)1Sttn) of 1 to 22] - Incl. Surcharge
;Tot I Tax Declu 945! .1 I irg
I 24 Tot I Tax 'Cifitill0i011ti atisource (Otinal Tax)',rc Incl. Surc ha Jo 94591 '
AO *ICU 1.ax' .U/S 147(1)( a 4 b + c 4 (I) - 1140. Suichartio ' 1461
a - 1. st installme 1i .131-2 No .; .1 +
b .,S .r.nnef . tosiall en! t.1'12 No II '•..,...44
„
Tax Payments
if,*
44%14
tit
'il
,I ; • 4. •••
• 11
Annex - D 201.1
r..1AN Details •f Per onal Expens es (for individual) D
77"ai
NTN 2- /478-C 227- 2- c g 4- 7 CNIC (for Individual)
i
5 Education of children/ sp use/ sal
z
2 Travelling (foreign and I al)
, . i
Moto4 vehicle in use (whether owned or not) running and maintinance including lease rentals and insurance
i 1.----4!
Club'rnernbership fees/bills ii
Adults Minor
Nuniber of family mem •ers/de
3`,
r.
,t
Fri
■
t. II.
psri, :)1 6
WEALTH STATEMEAT UNDER SECTION 116 WS 1/2
FR -
OF THE INCOME Ti,X
i ORDINANCE,, 2001 N'
i■pipyer's Nam* 411i 41X Wit L a ,e,.._ ct crasi (Crit.cre-Stct NTN :3..2.0
- ( 6.7 8
it (I - 2 -7, .w c,4t.'"--7 Tax Year 2011
Address ) it a ((CC e.stti j1c rt 2-7 :Pea-#-44 - _c:jet Te RTOIL TU i Attl/Cat 1
: PAM ularsID•scriptron of assets and liaollit a (Pleasv sci W§ Notes for guidance) Codo
•
1 Bta Ine%s Cdpit I (IndIC•Mc name of litinines 821311 •
Sr ) Name nt titet.ne.% Code Amount (RI.)
11 82131101
2 82131102
3 82131103
4 82131104 •
'
S ;82131105
G 02171100
1 82131107 •
0 82131100 •
9 82131109 -
10 82131110
•: •Agric WI OW Property 1714ctor, Trolley: Loader, Tut4well, Turblrf+. Sp Inkier, P1anlot, 712111
4• 'fferveiter. Thrasher. DrIthr & olh., &jolt ultural (.341pmenl• old; & LN• stock) . .=Aroartra471
Sr' P von y Name ." -, Code Amowil Rs. '
. ,t. 71211101 _-, Cr c..-0- c. c--t, - -
1 ;2 , 1, E'r -iti
71211102
I 014'1 /dge/iryec, 71211103
4 71211104
EP f'.1. 71211105
•
6 J 71211106
7 1 71211197 -
•a 71211108
,------
0 71211109
1 71211110
2 •
I , •
•
i
.., I .
e--------7
i .
-
I
11 i •
fi i
;,
I'
• C•c • 1.! •
1
' •
I•
Iftv•ilm.nis (5 Pacify, stocks, 'Icarus. tfaboot
rcs. and Mho/ f
curlil a1ot. deposits,: and cortchcales of Nl. nal Savindi chamosotoctglgos, 712011
loans 1 4dvan441. II • • ,
I •■• cpc.on of InveS1nIS de
71261101
2 71261102 •
3 . . . 712603
11
,
11261104 -
71261105
! ri
! 7120)106
I ! • 71201107 .
• . 71261108 .
71201100 • •
ir / 1201110
.a 212211o8 .
: •O t 71221109 .
, ,
JO ' , . . 71221110
j
t
;10. cat's & bank Bal.inCOs
tel
Noni1)..5.111e1S Ca's11 u1 li, rld Lt•-■ .J-/rz tctL
(141 Non:Inv:inns!: bank ball ices, etc Lin !tit/ ttoposit/ savincr.. accotrrill 712711
'"r. I Account Id Country I 0,1,14 teltle C,ty ron. Br. Code T Branch Name Cods Amount (ic)
1 71271101
2 71271102
3 71271103
4 71271104
71271105
71271106
71271107
71271108
71271109
71271110
12 Assols,•11 any, slandlno th the name dr spouse, nor children & other dopondonts• 1713111 4.2-8-er)
131;t1Clipliqn, Code Amount (Rs.)
71311101
21
.3
.4
y e', fi Sztv 2
. •
71311102
71311103.
1311104
trb
.• _ 11105i
.6 71311106 '
0 713111M
1
13.1 otal Assots4 Sum(1 t 12) ) 1719099
16. Not Wealth of Ulm current roar 113 minus IS) 17999991 f=ilrMr4r=r111
-
17. Annual porsonal oxpensoi ( To 'ae Reconole0 .s.th Annex 0nT.4) 17499991 11=1
1: • ei
• i .
18. Number of family memberi and dependents (740000 1E3 .....1111.
al.A,sot ,f any Itan4terrnctlo any pr.rnon 714111 f."--, •
Si Uest,401.00 Canna Amount (Us )
714 1101
2 71411102 .
3 7141t101 -
1
71411104
5 e;l
714111 0 5
„0 7141,11vo
71411167
–L.
8 7146108 .
9 71411109
10 71411110 •
• al..o hat......al
the all.ul ' 01 rn) .ett rn " ^
%,001. ., set m.notich.laten andof my porspeat o • • noaur• for the year
1 co
ale CCOleCt and PICie e. azbeaance ...”th 9.e p.o.,.s•ons of Inc Income Tax Ordinance. 2 I / and Income T
— ....
5 t at mat., 0, IM xent.c.at.on ...f. A .% nol a;:i :•Ca Die. 100ukl 00 SCO/Cd Cul )
•• AL 0014%04 +, tect•on 172 of frt. In: •
.̀ TJ• Cfirnake. 2001
t
Data tclelfmeyrrry/ I Signahoe
II
rSr
.........— .—___ ETURN OF TOTAL INCOMEJSTATEMENT OF FINAL TAXATION , I I -Z matik I
IFE3R ; UNDER THE INtONE TAX ORDINANCE, 2001 (FOR INDIVIDUAL / AOP) ,
.
--- N.— i
1...i...f... I 71/ '71's. t • ----. 2_ (5 - _
— . ..., - tr..k..
., .
t Y 11— f '
c•,.....-.4..,, ___ Li ,2„..3 0. - 42- 2-32.,__Cili 6_-_-__7* • ,,........ ....,
11.......i: Kr*. Yeti IC tf • 2.....- (,) /
1
lkost.0.1- AAlt. .. les Yogo . 2012
Others
Account ( Including Final/RodTax)l
1 ales wolud
Net Sates Tat/ edoral Era • & Net of Cor+mt9slonr 0rokera o • to be reconciled vAth
2 Cost of Sales 3 • 4 4 5 6 • be reemdted with .. x 3116
3 0 ' nit, SloLk 3117
PUIChaSOS. ff *Morn Si. • E W.. Ou 6 Net of Commisstoot Mokore 0 3106
-5- • comiwilEav • •
6 clot 9 lock 311E: '
, °miss Pironti Loss 1:2 .i', '. 1 b Ixi rsoormitad teeth tinnuT,a 3119
0 Trans.;'h SorvIces U/S 153 1 ransforr 0 from 41 c • . i 3121
a Olher ()nitres U/S 153 1 , b ansferred •• m'40 0 . 3122
to Other eventina Fent Chn le% or Profess' nal and Other ServiCes/ Commission 3131
11 Profit ft (CM Er onset Tratistor hoar Sr-24 of • ■ ,. . 3189
1? 'lit/ Coss 7 • 8 • 9 • 1=n1IN 3190
13 y a ssitile Derltichnos 111111111 osier from Sr-22 of An 3191
/4 Admiisible Dedittbons • • to resonated with Annex-E • 3192
15 Unad ,stmt Loss frOm husines for revio121311 neer from ST.27 r Annex-A _ 3902
current year(s) :3or,;
is Un-absorbed Tax Ocpaiciatio for previo Monster from gt. 21 of Annex-A)
Tar I irrylittrl ttoll 014 ItEETI Pa able fr. Sr. 29 of Annex-al 9999
ffnfuiiit'Ari ritartiorii!: tot ext•ov■il i'.1,Imint rural tax Alla 9998
sr — 0109 e 2_
Anniial ersOnal ex sat for in d ,etitial onl transfer from Sr. 12 of Annus-f)
Net TakItufundable, ay be ci ''Ito. o my bank account as under: i
C
' .n• - ' NC No. f i \II.
711.• • •
• . ,... .. ilN{14
•• lltr4Itrot 4 r,(04 .......—........L.....o.............:.........—..—. til! !, A.
.,..11411111
— ., • . .—
L• , !Ily
•
.• , ...
300-6
t 4 1;'
.PRoyiN AL ASSENII3L-Y OFT HE PUNJAB,',
. -
No.PAP/ACcetts-11/11 P,2561 :11/ 1177
1)ated Marelt.2013 1 •
• Its. , ...-1-
1. 17.533 495.000 ' '540,060 405,000 540,0/00
11I.i 'Merits for:It:km(1in , Asset)) )1
Sessions/Committee Meet n
•, 8, ConveyaAlr
nce• ■vA .t:
on ' ' ,: i R. 5.600 50,000 ' 45,200 69.600, 52.090
- i
9. (Lilly All 'nit ' I „• . 1 - Its. 9.100 81.250, 73,450 113,100 84.500
, . .. t . .. •:!- ,,. .
:. 10.. - Act,InomoclatiOn A111%-iince , :' Rs. 0 21.000 0
C. Income "Fa x 1)(41 IR'I ion si '' : Hs. 0 10.582 16,80(1 ' 15,244
, 1 -
•I -
11 ; • ••■
..."4
I "•:!
,•
(MUI1A.MIVIAD ,
Assistant,ecretary A/C-11)
41
t I •
V.
t
I ”
; .ir
'
•,.--.• •±.....,-......,__ RETURN OF TOTAL INCOME/STATEMENT OF FINAL TAXATION . 1T-2 (Page :. of 2)
• ,. . ,_
,., Ra te •
$ urce cpoe ReceiptsNaiue (%) Code!. Tax Chargeable
•
64013 5 92013'
49 Imports
• 50 64011 2. 92011
64012 1 92012
51
52 64015 3 92015
•,,,.,m,,.
53 Dividend 64032 10 92032. '
•P:z- I i 64033 7.6 92033
I
. 55 Profit on Debt I 64041. • 1Q . 92041 •
•
xtrit,t t-
56 4 Rbrill109/F006 (Non-ROSidOnt) 640511 15 920511-
' 4 tt. 57 640512 920612'
ic y[ 68 Contacts'(Non-Residont) e40521 92052 t
-: 59 Insurance Premium (Non-Resident 640524 r 5 920524
• ..
I . ,.
.!'
.• . , 60 AdVertiSernont SOrViCOS (Non-Reside ) 540525 10 920525
!
61 SuPply of Goods 0611 3.5 -970611
... 62 0612 1.5 920612
%I'
84 craw (AIM on &Kanto. Mm ke .• 12 moorro j . 610403 0 061043
0, 65 t
Purchaso of locally produced edible oil „: , 310431 , 2 920206
4•
4. :. 86 Flying Allowance I 112001 2.5. 920234 0
:k.'..i.. 87 Monetization of Transport Facikty For Civil Servantri 112002 5 .220237 .
•..•!-•,.
1. '.' SONICOS rendered / contracts o cocuted
88 ( 63311 ..... 820236
,;,,r; outsIde'PakIstan
.• •' BO: EtriPloyrreM Termination Borteiits1 118301 920211
0=r
1/111 11 """-"--""-".---"----
0fil Charg01 Tex b0 (49 io 89) 92.02
I. ,,. tielc a,
P,-5,-, t. a c ti- t 1 t Se / 4. , Qti e.‘.tii
holder of CNIC No. -, 2_ - 0 do , in my capacity as
i
Verification
—1 -
1
6 On paymonls received by non-resident •[her thartlax deduction treated as final tax) 940539
7 On payments for 000ds other than tax eduction ileated as final tax) 940619
8 On kaymonts for Services (other than to deduction treated as final tax) 940629
--
e 9 On paymonts for execution of contracts other than tax deduction treated as final tax) 940039
0 10 On ProPorty Income 940840
11 On iviihdrawal from ponsiOn fUnd i 94028
;*-IS
lz On sh withdrawal from bank
94119 L.
r iw.,,x,,,,-.,-, K.1(.., Rank Branch • Share%
'.0
a •Qfp3n 'a' t rt) 4evi nilirMlinilligilarnraMiEltiliMil ,,._ .' --.., i
= i I
Cr IIIIEIIIIIIIIIIIMIIIII
'—' 13 on,cartattn tratit..u.bons in Nink .• 94120
tu ■ • — •
1.± 14 WIth Motor Vehicle Nevdration Fee .
• 94179
M Itelostraiton No 1- flu,./:.:4, 41,uti Cituat.,ty :I, Owner's Name Manufacturer Particulars
0
tol,P_221,_____ ' 11 ?7 "NW, %.4...4...J. irvoreg.... . --tn.9 — qs.a-e)
to
co
la
at
ti 15 On salo/ourchasm of shares through a Mee tier of S ck Exchange i 94131
t-
13 16 On trading of t.h.trel. through a Member o Stock F4 tango 04130
4.,
0 17 On falancing of Galt aye, II,011! 94139
"it
- 18 Wolfe hintor vetecla token tax paler than oods Irari pOrt vehicles)
co 94149
Share%
t;a, ROgl!lOallOn NO Ii (love,/ :,41ahnu C pout), Owner's Narnu
i5 .
U IN
1 III
g ,19 With 8111 for eloctncit consumption
94159
I— 6onsurnor No Subscnbor's C IMII Subscebers Name Share%
t , .
. •
,
L. .
II"
ANNEX-G 2012
reak6p of E xpenses
(Separat form sh uld be filled for each business)
taxpayer Name rtt 711 )-0}4721 . NTN 32. 0167
X 3 Gas 31 103
ow
......•■•■■•••■■
Stores/Spares 11106
,12
C 311108
C:E3 5 Repair & laintenance
co co
Other Expenses 311118
211-. 6
CommurpicationCharges 3154
Insurance 3159
23 Others, , 31090
EI
Det:cription ExpenS
12 Net Personal Expenses (10 - 11) transfer to Sr-44 of Main Return 2.20-trecre
Signature:
WEALTH RECONCILIATION STATEMENT
F E3 F? nINI 0
•
Income Oge, r3
a) Income declared fo the Tax Year -.2012 r-- et ex" LI
i) 1 ,1
0'4
ii)
Expenditures /-ik
la) , Personal expend.itu es •
'1 r ' •
1•1,
Date ; Signature:
I.
.4
Part • II ()
.
--- I ,
EALTH TATEMENT, UNDER SECTION 116 WS 1/2
;No OF THE MOM TAX ORDINANCE. 2001 Ne
tZtp.a rees P .n.
4 • MIFIRAINF.11 14.#71 ..c tat,/ .:52-c.,
CN:C - REM!
=111111Millirlig7102rAMIRT naMIACINOWNif - a •' OT
RI T Cl
' ParticuldraD.scriptIon of asset 1211:: os (Please read WS Nofos for guidance)
1.
1, Eosin ss CaQit I (indica ( name o business) auto
s, ,,,,,„,. i IL...Int%
I IIIIMIN Amount Rs.)
1I
MUD=
11=111.
1 821 1102 '
3 62131103
4 I I 62131104
5 . 82131105
GI i sl 62)31106 ' •
021 1107
p 62131108 .
9 0213,1109. .
10 82131110
i
2 t4nn•tovicullural Pto orty lint nate Inca;I, on. Sire/Arca It identification 711111
.., I co.c.,1,c,,, ?in,: ljenl.,.r.M5n Coda q Amount (Rs.)
s _ Ai 6 LI S, it (. L -tot- . C etr 1 71111101
7 71111102
71111103 •
1. 71111104 .
'.. i t 71111105
6 71111106 ,
71 71111107 .
0I 71111108 , -.
10 i , 71111109 •
10 I 71111110
.
7
. '
'O.
•
, ---.
i 1
I , ,
A
■
)
.1
,
,, :•1.snonts (5 pocit / stocks. shafts. do600:-/cs, Pnd curthcatos. chhor
.
cortthcalos, deposits and cortaica os el tianonat 5anng Schomos1mortgago1. ' 71261'1 ;
10,ns. advances. °ICJ
!,, , Lvycf.x.ort cl Inve...IMe 1% ",K Code ..,4,ual.,^ ti-as,-1—
71261101 •
.1 71261102 -..,
71261103
4 71201104
71261105
6 71261106 •
7 71261107
b 71261108
if 71261100
lu ;
71261110
2
il
.
;Furnoffro and Filliner. - Resilence 1712311 = 0 e'C'er:' yr -
„1----'--C---------
.
5,' Descnpnon Codo Atnount (Rs.).
,)-/ (I U.1 i. // Zds' , C f e 71231191 2.= 1/ O 0 c4 c-c. •
71231102
3 71231103 .
71231104 . .
71231105h -
n s 71231106
)'
„....-::-
PFD 1
r.r. '
. .r. .
V.'''.
1 ; '
I.
___— _. . 71231107 .
/1231108
/1231109- • 1
r 4
1231110
I
.....l.
71267105 .
G I , i 71267106 •
—4- ---.
: iI 71267107
II : - 71267108--' -I
' V 71261109
10 1 t 7126/110
1
17 A•tolt. if any . %Gin. In9 In Iho mo of spouse, minor childron 6 other dopenclenti• 713111 .=--- / 4480. 0 Co
Sr 1 D,tchot.on ,..-. ••• e___ .,...- 4....I.L. .L.... Code i Amount (Re.)
■lc tc. Jo . 9 n 1-7 t l ■0,"" ‘' ' ck- - "r.
713111.1 • 1 Ina
;i -,t ) r'' -to ic. e c Se( y it' . 4..- ("1. V A c.1 t 71311102 7.7 :3 oc.ta -
3 71311103
.4 11) , t .- MON11211711,SIKVIMITIFI i' 713111Q+ ... i p t, t.- e0.
S ,, • .1Temenvzinr it 4 1 ' a.4, ,713'21195 r..-. -, - (!e- et) -
.....a.L14.1C...t1 • __ArssAd.c;,, a • e. 71311106 . " • .1.
7 i a - /11.111111.1111111 WM.
Tit.t) mL—c:51rt . ".......- 1.1111.100 ,
i9
A I I/ "
I . v"--•K
• ' 713 t1109 . A. Law=
i C. XI' )-CP2 6
la 71311110
t•;
107 1Total Assets ( Sum(1 to 1 ) ) I
7 19090 •
.1. t . 1 . .
,' I t
r4; 'Liabilities (including mon ages, loans, overdrafts. adv nces, ..62.43
1.• . .borroivInns. amounts ducts undor hiro purchase agro on( ).
if: Business Na/no Code Amount (Rs.)
••1 I 32111101
'
/2111102
1
' , 7211103
4 72111104
5 ----_,i 72112105
,:s 72111106
7 72111107
8 7211 108
' , 72111149
J .
RETuRi!„,m),;, (7
PP '
-2t:
id 1 1 72111110 1 • --,
18. Nurot?or of 1.)m,;,. membe s and deendents 1,740000 IF2 44 4,.• 11•
Vertcallon ,
I. Mitke‘.- tys, VserVS...-
i '. holder or CNC No3 4 —23I ?'
c.p.,c4i ., 1.01,44evieNAI„,. TJ.,.,e ; ,,,ed now,. do hereby solemnly declare Aht010 17e) best,of my know) do •
the 3■1.1.11, iihut...b...:,.`of my sot 0, tpo.se or ;..,c),ses. fouler criddren and of my rSOnal expend We for the year '
r)t)/420/1110-etwectano co +Wete rn az l'clance met lime provisions of ihe Income Tax Or4inanc2001 a come 4
fi ,10 Jae 4:1..t, Ln Iry ve ;of .c-ol.On .l• Ch ,S not .. ;■CaLle. IllOuld be Wied Oul.) f .1
• At cehned .fl ircl.an 172 of Inc Inc me Ta. Cr lance,. 2001
S.
fl
ME TAX DEPARTMENT • 4 fl
.51
ERIZED PAYMENT RECEIPT ( CPR - IT)
sp..,Airr, : 1 -.2. 7,1 rfilt, (1,1 ilf! t';1111ti Of rdItirn - 2,1 RTO/LTO MUI
of Tax Perind ' :
..111 t:.•;triiNIANI) : {..-,* 17t1
t
..s,Of Tax I'oycr I
i
i
N W. r)-(r• -c-, /3230,122320307 , Status .., ,,, .
1 •
t • '
. i . 1 .,-.*
:.1y ■ I;1■ 11",,Ine`..:.
Address : MUHAMMAD Ihif:AN , THATTA OURESI-11P/0 KHAS TEHSIL AND DISTT , t'.1112AFFAI:(;Al..11
1(.••••-7
. • .
Atc / • :
..,--
...------ ,
Mt. rit to 1 tt)(1 -"' ,....
i
t
RE1URN OF TOTAL INCOME/STATEMENT OF FINAL TAXATION
• UNDER HE INCOME TAX °ROMANCE, 2001 (FOR INDAROUAt I N3P)
PI. t i II /7 7 ,, 111It 4,-i-- 3
. -
: 7 y'3
/n biti Yee---Iiii : NIH
•
Z0
•
I ' ‘
j.7. .-_ct..
.2:•-....!.!.: . i .._ -..P..P --- ---i--;
;I
— .3.- - -:- Y
13-:.6-_...._ • 1 i ■ M.0
11.......; hr.. . Wm r &dr. it' .-.6 •
. 4 •
2.— i
liuS1,..., At1..nco. ii
!7.
_. "_:t■::-' .._ ..
OA,' A..,....••
--
- • !/4- ct C.,,,c,wy_t&i._ ' t) ' Gird /
, ..
P I r 61.,..• NO , AOP
' Rm. Um. 9.66..
o .--
CC <,„-1(_ cult . L U t 'it Get_P-1 ,....i. . ._ Ewe cie. ...
. ,
......• /Inv 6.66.,
•
.......90 .,
—,--- [ '. , ......• • • , itT06&14, --,1-/ LI,
il.r... 4146166.4661 6.6 400466,1 . ... I No
PITH P
roprletoi ember/Partners Name x In Genoa Capitil Amount
. •
:"E • .1.
E '
Others
Total 100%
Item, Code Total •
a
$1,1 s,,Ics ,,,k,.,1,- SJ1ns Ia, 3103
D
4
I
Coslhf Sales 13 • 4 . 5 . (.1_24,_
2
Fr•ler•I E.c.: • Duty 0 Net of Commission/brokerage) [lo be reconciled estri Annini-C1
Ito be reconciled vAtliAnnes.&1 3118
V X:feninuini I
. 3117
e Nnt PI;Mhaces IA. f A9./21.1 .`..,IMVS 9,..) l'.1.9;4■ 1:Ac916 Duty &Net of Cow611■10nA IhohAvalinj 3108
L.1
5 Other Manufacturing/ Trading Expensel I render from 5...101 8ellatk_421 3111
if I Clorrhlo flfork 3118
-6 T (irosr. Profit! -iti fie be recronceed wen An1141-ca 3119 •
f £ 8 prons,on Snry.r.o. 3121
,-.
111 o Otnnr Services IPS 1(11()qranslorrod from 40(d)) 3122
i 1 0 Other R dvnni ins; F. ■•••• ■ Char es for Professional and Other Services/ Commission
j4 11 Protil ft I o5s Ewen-.es J Tranefer horn Sr.24 0 Annert-01
3131
3189
II NW Pinta./ 0 tics) E./ • 0 • '.1 • 01 - I II 3190
.,n 13 Iruhh-n,5robto ()vim tinn; [Transfer horn Sr-22.orik)nex-E1 3191
Ili) ....i..,.............11171.,n) 5% .
Ic) r•..6.6!....,..‘,.., 159 ,4,, 2'4 - ..
6% ■
.
to) I ot.ii •
.ia„,„,...,,,,drodoil t,y- 29 multiply by 40(n)(11) or 40(b)(11) or 40(0(0) or —40(clf(li). es the case may be) i
41 140.11.1■01 Lt. no aln.16,1/ cA4smploglurw1n eC4011 235 4) s . 9304*
At,■•■■10 <4 I.,. 1.1,144 1/.1e.„,v .111.1.11W-.01bIll.h01011ffi InnA1116y blii Amount is t•n in II. 30,000
F4: n.ii..... 'in •1•.9r.HI. it in I ...9,191119, 4AI .6.•1 Hittchnvwf 1 I how
......21ISL 9305 '
,
4) fal0011.0 tax (5tyalihr U5 113 113(nt ITIlri% 41,.11 Tooter than zero, olso zorof - , .
tit 101.11 itiflwVot (iii) Roduction 01 I 9306
._.' _-_,..--1 -
(9 , obn.nonn t•,. .11: II'? . . . , ..,_ . „...:_..t. , : (w_l Nat Minn-elicit tax L _‘
9307 es i
44 1.11■11..A r.1111u4A•11.19 IC' 14 1 A 112)1 ' _ : --..,, 1 61) ""
. 9499 a- 1 , .0 ---:-
45 Told Tax P,iffno15, (Tli r15Inr horn f.)(.170 oil AlTherse) .
46 tax ilyablet fit...forirlahlf 144 - 45 • WWF Payable from Sr. 29 of Annex-11 9999
4/ Finking! ArlEtnInnI5 knit excerhfino eurrent year's lex meell de 9998
411 Annual onrsonal 1.111pfirl! .5 for individual only (transfer from Sr. 12 of Annoi-D) 6,109 s. • 2 ere, • -0
Ni,) 11* IthItilvialAW, 111: y be c..rochlrof to my bank account as under: . -
13 •, .,• .. , ,' -
C !
A./C No. r , 1 . tAI
4$ IIV)--
NI* 1.__ ; jftiontn...,„.$ ,-... [... ti,,,
Iv,I- il•
1 •
., •.,! . . ,
i •1 :'
:.i
44
i 1.'1 ,.
li, i)
• • • t-
$
4, 1 •
RETURN OF TOTAL INCOME/STATEMENT OF FINAL TAXATION i • 1T-2
F E3 FR ' • 1 uNUER THE INCOME TAX 080111ANCE,2001 (FOR INOMOUAL I AOP) - .
i ,• • I
Others -1.---
Total 100%
items V Code Total
._ 1
V ,' ,,.,''■,,,-; Sams Tan! r 0, rat Eno Doty fl Nat of Commission/ Brokeroff a)
Nr1 FI•tleS po be roma:lied e41h Annex-C1 . '3103
3 ..4 2 Cott pi !;,,,Int 1:1 • 4 • 5 ' 64 to be reCrokciltsil .4011Sp_mt_41 3116
:-.1
3 °fanning f_itnt. k 3117
P 3106
5. 4 Not P.truhaxes In. nplz21 94ns Tn../ Tenn; 11.0,4, (11., & Net of Commission/ 11 °karate) j
Othor klanulacturINI Tra ni2 Expensri (Transfer hom„Sr-7 of poomg11 3111
6 C.I.nsion nt,,ck i 3116
/ itf_,Isr.212.(T.J.kri„,) 1: 11 (to b. reconcils4.1111 Meta 3119
a TranS•nort Sertar.M. (PS 153(11 ransforr d from 40 c 3121
Ill 9 Other SorvicosUIS 153(1)(b) ransforrod ft m 40(d)) 3122 i
i 6 IS Other Ran-0,111ns/ i•,•nt ChortIn5 Int Prof oss4nal and Other 8ry
eIcesi Commission 313
i.4 It Pro fit P. I o!.% Cumnnes ' Transfer from sr-24 of Am1ex41 3189
I/ trot Pmfit/ (I oft? 11T • 8 i • 0) 11,1 t 3190
.1) 13 Ir■a■ jrn,,,,t,tr. ()prior-porn, (Transfer from Sr-22 of Ana..-6.1 3191
p i. „„,,,,,,,,,,,„e r,,,,,,„,,,,,,,, i ., Do be reConcllee knith Annex-Et '3192
13 IS 11na,17{,•.7e4 Loss from ht1ston;i o for 11/911,10110_Yoaf(S) [Transfer horn Si. 21,o1AnnoKs7A]. 3902 .-
W it Un•ab..orbud Li, 4.Goreciauo fur pteAnuutd current year(s) - (Transfer 4,001SM. 220f Annex.A 3988
1 / loud Ira-ormolL.,:12rn of 1f1 to 2 • 9099 c p Selo
18 , -fant.,ry Incorno I . 1999 0 -411 (:,
.....-1.
19 • iloicloot.ti )norms,! (Loc., I (12 • 13) .114 - 15 - 16) ' ..4( Apr / -30An ,--
■ : to., c ham MO' Volcont /(1.oF.1 )) . 312021m
Total / Taxable Income Computation
el"
41111COAK 40°P18/..er,Ii 4/
/ iv . 4999
21 ; (....i1; ,11al Gaon!, (Loss) ur 37
22 S C211wr SOU/4.4o% Inc.orne/ Loss) • (5999
22 1 Forolln Income/ tt.ov.1 1:-. I/ 6399
, DIP( '.111,10 MOW.): .COS 25 • G 27 • 20
2;
r
g) 1 itlj, NI , 9139
9121
LAM
76 tvoit(nrs iNrillarn Fond WWF ) 9122
21 # intra, tiro pt,tra Patin: ion Fund PPF) 1wY •jy 9123
Irel .,_ chant...bit( dumber, a' m ssarlo 115 5011ht deduction 9124
9199 1 ••
99 1:422112111rcEar.,/ 111.e21411 2 i1 24 '
3 FIrraniil In, omit/ (logs.) (1;ir9i2p111,1t/ 3J
/WPM: ■ 'K ..
,orlihir . - .01998101
0)*( • _■?Are.I.
s- 4/
3i ialankTrit- tiato_i1(. C4 X.e Os- 9t Qa
31 t Proporty Inc rano , ro 6102
610(1. .-
a
32 4 liticirins4 Irotomo/ I. ri s 0 I. C.. 0 • 7c-.A71 . • 9441 i: 4.
34 I Cartal ronn.,/ i ass 104
35 l Atiricolltire In9.0Mn t 6106 CrtritT0-6 "--
34 , 1-1nrelrin fierniltanctol nach EvoltilIce1
.51 Tither Finitrcrn Incom (Loss) ' •
ie ) ax In:Mr:0210 on Taxabl income : • @ 9201 /- 1'
. 'ri, ,e"1:1 -
39 ' I a% Rioloc.11omoConlilslAv ragtlinct 'inranatconahbod C e n i f i c a t e s etc. . . 924.9 •. ',i
40 OdienInou nf Moon noon Ta Chanittable on business transactions 40(e)(v) minus 40(0)(1101] ( ,
•I (5) (II) (iii) . . -..jylr_
....- _,..itrl...., • I
71 - .
Pooggronowne Invprodlorv.•
Cine,V.13,* kai(i Va,...L. ,!'',.,(") 1
4.11■ •••• • ••••• inonme
We I
1 ] ••••• 9303,...
(.0 1..,.1 ,0 I J... ■ , ill.14.1.11
(6) - 1132111.11011111
Tax Computhtion
I.
0300.8326881:d
i . 2- i.
0 5
.,-icoiiiy, (fri,
,_r
9
i A---- .
Zi —)
i/v s
/ . ^ j ,f / •
v)}.1Ay.' _--(rii-u o,)-,,:1-1)2/
i
y •
.//2-
u ----
•
/ 2--
;•-y: j/d
// 1/— /_&2.)
PROVINCIAL ASSEMBLY OF THE PUNJAB
No.PAP/Accits-II/PP -256/)'; 5--
Dated 0-'2March, :!013
NO DEMAND CERTIFICATE
- No
c.._
--'(FAI JUL-BSIT)
dditiorqliSecretary (B&A)/DDO
.1■81■••
R13 29 MAP.'
REFERENCE NmUZAFARGARk-`-lAP.ii F OAD j ;, ow
4S7P11"ittegigib
Ai A-1 a(01) 4-19i i I T F.
I
1 CURRENT BILL
484
PTV FEE qA8 •-• UNPAID DEBT DEFERRED AMOUNT 13,,,;(..2, ARREARS/AGE
525
Solt of Electricity includes Energy t!Minirnitin / rixedCharges.
For Other Complaints Adiusiif.ent Surcharge,'SuiCharge & Additional Surchar0e.
SDO : 9239034 / 0300-9639479
XEN : 9200053-S-.E..- —9200065
For Theft Reporting Call Toll Free # 0800-84 33 ,)
-Lzjzl;7,7P
. L(r.,t164. L)i=i)L
- Lei
iirL(Frt a 1
'1 1
BANK COPY
irr.
1.
MLJLTAN
Your Better
EI_ECTRIC POWER COMPANY - ELECTRivie.60-r:A.
Service -Our Pric4 www.mepco com.pk
-I- Eu
.-,- BILL MONTH L ....-' READING DAT :1i' ......T.14
";S:Ullt
1---- -2E RILL ci
; '-----:"
07
:"'
74760L-5-5 l'i'
RErT rjr,
,ApIr r - 14-MAR 43_. It'
MUZAF-ARGARH LOAD OLD 4E,
R 13 1.74
Z9 MAR' 13
16 SEP 95 UNITS
M HAMMAD IMRAN
S IMTYAZ ALIM No. of;A/C: 01
-1=7 ---774-17-
11./FL-
Pf
M ZA LUTKRAN 410
PR 667 8520
1 _7161-00:1-73 PPT 'TT N1_4 t MFJ UNITS -- 7141AY • 449 141.
STATUS k" z.. 0
- UN 577 sa 14133
UL 1039 162231 8809
P 4343148 757 1030 UG 12E.i2 1888816225
EP 1118 16226
UNITS
T'.1I II N
888
CON`1.11N,INN
(TT 11T T INHIT Dr el l
SRVC INCoNv, CT 985 14455 26
RTN1 TAX WI III 11F1
NOV 500 7137 ' 5
DEC 405 4990
FI_Ffl NICI JAN 13 • 177 1627
I H1:9ATI4?-r7-7-
BILL ADJ. FEB 291 3613
CURRENT BILL
PIVET1 2 J(3[ -----
DEFERRED AMOUNT
'ARCEARS/AGE
••./.14?(:)»1 5. &CS.
Z I..
*
I ,
'ICLCL LA?
Li j4. 4;re‹.
iLk
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LILP, ' AZw
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ifiLL;5r-t,t *
BANK COJ'Y
•
•
Pakistan TeleOommunication
Company Limited
SERVICES Helpline : 1236
10356416885000
1190102423888
INVOICE Complaints : 1218 to tilt'
Exchange Code 901 STN: 07-01-8517-013-46 Billing Helpline: 1200 future •„,-
Date of Installation 02-07-2010 NTN: 0801599
PTCL TELEPHONE
Line Rent: 199.00
Special Services Charges: 25.00
Local Call Charges: 12.60
PTCL BROADBAND
DSL Charges: 1,549.00
pl
0, -7 4.-P1K-7.1
Pacutia Glartl
rAs1
,-1 r ...rEIV
r_
•,4•••.1,• •
Come on Oeopl Com on
ji
PTCL Dues Current:
FED (VAT Mode) Current:
1,786.00
46.00
I 1r 1,1 _ ' •
W.H.Tax Current: 83.00 • • 00 91064 •0,6,, WQ0•460.04
Total Dues Current: 1,915.60
Total Arrears:
Net PTCL Dues:
Net FED (VAT Mode):
-3.00
1,783.00 Debit: ./
[Hamill on total ellesVf
MINTED
Call .11s. 2 per ninth
46.00 Credit:
Net W.H.Tax: 83.00 Reconnect yOur rrci. le
Payable by Due Date: 1,910.00 Broadband today without any re-cairn Ion
Surcharge: 96.00 chattes & enjoy Unlimited ails
Payable After Due Date: (PTCL to PTCL • PTCL toV- one)
2,010.00
11
• RETiii1Nri0
I.
! . .
' 1
1 i1 , ,,
,... K 7 -,./...2-.......41 . a, ...; .....1 , L,.........
■- • ••
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.
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4.
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11
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RETUR711!..3f7 CFTICER
NA.1Y2
.,44.-44.trrtr.4-4-err-rov,:rhiloro!,”ilorrN, 011110411,01,te
ba L IAV IA(4
BAHAUDDIN Z KARIYA UNIVERSITY
ULTAN
It
r.
1975 \\,v.
BACHELOR OF ARTS
Certified that Muhammad Imran
_17
sio-d/o Mian Imtiaz Aleem
)t...461
of it
Muzaffargarh distriCt .eyA.
has passed the I Annual Exami ation for the c) Ppvt-4,,,fv*Z. u -
degree of Bachclut of Arts of t academic
session held in June-Sep,I986
1986
and has been placed in Second Division.
Having fulfilled the requirements he/she has
been admitted to the degree of
BACHELOR OF ARTS
in this UniVersity.
The subjects taken for the examination were:
English Language
Islamic Studies/Ethics & pakistan.Studies
History
Islamic Studies
(Optional) Persian
Marks obtained: 382/800 4%. 11 4
O
0 5 L)0 .1 l9
C ntroller of Examinations L""(;( I),1
Mu Itan, tk
94,40*-0- ••••44,4-4-64-1, ror-t-tv4“--eowerfot-009444011or 0461**Iro.
1 1).f:15 ,c..22
EB-48
NY OV084
Book No ..._ (
len 4
..."PtitII 4114
Total : Pf /700
r.
ea_ "f
4. 4 m • ,q04.414.4811W-3.•••••1
EB. 47
Bahauddin Zak4riya University,
MULi'AN.
Roll R e gd . No
Total
B.Z.U.M. 20 Ins
;II r-4;.r ./$0***00110106o$00•0,
.
; ar
14
Oak 1
o,111))4S
* kl°j t;j Ajd4
2 . 4°
4 P44
:1""
046
/-).■
• /•
:1
I i YOA
C
FORM C
(Rule 9 (a))
No. a/F/MzC/1F3 of 2007
0.1-10 —2006.1a
Dated Ref
ACKNOWLEDGEMENT OF REGISTRATION
OF FIRM
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Muzaffar ,§4 r of Firrris.
Dated. os-io- Muzaffar Garh District.
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PARTNERSHIP DEED
deed of Partn rship 'executed at Tehsil & District Muzaffargarh i.e.
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4. CAPITA I.: I
That the capital of the partner shall be as per book of accounts, which shall jic.
increased or 'decreasd according to the requirements of , the partnership
'business, without effering share proportion of the partners. cOn'S,tructiOn of , all
assets like building, Machitiery, Floor, knoopy and Tar0 • ,be
installed/Constructed ly etlual investment of the partners. •
5. SHARE RATIO:
That the net profit and loss oflhe Partnership Business shall be divided as:
'Mureed Hussain Khan Party of the lst part of the firm is = ; 50%
Mian Muhammad linran QureShi, 17%
Party of the 2nd 17%,
Mian Muhammad Irfari Qureshi,
party of the firm 16%
Mian lahiin Raza Qureshi
S/O Mian lmtiaz AleeQuroshi party of the 211d part of the firm, as the Director
,
the firm and both d al and !igncd all official documents 'of the firm.
;rant
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Mali!: Mohanini,
Advocate ,i-k
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WITNESSES:
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Ministry of Interior,
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requires and requests
in the name of
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all those whom it may co i ncern
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FU LIFE ASSURANCE LTD
SCHEDULE
Policy Number: 4833601201-AFE
•
Date Of Proposal: 06/12/2012
Date Of Commencement: 01/12/2012
I.
Life Assured Date Of Birth NIC Number
Asma Akhtar I lashmi 05/05/1970 32304-6497779-0
Nominee[s]:
Amcor Hamza Imtiaz Son of the Life Assured 34%
Akhtar Aleem Son of te Life Assured, ,33%
Mohammad Sand Imran Son of the Life Assured 33% •
Plan: Sum Assured Term Termination!, Premium Endrst
Maturity Rs. Atiached
Allalab Qo 3,243,200 11 •01/12/2023 294,840 AFT1
!Accidental Death & Disability Bendfit Plus 2,948,400 11 01/12/2023 5,160 ADDP4
Premium Payable: Yearly First Due Date: 01/12/2012 Total Premium: 300,000
Special Conditions:
•
•
Unit Allocation: The following p: oportior of the Basic Policy premium will, subject to Clause 15 of Provisions.&
Conditions. be utilized to secur Units e EFU MANAGED GROWTH FUND:
EFU LIFE ASSURANCE LTD hereinafter called the "Company") hereby issues this Policy on the basis of e
Proposal and Declaration sub fitted by the Life Assured. The Company will pay the benefits under this Policy. on the •j:
happening of the event insured against. lin accordance with and subject to Provisions and Conditions set forth in the.r.
attached Endorsement which s all be dilemed to form part of this Policy.
1
Signed for and on behalf of the Comaany
f-
Csult,,ek,
t•
•
•
11.N•
fo p
Poucr NO. 483360/201-AFE ALFALAk QALAM ENDORSEMENT No. AFE1
: .2. OW R
This :Pot shall belong and all benefits thereunder be payable to•the Lif Assured or to the Life Assured's .haiis.(1 ,-,.
executors, administrators, successors, assignees and nominees.
1i
• i IA
. .-
'FREE LOOK PERIOD OD 1,
The Poli4 shall have a free look period of fourteen: days from the Commencement Date (as defined in. Clause-4);
during which the Life Assured may cancel the Policy for a full refund of premium paid by him. Prior to making the
refund; .tNe Company shall however be entitled to deduct all expenses incurred by it in connection with.the mediCal
underwrit g of the Life Assured.
-90 ENCEMENT , , ■
e Poli shall not be effective until recJipt of the first premium (and realization of cheques, drafts or such other'
stitimetlts, if not paid in cash) as shown in the Schedule, due and payable on the Commencement Date and after
:Plop al 'and'Declaration has been approved and the Policy document is issued by the Company. ' - I•
OUI IDE
he, R event Life' Assured dies by suicide within thirteen months of the Commencement Date, or the date of
titaterpent, if the Policy is reinstated subsequently, the liability of the Company shall be limited to the'Total Cash
tire. i I, • , , . •
•
I
ihtCaNTESTABILITY t
f or two years, will not be'called in 46estion by the Company ort-the—i
oh , after it has been in full force and effect for
144m:eV mad in thp4proposal an lar ,,9r, any, entl a to thelssuance • f the Policy ‘:
uratti Or •fAisb, except in aiteS'ot willful Ste
• lit;''St.Ippre rid &Altai' &Hi' I faclits art, i.
1
(
PoLicy No. 4 3360/201-AFE FALAH‘QALAM ENDORSEMENT No. AFE1
,
11. AUTOMATIC NON-FORFEI URE Op ION , . . .
After two full years' premiums hate been paictand the Policytias:acquired a Basic Cash Value, ifany due premium is
not paid withi in the Grace Period the CompanyWill keep the'BasiePolicy in force 4y canceling enough Units to pay for '
he cost of aintaining the cover equal to the Sum At Risk for not less than 'one year from the due date of the first
Unpaid prem,urn along with adm nistrative. cr\sts for maintaining the Policy as decided by the Actuary from time to
time. If at the'end of the one year period the Policy still has a Basic Cash Value it will be converted to a paid-up PoliCy
n accordance with Clause 14 of these provisions.
12. REINSTATEMENT
If the Policy has lapsed or beconie paid:.up, it may, at the discretion of the Company, be reinstated subject to such
terms and conditions and such charges as the Company may require.
i 1,
13. SURRENDER
Upon written request in such form las the CoMpany may require the,Policy may be: '
(a) Fully surrendered for an 4mount equal to its Total Cash Value; or
(b) Partially surrendered subject to a residual Basie Cash Value of at least Rs.20,000/-
.
The amount payable will be calculated by Multiplying the number of the surrendered Units with the Bid Price at the
valuation of the Fund next followirig receir4 by the Company of the request for surrender at its Main Office. In the'
event, however, of the Policy being surrendered prior to the payment of two full years'. premiums, the Company will
charge an amount equal to the "~ ~ °~= Value as an early surrender penalty, and no amount will be payable to the •
Life Assured. fI
I ,
.
14. PAID-UP POLICY 1 '
Upon written request in such form las the Company may require, and provided that the Basic Cash Value iS not less •
than Rs.5,000/-, the Policy may be tmade paid-up, in which case no further premium shatl be payable and the amount
payable on death or maturity shall pe ectuatto the Total Cash Value of the Policy. The Company will cancel Units (at
Bid Price) on each' Policy Anniversiiry in order to pay for the administrative costs of mairftaining the Policy,.such costs ' .
being determined by the Actuary fri$m time tia. time. .
I . •.
15. UNIT ALLOCATION .,
i,
The number of Units allocated to thb Policy in respect of each premium paid shall be calculated by dividing the portion
of premium to - be allocated to Units, as shown in the Schedule, less the Mortality and Administration Charge as
defined below, by the Offer Price on the Valuation Date following the date of receipt of premium (or date offrealization
of_cheques, drafts or other instruments, if later), the result being rounded to the next lower one-hundredth part of a ,
Unit.
The number of Units allbcated to tht‘ Policy in' respect of each Fund Acceleration Premium paid 'shall be calculated by
dividing the portion of Fund Acceleration Premium to be allocated to Units, as shown in the Schedule, by the Offer -
Price on the Valuaticn Date following the date of receipt of Fund Acceleration Premium, (or date orrealtni,iiii-For
'cheques, drafts or other instruments, if Idler), the result beirig roUnded to the next lower one-hundredth Part of a Unit.
An Administrative Charge (as specified in the. Schedule) shall be realized on. each .Policy Anniversary by. canceling
enough Units (at Bid Price) to meet such charge. The amount of the Administrative Charge shall be revised annually
based on the advice of the Actuary. The quantum of such increase shall be in line with inflation and shall not exceed
10% per annum. If, however, the increase is greater than 10%, the Company shall give three month's notice of suCh
variation to the Life Assured at the last known.address.
Page 3 (AFE1)
•RETURNWS; '
NA 1
,
PP-266.41.Garli-V111
'
'No. 483360/201-AFE ALFALAH CIALAM'
. , , . . I
4. Valuation'.of the Fund shall bel made ortIdates to be decided by the Company but at least once.a Month::anti• ••
;,....•. the creation or cancellation of Units ori hat date shall be deemed to take place aftei4 the valuation. The het,
asset price of a Unit shall be determin d by the Company as the market value of the asset's of the Fund
reduced by all liabilities of the Fund Icluding any' mortgages and charges on investments, any accrued
costs of buying, selling, valuirtg, manag ng and maintaining the investments, the service charge described M '
sub paragraph (iv) (f) of this Clause, any provisions for tax/ Zakat or income or capital gains, arli/dtherla
and other outgoings in respect of the assets of the Fund whether prospective or actual divided by the!,
I, number of Units in existence.t . . . .
0i), The Offer Price of a Unit shat be the net asset price increased by such arrio-Ortt as theCdmitany cone/des
.• - apprOptiate in respect of cols , is of aciOui'sition of nvestrhents, the result 'being 'multiplied try 100/95' .and
l• ,
Page 4
1'1
POLICY No. 483360/201-AFE ALFALAH dALAM ENDORSEMENT No.. AFE1
22. CLAIMS
(i) All claims shall be paid at !the Main Office and shall be subject to such discharge, evidence of claim, title of
the claimant and proof of age of the.Life Assured as the Company may require.
(ii) If the date of birth of the!Life AsOred is incorrectly stated in the Proposal and Declaration, the amount
payable by the Company shall be that appropriate to the true date of birth of the Life Assured. The Company
reserves the right to adjust the premium or benefit under the Policy as it deems fit.
23. ASSIGNMENT
The Life Assured may, through assignment, ,transfer the ownership of the Policy. If the ownership is changed, the
Policy rights and privileges of the Lite Assured may be exercised by the.new owner 4nly if written evidence of change
satisfactory to the Company has been filed at its Main Office.
24. NOMINEE
Thb Life Assured may designate arid also change the Nominee under the Policy. The death proceeds of this Policy
shall be payable in equal shares tO such suiviving Nominee(s), if more than one have been appointed by the Life
Assured to receive payments unless otherwise provided.
The. liquidated damages shall he pa ,able for die period during which the delay continues and shall be calOulated at
monthly rests at'a rate of five per cent higher that the prevailing base rate (as defined under the provisions of the
Insurance Ordinance 2000).
• I.
28. LAW
This Policy is governed by the law of the Islamit Republic of Pakistan.
29. PAYMENTS:
*-.04
RETUFCVNG
PP-253-10.0arli.V1
Policy No. 483360/201-AF E ALFALAH QALAM ENDORSEMENT NO. AFE1
30. NOTICES
The Company will issue Notices in accordance with the provisions of the Insurance Ordinance 2000.
NB/3/062-4-1/2
POLICY No. 483360/201-AF E ACC)DENTAL DEATH & DISABILITY ENDORSEMENT NO. ADDP4
BENEFIT PLUS
mountaineering, rock climbing, caVing, potholing and all. forms of motor sports and motor cyqle sports,
including time trials and hill climbs
(h) participating in exercises or operations while serving with either of the armed or paramilitary forces or while
performing any form of police duty.
(i) entering, servicing, operating, traveling in or ascending into or descending from any aircraft or aerial device
except as a fare paying passenger on a licensed commercial airline flying on a regular scheduted flight•
(0 pregnancy el cnilrilliith
(k) Human Immuno Deficiency Virus (HIV).
6. TERMINATION OF BENEFITS | •
The benefit under this Endorsement shalltrminate::.' . •
(a) any premium due under the Pol cy or this Endorsement is not paid when due or within the Grace PeriOd.
(b) If the Policy 'lapses, is kept in force under Automatic Non-Forfeiture Option or is forfeited, cancelled or
terminated in any other manner. .•
• (c) If the Life Assured on an Anniverlary of the Policy exceeds the age of sixty years.
. •
Whenever this Endorsement is terminated, the additional premium for it shall no longer be payable:The subsequent
payment manceof any premium fo- this:Endbrsement shalt not create any liability on the Company except ,f5;iir
refund of any such premium. Any ovmMato termination of coverage shall not prejudice the owner's right to ,any ••
benefit provided for under this Endorsement on account of an event which began prior to such termination. •
7. REINSTATEMENT •
in the event of the benefits under this Endorsement having been terminated as a result of Clause •6(a) or 6(b), the
Company may, at its sole discretion and "after fulfil ment of any conditions which it may 'set, reinstate the benefits
under this Endorsement.
8. PREMIUM
This Additional Benefit is granted in consideration of an additional premium as stated in the Policy Schedule.
NB/3/062.-4-2/2 Page 2 (A 4)
• •I
POLICY No. 483360/201-AFE AC9DENTAL DEATH & DISABILITY ENDORSEMENT NO. ADDP4
BENEFIT PLUS .■
mountaineering, rock climbing, cat.fing, pothOling and all forms of motor sports and motor cycle sports.
r
including time trials and hill climb.
(h) participating .in exercises or operations while serving with either of the armed or paramilitary for',s or while
performing any form of police duty.
(I) entering, servicing, operating, traveling in dr ascending into or des,cendino from any aircraft or aerial device
except as a fare paying passenger on a licensed commercial airline flying on a regular scheduled flight. ,
(j) pregnancy 01. childhilthl
(k) Human Immuno Deficiency Virus iHIV). ;; •
6. TERMINATION OF BENEFITS
The benefit under this Endorsement shall terminate:,
(a) If any premiuhi due under the Pol cy or thiS Endorsement is not paid when due or within the Grace Period.
(b) If the Policy „lapses, Is kept in fprce under Automatic Non-Forfeiture Option or js forfeited, cancelled or
terminated in:any other manner. I
(c) If the Life Assured on an Anniveriary of the Policy exceeds the age of sixty years. ,
Whenever this Endorsement is terminated, the additional premium for it shall no longer be payable. 'The subsequent
payment or acceptanc:e of any premium for this Endorsement shall not create any liability on the Company except for
refund of any such pi'emium. Any autometic terrnihation of coverage shall not prejudice the owner's right to, any.
benefit provided for under this EndorSement on. account of an event which began prior to such termination.
• cr".,
7. REINSTATEMENT
In the event of the benefits under this Endorsement having been terminated as a result of Clause 6(a) or 6(0, the
Company may, at its sole discretion and after fulfil ment of any conditions which it may set, reinstate the benefits
under this Endorsernant.
.;
8. PREMIUM
This Additional Benefit is granted in consideration of an additional premium as stated. in the Policy Schedule.
NB/3/06-4-2/2 (AD
. • es-4- 1,
' ACCOUNT STA. TEMENT -IN TERIM/OU PLIC ATE
ASIMA
WIG M'JHAMMAD IMRAN QURESHI, MUHALLAi NEAR CAtI4AL REST HOUSE, A
Acc;11;;t No : 0166-1003364844
Old Accoubt No : 16605990127
Account Type : 6005-Altalah
Currency ; PKR
Start Dale,: 15 SEP
End Date 24 MAR 2013;
OPENING BALANCE : 0.00
Post Data Description Cheque/Inst # Value Date Debit AMount, Credit Amount I Balance,
15 SEP 12 TAKEON CREDIT 15 SEP 12 0.00 ;4,664,229.00 ;4.664,229.0
03 OCT 12 PROF IT PAID 01 OCT 12 10.00' 30,482.50 4,694,711.50
08 OCT 12 W.H.TAX ON i;'ROFIT 01 OCT 12 -3,048 25' • 0.00 4,691,663.25
17 OCT"12 CASH WITHDRAVVAL 0092134 17 OCT 12 -375,000.00' 0.00 4,316,663.25
17 OCT 12 WITHHOLDING TAX ON CASH DEBIT 17 OCT 12 T750.00 0.00: 4,315,913.25
24 OCT 12 CASH WITHDRAWAL 0092135 24 OCT 12 -2.250,600.00; .• 0.00 j 2,065,913.25
24 OCT 12 WITHHOLDING TAX ON CASH DEBIT 24 OCT 12 -4,500.00' 0.00 2,061413.25
31 OCT 12 CREDIT INTEREST 01 NOV 12 •- 0.00 14,006.31,' 2,075,419.56
•I
31 OCT 12 TAX ON PROFIT DEBIT-SURCHARGE 01 NOV 12 -1,400.63 0.00: 2,074018.93
•,
21 NOV 2 CASH DEPOSIT 21 NOV 12 • I 0.00 200,000.001 2,274,018.93
30 NOV i12 CREDIT INTEREST • 1 01 DEC 12 ; 0.00 13„637.38. 2,287,656,31
30 NOV:12 TAX ON PROFIT DEBIT-SURCHARGE 01 DEC 12 -1,063.74 ) 0.00 2,286,292.57
06 DEC 12 TRANSFER 16600114 06 DEC 12 0.00 735,000.00' 3,021,292.57
07 DEC:12 BANC FT BANC FT 07 DEC 12 -300,000.00 , 0.00 2,721,292.57
12 DEC12 CASH DEPOSIT 12 DEC 12 0.00 116;000.00 2,837,292.57
13 DECI12 CHEQUE DEPOSITED 13070036 13 DEC 12 0.00 350,000.00 3,187,292.57
19 DE012 LOCKER :46 RENT LOCKER 46 RENT 19 DEC 12 -3,000.00 0.00 3,184,292.57
19 DEC 12 PKR172400001 PKR172400001 19 DEC 12 480.00. 0.00 3,183,812.57
20 DEC 12 CASH DEPOSIT 20 DEC 12 0.00 100,000.00 3,283,8'12:57
26 DEC 12 COMMISSION ON ISSUING INS`TR. AC-1003364844 26 DEC 12 -87.00 0.00 3.283,725.57
26 DEC 12 ISSUING OF INSTRUMENTS PAIEMENT PAR 92139 26 DEC 12 -1,554,500.00 • 0.00 1,729,225.57
26 DEC. 12 CASH DEPOSIT 26 DEC 12 0.00 200,000.00 1,929,225..57
31 DEC 12 CREDIT INTEREST 01 JAN 13 0.00 13,108.16 1,942,333.73
31 DEC 12 TAX ON PROFIT DEBIT-SURCF ARGE 01 JAN 13 -1.310.82 , 0.00 1;941,022.91
30 JAN' 13 CASH DEPOSIT 30 JAN 13 0.00 101,000.00 , 2.042,022.91
31 JAN 13 CREDIT INTEREST 01 FEB 13 0.00 13,188.32 2,055,211.23
31 JAN 13 TAX ON PROFIT DEBIT-SURCHARGE 01 FEB 13 -1,31'8.83 0.0'0 2,053,892.40
09 FEB 13 CASH DEPOSIT 09 FEB 13 0.00 100,000.00 2,153,892.40
28 FEB 13 CREDIT INTEREST 01 MAR 13 0.00 •12,604.71 2,166,497.11
28 FEB 13 TAX ON:PROFIT DEBIT-SURCHARGE 01 MAR 13 -1.260.47 0.00 2,165,236 64
14 MAR 13 CASH DEPOSIT , 14 MAR 13 0.00 151,000.00 2,316,236.64
CLOSING BALANCE : 2,316,236.64
TOTAL -4,498.019.74 6:814,256.38
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