Verifier Form POC

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+ 1 TRACKING ID

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GOVERNMENT OF PAKISTAN, MINISTRY OF INTERIOR
NATIONAL DATABASE AND REGISTRATION AUTHORITY
NATIONAL ID CARD SYSTEM

POC FORM

The information given in the form must not be differ from the information submitted in online application. In case the information provided in the form is incorrect, incomplete or different from the
information provided online application form, your application may be rejected or delayed. We strongly recommend that you ensure your information is correct before uploading your form.

2 APPLICANTION INFORMATION

GROUND FOR PAKISTANI ORIGIN CLAIM

3 APPLICANT’S INFORMATION
DATE OF BIRTH PLACE OF
FULL NAME
(DD/MM/YY) BIRTH

FATHER’S NAME POC NUMBER PHONE NUMBER

FATHER’S ID MOTHER’S ID
MOTHER’S NAME
CARD NUMBER CARD NUMBER

SPOUSE’S ID APPLICANT’S OLD


SPOUSE’S NAME CARD NUMBER ID CARD NUMBER

FATHER’S MOTHER’S
GENDER MARTIAL STATUS NATIONALITY NATIONALITY

4 PRESENT ADDRESS INFORMATION ( Only the present address will be printed on the POC card )

COUNTRY CITY

PROVINCE / ADDITIONAL ADDRESS


STATE INFORMATION

5 PASSPORT INFORMATION
CURRENT EXPIRY DATE
NATIONALITY (DD/MM/YY)

FOREIGN PASSPORT ISSUING


NUMBER COUNTRY

6 APPLICANT’S DECLARATION APPLICANT’S SIGNATURE

I solemnly affirm that the information presented in the form above is true according to the best of my knowledge and I have not concealed
any information.

I understand that the information I provide may be verified and I consent to this verification.

I certify that the information given on the form and on the attached documents is accurate and that it is serious offence to provide false/misleading
information which may be grounds for my prosecution.
DATE /MONTH /YEAR

7 VERIFIER DECLARATION

I solemnly verify that applicant is personally known to me and the information provided on the form is correct.

I may be held accountable in case of misrepresentation of information.

ID CARD
FULL NAME
NUMBER

CONTACT
NUMBER

INSTRUCTIONS
Ensure that information written is in clear handwriting and has no cuttings. Ensure that the page is printed on A4 page.
Ensure that the information is typed/written in blue/black ink. The form must be scanned at 600dpi in greyscale. The form size must not exceed 3 MB.
Enter the data in the designated field/block.

FORM - POC The form is made available by National Database and Registration Authority NADRA

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and is not to be sold to the applicants

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