APPENDIX VIII

FORM P
APPLICATION FOR A CERTIFICATE OF DOMICILE IN PAKISTAN

To,
The District Coordination Officer,

Sir,

S/o, D/o
(Name in block letters)
Aged resident of
Here by state that was
born at and have been residing continuously in District
since I was formerly the resident of
have arrived in Tehsil
District Prov./Admn.
Pakistan on day of

I have been residing continuously in Pakistan for a period of

Year months immediately preceding this declaration and I hereby express
my intention to abandon my domicile of origin in and
With a view to acquire the domicile of Pakistan, I declare my intention to take us my fixed
habitation in Pakistan during the remainder of my life.
I further affirm that I have not migrated to India and returned to Pakistan between the
1st March 1947 to the date of this application except on a valid passport No.
Dated
Passport Office At
Other particulars are given below:-
Married / Single / Widow / Widower
Name of Wife or Husband
Name of Children and their ages (below 15 years)

Trade of occupation
Marks of identification
I do solemnly affirm that the above statement is true to the best of my knowledge and
belief and further declare that I have not previously obtained a Domicile Certificate of Pakistan

Signature
Place
Date
Attestation
Designation
Place and Date
 OFFICE OF THE DISTRICT COORDINATION OFFICER, KHUSHAB
CHECK LIST OF ISSUANCE OF DOMICILE CERTIFICATE
1. Name of the applicant.

2. I.D. Card of applicant attachment / not attached Attached.

3. I.D. Card of Lahore District or other Lahore.

4. Father’s Name
- -
5. Whether I.D. Card attached / District

6. Challan fully paid / not paid. Paid.

7. Matriculation Certificate issued by Lahore District Lahore

8. Birth Certificate (In case the candidate is illiterate)

9. Affidavit attach / property signed Signed

10. Signature on form “P” present / not present Present

11. Form “P” attested by Notary Public / Govt. Officer N.P/Officer

12. Attested Photograph attach not attached. Attached

13. Supporting documents (if the above documents are not attached)

a) Property documents (Yes / No)

b) Electricity / Telephone / Sui Gas Bill.

c) Attested copy of Nikah Nama

d) I.D. Card of husband

e) Resident Certificate

f) Any Other.

Domicile Clerk.

May be issued / not issued

Head Clerk Domicile.

May be issued / not issued

Deputy District Officer (Registration) District Government, Khushab

Issued / not issued.

 District Provisional / Centre
CHALLAN FORM NO. 32-A Treasury / Sub Treasury
Government, (National Bank of
Khushab Pakistan) (State Bank of
Pakistan)

To be Filled in By the
To be Filled to By The Remitter Department Officer or the
Treasury
By Whom
Name or designation and Amount
Tendered Full particulars of the
address of the Person on Head of Order to
remittances and the
whose behalf money is Account the Bank
authority (if any)
Paid

Date

Correct,
Received
and grant
Receipt

Signature
and full
designation
of the
Officer
ordering
the money
to be paid
in

To be used only in the case of

Signature Received Payment Date remittances to bank through
an officer of the Government
Rupees (In word) Treasury Officer
Accountant Agent / Manager
Appendix XIV FORM P-1 Date_________
No._________
THE PAKISTAN CITIZENSHIP ACT, 1951 (II OF 1951) AND
RULES MADE THE RENDER (VIDE RULE 23)

CERTIFICATE OF DOMICILE
WHEREAS______________________ S/o/D/o ____________________
applied for certificate of domicile under the Pakistan Citizenship Act, 1951 (II) of
1951 alleging with respect to himself/herself the particulars set out below, and has
satisfied the undersigned that the conditions laid down in section 17 of the said act
for the grant of a certificate of domicile are fulfilled in is said _______________
_________________________________________________________________
_
______________________________________________________________ case
now. THEREFORE, in pursuance of the powers conferred by the said Act and the
rules made hereunder, the undersigned hereby grant to the said _______________
_________________________________________________________________
_
______________________________________________________this certificate
of domicile in witness where of I have hereto subscribed may name this day of __
__________________2007.

Signed________________________
Name ________________________
Signature District Coordination Officer _________________________________

PARTICULARS RELATING TO THE APPLICANT

Full Name ________________________________________________________
Father’s Name _____________________________________________________
Address in Pakistan _________________________________________________
_________________________________________________________________
Address in the country outside Pakistan _________________________________
_________________________________________________________________
Place _____________Tehsil _______________ District ____________________
Place of Domicile ______________ Prov/Admin__________________ (Pakistan)
Date of Arrival in the place of Domicile _________________________________
Name of wife or husband _____________________________________________
Married/Single/Widow/Widowner _____________________________________
Name of Children and their ages _______________________________________
________________________________________________
________________________________________________
Trade or Occupation _______________________________
Mark of identification ______________________________ PHOTO
Signature
District Coordination Officer, Khushab.