Form B Government Of Pakistan

Government of Pakistan Directorate General of Registration Ministry of Interior

FORM “B”

This form will be returned to the applicant after registration for keeping its safe to enable for future reference

The Following Are My Family Members Name of persons older then 18 years

1 2

Name

Father’s Name

I.D. Card No.

Relation ship with head of family

Gender

Date of Birth

Muhammad Riaz

Jamal Din

220-37-027221

Head of family

Male

05-10-1937

Muhamamd Riaz

220-45-098241

Wife

Female

24 years

Gender

Date of Birth

Male Female Male Female Male Male Male Female Male

11-12-1965 15-04-1965 14-11-1971 10-16-1973 30-10-1975 21-08-1977 15-03-1979 17-09-1981 17-12-1982

Ulfat Begum

(Husband)

Name of Children Under age of 18 years

Muhamamd Fiaz Imtiaz Akhtar Nisar Ahmed Shazia Begum Ijaz Ahmed Shehzad Ahmed Iftikhar Ahmed Nazia Begum Muhamamd Zulfiqar

Muhammad Riaz Muhammad Riaz Muhammad Riaz Muhammad Riaz Muhammad Riaz Muhammad Riaz Muhammad Riaz Muhamamd Riaz Muhammad Riaz

220-65-027222 220-68-027223 220-71-027224 220-73-027225 220-75-495900 220-77-495901 220-79-495902 220-81-539499 220-82-557509

Relationship with head of family Son Daughter Son Daughter Son Son Son Daughter Son

Shehnaz Begum

Muhamamd Riaz

220-82-557510

Daughter

Female

17-12-1982

Mehnaz Begum

Muhamamd Riaz

220-84-587310

Daughter

Female

09-15-1984

Zainab Khatoon

Muhammad Riaz

220-86-608289

Daughter

Female

15-11-1986

Name 1 2 3 4 5 6 7 8 9 1 0 11 1 2

Father’s Name

I.D. Card No.

Name and Address of the Head of Family Muhammad Riaz S/O Jamal Din House No. 99 Mohallah Maghrabi, Post Office Kala Gujran Tehsil & District Jhlum

Signature or Thumb Impression of Head of the Family

I certify that I personally know the applicant and the particulars given in the form are true to the best of my knowledge

Seal & Signature of the Person Attested by

Name of the Person Attested by I.D. Card No

This form can attest only those persons who have their own id cards from the same district register office where he applicants want to submit this form