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Witness Form NICOP Uneditable

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+ GOVERNMENT OF PAKISTAN, MINISTRY OF INTERIOR (Tracking ID) 1

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NATIONAL DATABASE AND REGISTRATION AUTHORITY
NATIONAL ID CARD SYSTEM

VERIFIER FORM - NICOP


2 APPLICANT’S INFORMATION

FULL NAME MARITAL STATUS GENDER

COUNTRY OF DATE OF
STAY BIRTH

PLACE OF
FATHER’S NAME RELIGION
BIRTH

PASSPORT
TWIN SIBLING
NUMBER

CURRENT ADDRESS
MOTHER’S NAME

SPOUSE’S NAME
PERMANENT ADDRESS

RELATION WITH HEAD ID CARD


HEAD NUMBER

3 APPLICANT’S FINGERPRINTS
RIGHT THUMB RIGHT INDEX RIGHT MIDDLE RIGHT RING RIGHT LITTLE

LEFT THUMB LEFT INDEX LEFT MIDDLE LEFT RING LEFT LITTLE

4 APPLICANT’S DECLARATION 5 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.
I do hereby declare that I am not a citizen of any country other than Pakistan, Australia, Belgium, Canada, Egypt, France, Iceland, Ireland, Italy, Jordan,
Netherland(Holland), New Zealand, Sweden, Switzerland, Syria, United Kingdom, United States of America, Bahrain, Finland, Denmark and in case
I obtain citizenship of any country other than mentioned above, in the future, I shall inform NADRA accordingly.
DATE /MONTH /YEAR

6 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 CONTACT
A FULL NAME
NUMBER NUMBER

ID CARD CONTACT
B FULL NAME
NUMBER NUMBER

INSTRUCTIONS
The information provided in form must not differ from information submitted in online application form. In case the Ensure that the fingerprint impressions are within the boundaries of the designated field or box and are according to
information provided in form is incorrect, incomplete or different from the information provided in online application form, the specifications mentioned in the guideline (http://id.nadra.gov.pk/fingerprint-requirements/)
your application may be delayed or rejected. We strongly recommend that you ensure your information is correct before Ensure notations are made for any missing fingerprints(i.e. Amputation)
uploading your form.
Ensure that the form is printed on A4/Letter page size.
Use BLACK ink pad to capture the fingerprint impressions on the form. The form must be scanned at 600dpi in greyscale. The form size must not exceed 3 MB.

FORM - NICOP 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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