Rs.

500

PAKISTAN DEFENCE OFFICERS HOUSING AUTHORITY

2-B, East Street, Phase-I, Defence Housing Authority, Karachi
Telephones: 9266801-5, 111 589 589, Fax : 5886406
Web Site: www.dhakarachi.org /E-mail:dha@dhakarachi.org

Read the Instructions carefully before filling

PHOTO
(Please Paste)
OFFICE USE ONLY SERIAL

Membership No. (Passport Size)

(Attested)
Date

PERSONAL PARTICULARS
1. Name : Mr./Mrs. /Miss./Mst.

2. Marital Status : Married Unmarried Divorcee Widower Widow

3. CNIC No. - -

4. NICOP/POC No. - -

5. Khandan No. (As given in CNIC) 6. Date of Birth (dd/mm/yy)

7. Visible Mark of Identification

8. Passport No. 9. Domicile

10. Nationality 11. Religion 12. Sect

PROFESSIONAL INFORMATION
1. Qualification 2. Profession

3. Designation 4. Name/Address of Organization

ADDRESS

1. Present/ Mailing Address

2. Permanent Address :

3. E-Mail :

CONTACTS

1. Tele Office : 2 Residence : 3. Mobile :

4. Fax : 5. Other :
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BANK DRAFT/PAY ORDER

Pay Order/Bank draft No. ______________________________________ amounting to Rs ._______________

dated _______________ drawn on _____________________________________________________________
on account of membership fee is attached.

TO BE SIGNED BEFORE DHA DESIGNATED OFFICER

Thumb Impression

Signature __________________________________

Signature___________________________________

Signature __________________________________
Male (Left) Female (Right)

FOR OFFICE USE

Date
Administrative Officer

INSTRUCTIONS
General
1. All Pakistani citizens are eligible for membership.
2. Applicant is required to appear personally before the DHA designated officer for signatures, digital
photograph and digital finger printing.
3. All attached documents should be duly attested by Oath Commissioner/Town Nazim/Magistrate
Class-I, Gazetted Officer (Garde-17 & above).
4. Original CNIC MUST be in possession while appearing before DHA Designated Officer.
5. This Membership is for life and renewable after every 05 years.
6. Non Muslims are exempted from Mosque fund.
7. Any observation noted at the time of sign before has to be rectified prior to proceed further.
COMPLETION OF FORM
1. In case of more than one marriage, details of all wives are required.
2. All attached documents must be readable.
3. No overwriting/cutting/erasing is acceptable.
4. Incomplete forms will not be accepted.
5. No entry is to be left blank.
6. All columns must be filled in BLOCK LETTERS.

DOCUMENTS TO BE ATTACHED

1. Pay Order/Bank Draft for Registration fee payable to Defence Housing Authority, Karachi.
2. Two latest passport size photographs duly attested (One on front & one on back).
3. Two copies of the CNIC duly attested.
4. Attested photocopy of Form ‘B’ for family members under 18 years of age.
5. Copy of Passport /CNIC of children over/under 18 years for persons having Overseas Pakistani
Card.
6. Affidavit on Rs. 20/- Non Judicial stamp paper duly attested by Oath Commissioner (Specimen
enclosed).
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To be typed on Rs. 20/-
Non Judicial Stamp Paper.

AFFIDAVIT SPECIMEN

I, Mr/Mrs/ Mst /Miss: ______________________ Son/Wife/widow/Daughter of

_____________________Religion _____________, adult, resident of _________________
_______________________________________________ do hereby on solemn affirmation, state as
under:-

1. That the particulars/information given in the attached membership form are

correct to the best of my knowledge and belief. I also understand that my membership can
be cancelled at any time for providing false information. I also agree to accept my registration
for Category “B” membership of the (DHA CITY) Pakistan Defence Officers Housing Authority
Karachi and agree to abide by the existing Rules/Byelaws and Regulations of the Authority
including the changes incorporated by the Authority from time to time.

2. That I have read and duly understand the Regulations of the (DHA CITY) Pakistan
Defence Officers Housing Authority Karachi and I agree to abide by them.

3. That, I will not claim refund of the registration fee in any case except only when my
application for registration in Category ‘B’ (BEE) is rejected by the Executive Board.

4. That I fully understand that as a person registered in Category ‘B’ (BEE) I shall not be
entitled to the privileges of a person registered in Category ‘A’ (AYE).

DEPONENT