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PROFORMA FOR FINANCIAL ASSISTANCE FOR HOUSE DAMAGED DUE TO NATURAL CALAMITIES

S No. Name of Owner Father Name Date of Incident CNIC No/Address House Damages Reason for Damages
Fully Damaged Partially Damaged
1 √

2 √

3 √

Reported By: Halqa Patwari:_______________________

Varified By:

1. Local School Teacher __________________________ 2. Local Imam Masjid_________________3. Rep: of MPA _______________ 4. Tehsildar ____________

Countersignature of DC ____________________________
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PROFORMA FOR FINANCIAL ASSISTANCE IN CASE OF PERISHED CATTLES DUE TO NATURAL CALAMITIES

S No. Name of Owner Father Name Date of Incident CNIC No/Address Nos of Animals and Cattles Reason
Small (Goat, Big (Cow, Buffalo,Horse,
Sheep) Camel and Donkey)
1

Reported By: Halqa Patwari:_______________________

Varified By:

1. Local School Headmaster _________________ 2. Local Imam Masjid__________________ 3. Rep: of MPA _____________________ 4. DO Livestock ___________

Countersignature of DC ______________________________
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PROFORMA FOR FINANCIAL ASSISTANCE IN CASE OF DEAD/INJURED DUE TO NATURAL CALAMITIES

S No. Date of Report by Date of incident Particulars of affected persons (Name, Father Name, Reason of Death/Injury
R.F.S (Death/Injury) CNIC No, Address)

Reported By: Halqa Patwari:_______________________

Varified By:

1. Medical Officer/DHO/MS _________________ 2.Tehsildar._______________________________ 3.Local School Headmaster____________

Countersignater of DC._______________