Government of Pakistan Ministry of Religious Affairs

For Official Use: Directorate: Enrollment No. (if any) Munnazam No. (if any)

Application Form for Enlistment as Hajj Group Organizer (HGO)

Company Information:
Name of Company Present Operational Address of Company

District: Phone No. (with code) website

Province Fax No (with code) Email

Registered Office Address District: Phone No. (with code) website SECP Registration No. (As Ltd Company) Date of Incorporation Authorized capital Paid up capital Registered with Department of Yes No If Yes Reg. Tourism of Pak. No./year Any other information Chief Executive/ Directors Particulars alongwith Photographs Sr. No. 1 2 Name Designation Qualification CNIC No. Province Fax No (with code) Email Date of Registration

NTN No. of company

NTN No.

Share (%)

Photograph 4X3 cm

Photograph 4X3 cm

Photograph 4X3 cm

Photograph 4X3 cm

Photograph

4X3 cm

1
Signature

2
Signature

3
Signature

4
Signature

5
Signature

Employees Detail: Sr. Name Designation CNIC No. No. 1 2 3 4 5 6 7 Company Financial Analysis with verifiable documentary evidence Tax Paid for the Years 2006 2007 2008 2009 2010 Certificate that Company is not defaulted any Bank Loan Yes Financial Audit Reports duly 2009 2010 Audited by Chartered Accountant Yes No Yes No Firms (preferably QCR certified) If Not submitted, then reason Clearance Certificate from SECP about any Dispute If No, give details / Decision of the Forum Convicted from any Court of Law with Criminal / Civil Offence, etc (Yes/ No, if Yes give details) Has the Company Blacklisted by KSA or any Foreign Agency (Yes/ No if Yes give details) Office Premises Area (Sq. Feet) Premises Type Own IT Infrastructure: No. of Computers DSL Connection Yes/ No Hajj Experience Year 2005 2006(Jan) 2006(Dec) 2007 2008 2009 2010 2011 Name of company (at that time) Hajj Quota Allocated Qualification

2011 No 2011 Yes No Yes No

Hired Printers Yes/ No

Enr. No.

Munazam No.

Quota Utilized

Any other Experience

Year 2005 2006 2007 2008 2009 2010 2011

Name of Company/ Agreement with Foreign Company

Name of country

Reg. No.

No. of Mutamar / Zaireen Umrah Ziarat

TOTAL MUTAMAR/ ZAIREEN Details of Bank Draft: Bank Name: Bank Draft No: Amount (Rs.): Dated:

I also hereby solemnly declare that all information provided in this application is correct to the best of my knowledge and belief. In case of any information found incorrect or false, my enlistment may be revoked.

Dated:

Signature: __________________________ Name: Designation: Chief Executive Official Stamp: _______________________

Checked and verified by Director, Haji Camp ________________________ Receipt No.__________________________ dated____________________

Signature Official Stamp

Checklist for Enlistment Application Form

Sr. No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Document Certificate of incorporation Form A of SECP NTN Certificate of Company NTN Certificates of Chief Executive and Directors Copies of CNICs of Chief Executive and Directors Form 21 of SECP (Attested Latest) Form 29 of SECP (Attested Latest) Form 3 of SECP (Attested Latest) Copies of passports of Chief Executive & Directors of the Company Clearance Certificate from SECP about any Dispute Financial Reports of last 03 years duly Audited by Chartered Accountant Firms (preferably QCR certified) Certificate that Company has not defaulted any Bank Loan Verifiable certified documentary evidence of experience from the concerned quarters Three sets of Application Forms with Attested documents. Any other documents mentioned in the form, etc Yes No