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<div id="suiteBarRight">
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<div id="ms-hcTest"></div>
<div id="s4-ribbonrow">
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<div class='ms-cui-
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</div>
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<span id="ctl00_lblLoginUserName"
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<b class="caret"></b>
</a>
<ul class="dropdown-menu extended logout">
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<div id="pnlBody">
<div id="ctl00_PlaceHolderMain_UC1_ctl00">
<div class="row-fluid">
<div class="span12">
<div class="well well-large">
<div class="well-title">
<h4><i class="fa fa-child"></i> Affidavit Form Report</h4>
</div>
<div class="row-fluid">
<div class="span12">
<div class="container-fluid">
<div class="row-fluid csrHide">
<div class="span12">
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<script src="../../STYLES/FC/js/lib/jquery-1.7.2.min.js"></script>
<script type="text/javascript" >
function printReport() {
try {
var reportViewerName =
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var src_url =
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}
catch (err) {
alert(err.message);
}
}
function AddPrintButton() {
if (!isIE) {
$('#ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05 >
div').append('<table style="width: 6px; display: inline;" cellspacing="0"
cellpadding="0" toolbarspacer="true">'
+ '<tbody><tr>'
+ '<td></td>'
+ '</tr>'
+ '</tbody></table>'
+ '<div class=" " style="font-family: Verdana; font-size:
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+ '<table style="display: inline;" cellspacing="0"
cellpadding="0">'
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+ '<table title="Print">'
+ '<tbody><tr>'
+ '<td><input
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+ '</tr>'
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$("#btnPrint").click(function () {
printReport();
});
$('#print-iframe').load(function () {
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background: none repeat scroll 0 0 #fff;
border: 1px solid #c7c7c7;
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Your browser does not support scripts or has been configured not
to allow scripts.
</noscript><span
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ReportViewer"><div
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer" >($get('ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl04') != null
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<div
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sage" style="border-color:Red;border-width:2px;border-
style:Solid;padding:10px;display:none;overflow:auto;font-size:.85em;">
<h2>
Report Viewer Configuration Error
</h2><p>The Report Viewer Web Control HTTP Handler has not been
registered in the application's web.config file. Add <add
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Version=11.0.0.0, Culture=neutral, PublicKeyToken=89845dcd8080cc91" /> to
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preCondition="integratedMode" verb="*"
path="Reserved.ReportViewerWebControl.axd"
type="Microsoft.Reporting.WebForms.HttpHandler,
Microsoft.ReportViewer.WebForms, Version=11.0.0.0, Culture=neutral,
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</div><div
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_AsyncWait_Wait"
style="cursor:wait;background-color:#ECE9D8;padding:15px;border:1px solid
black;display:none;position:absolute;">
<table height="100%">
<tr>
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style="vertical-align:middle;text-align:center;"><span style="font-
family:Verdana;font-size:14pt;">Loading...</span><div style="margin-top:3px;">
<a href="javascript:
$get('ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_AsyncWait').cont
rol._cancelCurrentPostback();" style="font-family:Verdana;font-
size:8pt;color:#3366CC;">Cancel</a>
</div></td>
</tr>
</table>
</div><input type="hidden"
name="ctl00$PlaceHolderMain$UC1$ucReportViewer1$cRptViewer$AsyncWait$HiddenCancelFi
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id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_AsyncWait_HiddenCancelFiel
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id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_fixedTable" style="table-
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<tr style="background-color:#ECE9D8;">
<td style="display:none;width:25%;"></td><td
style="display:none;width:6px;"></td><td style="width:100%;"></td>
</tr><tr
id="ParametersRowctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer"
style="display:none;">
<td colspan="3"></td>
</tr><tr style="height:6px;font-size:2pt;display:none;">
<td colspan="3" style="padding:0px;margin:0px;text-
align:center;background-color:#ECE9D8;"><div
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ToggleParam">
<input type="image"
name="ctl00$PlaceHolderMain$UC1$ucReportViewer1$cRptViewer$ToggleParam$img"
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ToggleParam_img"
title="Show / Hide Parameters" src="/Reserved.ReportViewerWebControl.axd?
OpType=Resource&Version=11.0.3452.0&Name=Microsoft.Reporting.WebForms.Icons
.SplitterHorizCollapse.png" alt="Show / Hide Parameters" align="middle"
style="cursor:pointer;" /><input type="hidden"
name="ctl00$PlaceHolderMain$UC1$ucReportViewer1$cRptViewer$ToggleParam$store"
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ToggleParam_store"
/><input type="hidden"
name="ctl00$PlaceHolderMain$UC1$ucReportViewer1$cRptViewer$ToggleParam$collapse"
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ToggleParam_collapse"
value="false" />
</div></td>
</tr><tr>
<td colspan="3"><div
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05" style="font-
family:Verdana;font-size:8pt;border-bottom:1px #CCCCCC Solid;background-
color:#ECE9D8;background-image:url(/Reserved.ReportViewerWebControl.axd?
OpType=BackImage&Version=11.0.3452.0&Color=
%23ECE9D8&Name=Microsoft.Reporting.WebForms.Icons.toolbar_bk.png);">
<div style="padding-left:6px;">
<div class=" " style="display:inline;font-
family:Verdana;font-size:8pt;vertical-align:top;">
<table cellpadding="0" cellspacing="0"
style="display:inline;">
<tr>
<td height="28px"><div
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl00_First">
<div
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl00_First_ctl00"
style="display:none;border:1px transparent Solid;">
<table
title="First Page">
<tr>
<td><input type="image"
name="ctl00$PlaceHolderMain$UC1$ucReportViewer1$cRptViewer$ctl05$ctl00$First$ctl00$
ctl00"
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl00_First_ctl00_ct
l00" title="First Page" src="/Reserved.ReportViewerWebControl.axd?
OpType=Resource&Version=11.0.3452.0&Name=Microsoft.Reporting.WebForms.Icons
.FirstPage.gif" alt="First Page" style="border-
style:None;height:16px;width:16px;" /><input type="image"
name="ctl00$PlaceHolderMain$UC1$ucReportViewer1$cRptViewer$ctl05$ctl00$First$ctl00$
ctl01"
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl00_First_ctl00_ct
l01" title="First Page" src="/Reserved.ReportViewerWebControl.axd?
OpType=Resource&Version=11.0.3452.0&Name=Microsoft.Reporting.WebForms.Icons
.LastPage.gif" alt="First Page" style="border-
style:None;height:16px;width:16px;display:none;" /></td>
</tr>
</table>
</div><div
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl00_First_ctl01"
class="aspNetDisabled" disabled="disabled" style="border:1px transparent Solid;">
<table
title="First Page">
<tr>
<td><input type="image"
name="ctl00$PlaceHolderMain$UC1$ucReportViewer1$cRptViewer$ctl05$ctl00$First$ctl01$
ctl00" disabled="disabled"
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl00_First_ctl01_ct
l00" title="First Page" src="/Reserved.ReportViewerWebControl.axd?
OpType=Resource&Version=11.0.3452.0&Name=Microsoft.Reporting.WebForms.Icons
.FirstPageDisabled.gif" alt="First Page" style="border-
style:None;height:16px;width:16px;cursor:default;" /><input type="image"
name="ctl00$PlaceHolderMain$UC1$ucReportViewer1$cRptViewer$ctl05$ctl00$First$ctl01$
ctl01" disabled="disabled"
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl00_First_ctl01_ct
l01" title="First Page" src="/Reserved.ReportViewerWebControl.axd?
OpType=Resource&Version=11.0.3452.0&Name=Microsoft.Reporting.WebForms.Icons
.LastPageDisabled.gif" alt="First Page" style="border-
style:None;height:16px;width:16px;display:none;cursor:default;" /></td>
</tr>
</table>
</div>
</div></td><td
width="4px"></td><td height="28px"><div
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl00_Previous">
<div
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl00_Previous_ctl00
" style="display:none;border:1px transparent Solid;">
<table
title="Previous Page">
<tr>
<td><input type="image"
name="ctl00$PlaceHolderMain$UC1$ucReportViewer1$cRptViewer$ctl05$ctl00$Previous$ctl
00$ctl00"
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl00_Previous_ctl00
_ctl00" title="Previous Page" src="/Reserved.ReportViewerWebControl.axd?
OpType=Resource&Version=11.0.3452.0&Name=Microsoft.Reporting.WebForms.Icons
.PrevPage.gif" alt="Previous Page" style="border-
style:None;height:16px;width:16px;" /><input type="image"
name="ctl00$PlaceHolderMain$UC1$ucReportViewer1$cRptViewer$ctl05$ctl00$Previous$ctl
00$ctl01"
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl00_Previous_ctl00
_ctl01" title="Previous Page" src="/Reserved.ReportViewerWebControl.axd?
OpType=Resource&Version=11.0.3452.0&Name=Microsoft.Reporting.WebForms.Icons
.NextPage.gif" alt="Previous Page" style="border-
style:None;height:16px;width:16px;display:none;" /></td>
</tr>
</table>
</div><div
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl00_Previous_ctl01
" class="aspNetDisabled" disabled="disabled" style="border:1px transparent Solid;">
<table
title="Previous Page">
<tr>
<td><input type="image"
name="ctl00$PlaceHolderMain$UC1$ucReportViewer1$cRptViewer$ctl05$ctl00$Previous$ctl
01$ctl00" disabled="disabled"
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl00_Previous_ctl01
_ctl00" title="Previous Page" src="/Reserved.ReportViewerWebControl.axd?
OpType=Resource&Version=11.0.3452.0&Name=Microsoft.Reporting.WebForms.Icons
.PrevPageDisabled.gif" alt="Previous Page" style="border-
style:None;height:16px;width:16px;cursor:default;" /><input type="image"
name="ctl00$PlaceHolderMain$UC1$ucReportViewer1$cRptViewer$ctl05$ctl00$Previous$ctl
01$ctl01" disabled="disabled"
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl00_Previous_ctl01
_ctl01" title="Previous Page" src="/Reserved.ReportViewerWebControl.axd?
OpType=Resource&Version=11.0.3452.0&Name=Microsoft.Reporting.WebForms.Icons
.NextPageDisabled.gif" alt="Previous Page" style="border-
style:None;height:16px;width:16px;display:none;cursor:default;" /></td>
</tr>
</table>
</div>
</div></td><td
width="4px"></td><td height="28px"><input
name="ctl00$PlaceHolderMain$UC1$ucReportViewer1$cRptViewer$ctl05$ctl00$CurrentPage"
type="text" value="1" maxlength="8" size="3"
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl00_CurrentPage"
disabled="disabled" title="Current Page" class="aspNetDisabled" style="font-
family:Verdana;font-size:8pt;" /></td><td width="4px"></td><td height="28px"><span
style="font-family:Verdana;font-size:8pt;">of</span></td><td width="4px"></td><td
height="28px"><span
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl00_TotalPages"
style="font-family:Verdana;font-size:8pt;white-space:nowrap;">1</span></td><td
width="4px"></td><td height="28px"><div
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl00_Next">
<div
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl00_Next_ctl00"
style="display:none;border:1px transparent Solid;">
<table title="Next
Page">
<tr>
<td><input type="image"
name="ctl00$PlaceHolderMain$UC1$ucReportViewer1$cRptViewer$ctl05$ctl00$Next$ctl00$c
tl00"
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl00_Next_ctl00_ctl
00" title="Next Page" src="/Reserved.ReportViewerWebControl.axd?
OpType=Resource&Version=11.0.3452.0&Name=Microsoft.Reporting.WebForms.Icons
.NextPage.gif" alt="Next Page" style="border-style:None;height:16px;width:16px;"
/><input type="image"
name="ctl00$PlaceHolderMain$UC1$ucReportViewer1$cRptViewer$ctl05$ctl00$Next$ctl00$c
tl01"
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl00_Next_ctl00_ctl
01" title="Next Page" src="/Reserved.ReportViewerWebControl.axd?
OpType=Resource&Version=11.0.3452.0&Name=Microsoft.Reporting.WebForms.Icons
.PrevPage.gif" alt="Next Page" style="border-
style:None;height:16px;width:16px;display:none;" /></td>
</tr>
</table>
</div><div
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl00_Next_ctl01"
class="aspNetDisabled" disabled="disabled" style="border:1px transparent Solid;">
<table title="Next
Page">
<tr>
<td><input type="image"
name="ctl00$PlaceHolderMain$UC1$ucReportViewer1$cRptViewer$ctl05$ctl00$Next$ctl01$c
tl00" disabled="disabled"
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl00_Next_ctl01_ctl
00" title="Next Page" src="/Reserved.ReportViewerWebControl.axd?
OpType=Resource&Version=11.0.3452.0&Name=Microsoft.Reporting.WebForms.Icons
.NextPageDisabled.gif" alt="Next Page" style="border-
style:None;height:16px;width:16px;cursor:default;" /><input type="image"
name="ctl00$PlaceHolderMain$UC1$ucReportViewer1$cRptViewer$ctl05$ctl00$Next$ctl01$c
tl01" disabled="disabled"
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl00_Next_ctl01_ctl
01" title="Next Page" src="/Reserved.ReportViewerWebControl.axd?
OpType=Resource&Version=11.0.3452.0&Name=Microsoft.Reporting.WebForms.Icons
.PrevPageDisabled.gif" alt="Next Page" style="border-
style:None;height:16px;width:16px;display:none;cursor:default;" /></td>
</tr>
</table>
</div>
</div></td><td
width="4px"></td><td height="28px"><div
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl00_Last">
<div
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl00_Last_ctl00"
style="display:none;border:1px transparent Solid;">
<table title="Last
Page">
<tr>
<td><input type="image"
name="ctl00$PlaceHolderMain$UC1$ucReportViewer1$cRptViewer$ctl05$ctl00$Last$ctl00$c
tl00"
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl00_Last_ctl00_ctl
00" title="Last Page" src="/Reserved.ReportViewerWebControl.axd?
OpType=Resource&Version=11.0.3452.0&Name=Microsoft.Reporting.WebForms.Icons
.LastPage.gif" alt="Last Page" style="border-style:None;height:16px;width:16px;"
/><input type="image"
name="ctl00$PlaceHolderMain$UC1$ucReportViewer1$cRptViewer$ctl05$ctl00$Last$ctl00$c
tl01"
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl00_Last_ctl00_ctl
01" title="Last Page" src="/Reserved.ReportViewerWebControl.axd?
OpType=Resource&Version=11.0.3452.0&Name=Microsoft.Reporting.WebForms.Icons
.FirstPage.gif" alt="Last Page" style="border-
style:None;height:16px;width:16px;display:none;" /></td>
</tr>
</table>
</div><div
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl00_Last_ctl01"
class="aspNetDisabled" disabled="disabled" style="border:1px transparent Solid;">
<table title="Last
Page">
<tr>
<td><input type="image"
name="ctl00$PlaceHolderMain$UC1$ucReportViewer1$cRptViewer$ctl05$ctl00$Last$ctl01$c
tl00" disabled="disabled"
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl00_Last_ctl01_ctl
00" title="Last Page" src="/Reserved.ReportViewerWebControl.axd?
OpType=Resource&Version=11.0.3452.0&Name=Microsoft.Reporting.WebForms.Icons
.LastPageDisabled.gif" alt="Last Page" style="border-
style:None;height:16px;width:16px;cursor:default;" /><input type="image"
name="ctl00$PlaceHolderMain$UC1$ucReportViewer1$cRptViewer$ctl05$ctl00$Last$ctl01$c
tl01" disabled="disabled"
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl00_Last_ctl01_ctl
01" title="Last Page" src="/Reserved.ReportViewerWebControl.axd?
OpType=Resource&Version=11.0.3452.0&Name=Microsoft.Reporting.WebForms.Icons
.FirstPageDisabled.gif" alt="Last Page" style="border-
style:None;height:16px;width:16px;display:none;cursor:default;" /></td>
</tr>
</table>
</div>
</div></td>
</tr>
</table>
</div><table cellpadding="0" cellspacing="0"
ToolbarSpacer="true" style="display:inline;width:20px;">
<tr>
<td></td>
</tr>
</table><div class=" "
style="display:inline;font-family:Verdana;font-size:8pt;vertical-align:top;">
<table cellpadding="0" cellspacing="0"
style="display:inline;">
<tr>
<td height="28px"><div
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl04_ctl00"
style="font-family:Verdana;font-size:8pt;border:1px transparent Solid;">
<table
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl04_ctl00_Button"
title="Export drop down menu">
<tr>
<td><a
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl04_ctl00_ButtonLi
nk" title="Export drop down menu" alt="Export drop down menu"
href="javascript:void(0)" style="text-decoration:none;"><img
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl04_ctl00_ButtonIm
g" src="/Reserved.ReportViewerWebControl.axd?
OpType=Resource&Version=11.0.3452.0&Name=Microsoft.Reporting.WebForms.Icons
.ExportDisabled.gif" alt="Export drop down menu" style="border-
style:None;height:16px;width:16px;" /><span style="width:5px;text-
decoration:none;"> </span><img
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl04_ctl00_ButtonIm
gDown" src="/Reserved.ReportViewerWebControl.axd?
OpType=Resource&Version=11.0.3452.0&Name=Microsoft.Reporting.WebForms.Icons
.ArrowDownDisabled.gif" alt="Export drop down menu" style="border-
style:None;height:6px;width:7px;margin-bottom:5px;" /></a></td>
</tr>
</table>
</div><div
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl04_ctl00_Menu"
style="background-color:#ECE9D8;border:1px #336699
Solid;display:none;position:absolute;padding:1px;z-index:1;">
<div style="border:1px
transparent Solid;">
<a title="Excel"
alt="Excel"
>rtReport('EXCELOPENXML');" href="javascript:void(0)"
style="color:#3366CC;font-family:Verdana;font-size:8pt;padding:3px 8px 3px
8px;display:block;white-space:nowrap;text-decoration:none;">Excel</a>
</div><div
style="border:1px transparent Solid;">
<a title="PDF"
alt="PDF"
>rtReport('PDF');" href="javascript:void(0)" style="color:#3366CC;font-
family:Verdana;font-size:8pt;padding:3px 8px 3px 8px;display:block;white-
space:nowrap;text-decoration:none;">PDF</a>
</div><div
style="border:1px transparent Solid;">
<a title="Word"
alt="Word"
>rtReport('WORDOPENXML');" href="javascript:void(0)"
style="color:#3366CC;font-family:Verdana;font-size:8pt;padding:3px 8px 3px
8px;display:block;white-space:nowrap;text-decoration:none;">Word</a>
</div>
</div></td>
</tr>
</table>
</div><table cellpadding="0" cellspacing="0"
ToolbarSpacer="true" style="display:inline;width:6px;">
<tr>
<td></td>
</tr>
</table><div class=" "
style="display:inline;font-family:Verdana;font-size:8pt;vertical-align:top;">
<table cellpadding="0" cellspacing="0"
style="display:inline;">
<tr>
<td height="28px"><div
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl05_ctl00">
<div
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl05_ctl00_ctl00"
style="display:none;border:1px transparent Solid;">
<table
title="Refresh">
<tr>
<td><input type="image"
name="ctl00$PlaceHolderMain$UC1$ucReportViewer1$cRptViewer$ctl05$ctl05$ctl00$ctl00$
ctl00" title="Refresh" src="/Reserved.ReportViewerWebControl.axd?
OpType=Resource&Version=11.0.3452.0&Name=Microsoft.Reporting.WebForms.Icons
.Refresh.gif" alt="Refresh" style="border-style:None;height:16px;width:16px;"
/></td>
</tr>
</table>
</div><div
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl05_ctl00_ctl01"
class="aspNetDisabled" disabled="disabled" style="border:1px transparent Solid;">
<table
title="Refresh">
<tr>
<td><input type="image"
name="ctl00$PlaceHolderMain$UC1$ucReportViewer1$cRptViewer$ctl05$ctl05$ctl00$ctl01$
ctl00" disabled="disabled" title="Refresh"
src="/Reserved.ReportViewerWebControl.axd?
OpType=Resource&Version=11.0.3452.0&Name=Microsoft.Reporting.WebForms.Icons
.RefreshDisabled.gif" alt="Refresh" style="border-
style:None;height:16px;width:16px;cursor:default;" /></td>
</tr>
</table>
</div>
</div></td>
</tr>
</table>
</div><table cellpadding="0" cellspacing="0"
ToolbarSpacer="true" style="display:inline;width:6px;">
<tr>
<td></td>
</tr>
</table><div class=" "
style="display:inline;font-family:Verdana;font-size:8pt;vertical-align:top;">
<table cellpadding="0" cellspacing="0"
style="display:inline;">
<tr>
<td height="28px"><div
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl06_ctl00">
<div
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl06_ctl00_ctl00"
style="display:none;border:1px transparent Solid;">
<table
title="Print">
<tr>
<td><input type="image"
name="ctl00$PlaceHolderMain$UC1$ucReportViewer1$cRptViewer$ctl05$ctl06$ctl00$ctl00$
ctl00" title="Print" src="/Reserved.ReportViewerWebControl.axd?
OpType=Resource&Version=11.0.3452.0&Name=Microsoft.Reporting.WebForms.Icons
.Print.gif" alt="Print" style="border-style:None;height:16px;width:16px;" /></td>
</tr>
</table>
</div><div
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl05_ctl06_ctl00_ctl01"
class="aspNetDisabled" disabled="disabled" style="border:1px transparent Solid;">
<table
title="Print">
<tr>
<td><input type="image"
name="ctl00$PlaceHolderMain$UC1$ucReportViewer1$cRptViewer$ctl05$ctl06$ctl00$ctl01$
ctl00" disabled="disabled" title="Print" src="/Reserved.ReportViewerWebControl.axd?
OpType=Resource&Version=11.0.3452.0&Name=Microsoft.Reporting.WebForms.Icons
.PrintDisabled.gif" alt="Print" style="border-
style:None;height:16px;width:16px;cursor:default;" /></td>
</tr>
</table>
</div>
</div></td>
</tr>
</table>
</div>
</div>
</div></td>
</tr><tr>
<td style="vertical-
align:top;width:25%;height:100%;display:none;"><div
style="width:100%;height:100%;">
<span
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_DocMap"><div
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl08"
style="display:none;">
<input type="hidden"
name="ctl00$PlaceHolderMain$UC1$ucReportViewer1$cRptViewer$ctl08$ClientClickedId"
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl08_ClientClickedId" />
</div></span>
</div></td><td
style="display:none;width:4px;padding:0px;margin:0px;height:100%;vertical-
align:middle;background-color:#ECE9D8;"><div
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl07">
<input type="image"
name="ctl00$PlaceHolderMain$UC1$ucReportViewer1$cRptViewer$ctl07$img"
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl07_img" title="Show /
Hide Document Map" src="/Reserved.ReportViewerWebControl.axd?
OpType=Resource&Version=11.0.3452.0&Name=Microsoft.Reporting.WebForms.Icons
.SplitterVertCollapse.png" alt="Show / Hide Document Map" align="top"
style="cursor:pointer;" /><input type="hidden"
name="ctl00$PlaceHolderMain$UC1$ucReportViewer1$cRptViewer$ctl07$store"
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl07_store" /><input
type="hidden"
name="ctl00$PlaceHolderMain$UC1$ucReportViewer1$cRptViewer$ctl07$collapse"
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl07_collapse"
value="false" />
</div></td><td style="height:100%;vertical-align:top;"><div
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl09"
style="height:100%;width:100%;overflow:auto;position:relative;">
<div
id="VisibleReportContentctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl09"
style="height:100%;display:none;">
</div><div
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl09_ReportArea">
<div
NewContentType="Microsoft.Reporting.WebFormsClient.ReportAreaContent.ReportPage"
ForNonReportContentArea="false"
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl09_VisibilityState"
style="visibility:none;">
<input type="hidden"
name="ctl00$PlaceHolderMain$UC1$ucReportViewer1$cRptViewer$ctl09$VisibilityState$ct
l00" value="ReportPage" />
</div><input type="hidden"
name="ctl00$PlaceHolderMain$UC1$ucReportViewer1$cRptViewer$ctl09$ScrollPosition"
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl09_ScrollPosition"
/><span
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl09_Reserved_AsyncLoadTa
rget"></span><div
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl09_ReportControl"
style="display:none;">
<span></span><input type="hidden"
name="ctl00$PlaceHolderMain$UC1$ucReportViewer1$cRptViewer$ctl09$ReportControl$ctl0
2"
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl09_ReportControl_ctl02"
/><input type="hidden"
name="ctl00$PlaceHolderMain$UC1$ucReportViewer1$cRptViewer$ctl09$ReportControl$ctl0
3"
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl09_ReportControl_ctl03"
/><input type="hidden"
name="ctl00$PlaceHolderMain$UC1$ucReportViewer1$cRptViewer$ctl09$ReportControl$ctl0
4"
id="ctl00_PlaceHolderMain_UC1_ucReportViewer1_cRptViewer_ctl09_ReportControl_ctl04"
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<DIV dir="LTR"
style="WIDTH:100%;direction:ltr"
ID="P81b96846f2ae4cf4a0aca0a5b0f1996b_1_oReportDiv"><TABLE CELLSPACING="0"
CELLPADDING="0"><TR><TD ID="P81b96846f2ae4cf4a0aca0a5b0f1996b_1_oReportCell"><TABLE
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class="Ad1aab8b5d80d4a0e8485cf3f39e1adf5119xB"><TR><TD style="vertical-
align:top"><TABLE CELLSPACING="0" CELLPADDING="0" BORDER="0" LANG="en-US"
class="P81b96846f2ae4cf4a0aca0a5b0f1996b_1_r10""><TR><TD
style="HEIGHT:16.97mm;WIDTH:0.00mm"></TD><TD style="WIDTH:19.18mm;min-width:
19.18mm;"></TD><TD style="WIDTH:0.14mm;min-width: 0.14mm;"></TD><TD
style="WIDTH:0.00mm;min-width: 0.00mm;"></TD><TD style="WIDTH:2.96mm;min-width:
2.96mm;"></TD><TD style="WIDTH:0.39mm;min-width: 0.39mm;"></TD><TD
style="WIDTH:10.69mm;min-width: 10.69mm;"></TD><TD style="WIDTH:0.71mm;min-width:
0.71mm;"></TD><TD style="WIDTH:3.65mm;min-width: 3.65mm;"></TD><TD
style="WIDTH:0.35mm;min-width: 0.35mm;"></TD><TD style="WIDTH:0.35mm;min-width:
0.35mm;"></TD><TD style="WIDTH:0.49mm;min-width: 0.49mm;"></TD><TD
style="WIDTH:0.71mm;min-width: 0.71mm;"></TD><TD style="WIDTH:2.65mm;min-width:
2.65mm;"></TD><TD style="WIDTH:0.85mm;min-width: 0.85mm;"></TD><TD
style="WIDTH:1.01mm;min-width: 1.01mm;"></TD><TD style="WIDTH:1.25mm;min-width:
1.25mm;"></TD><TD style="WIDTH:0.16mm;min-width: 0.16mm;"></TD><TD
style="WIDTH:9.59mm;min-width: 9.59mm;"></TD><TD style="WIDTH:0.89mm;min-width:
0.89mm;"></TD><TD style="WIDTH:0.66mm;min-width: 0.66mm;"></TD><TD
style="WIDTH:3.57mm;min-width: 3.57mm;"></TD><TD style="WIDTH:13.68mm;min-width:
13.68mm;"></TD><TD style="WIDTH:0.35mm;min-width: 0.35mm;"></TD><TD
style="WIDTH:16.35mm;min-width: 16.35mm;"></TD><TD style="WIDTH:0.35mm;min-width:
0.35mm;"></TD><TD style="WIDTH:0.35mm;min-width: 0.35mm;"></TD><TD
style="WIDTH:3.87mm;min-width: 3.87mm;"></TD><TD style="WIDTH:0.35mm;min-width:
0.35mm;"></TD><TD style="WIDTH:1.55mm;min-width: 1.55mm;"></TD><TD
style="WIDTH:5.72mm;min-width: 5.72mm;"></TD><TD style="WIDTH:13.98mm;min-width:
13.98mm;"></TD><TD style="WIDTH:9.45mm;min-width: 9.45mm;"></TD><TD
style="WIDTH:7.55mm;min-width: 7.55mm;"></TD><TD style="WIDTH:0.35mm;min-width:
0.35mm;"></TD><TD style="WIDTH:23.66mm;min-width: 23.66mm;"></TD><TD
style="WIDTH:9.39mm;min-width: 9.39mm;"></TD><TD style="WIDTH:0.35mm;min-width:
0.35mm;"></TD><TD style="WIDTH:8.08mm;min-width: 8.08mm;"></TD><TD
style="WIDTH:0.35mm;min-width: 0.35mm;"></TD><TD style="WIDTH:7.76mm;min-width:
7.76mm;"></TD><TD style="WIDTH:0.46mm;min-width: 0.46mm;"></TD><TD
style="WIDTH:21.08mm;min-width: 21.08mm;"></TD></TR><TR VALIGN="top"><TD
style="HEIGHT:3.17mm;WIDTH:0.00mm"></TD><TD></TD><TD ROWSPAN="4" COLSPAN="14"><DIV
style=""><DIV class="Ad1aab8b5d80d4a0e8485cf3f39e1adf51"><IMG
HEIGHT="75px"
SRC="/Reserved.ReportViewerWebControl.axd?
Culture=1033&CultureOverrides=True&UICulture=1033&UICultureOverrides=True&ReportSta
ck=1&ControlID=81b96846f2ae4cf4a0aca0a5b0f1996b&Mode=true&OpType=ReportImage&Iterat
ionId=0cc20cfb82e04692991b57f3878764ec&StreamID=cb765a44-e6c6-4237-8950-
b3312d7fc66e"/></DIV></DIV></TD><TD COLSPAN="27"></TD></TR><TR VALIGN="top"><TD
style="HEIGHT:7.14mm;WIDTH:0.00mm"></TD><TD></TD><TD></TD><TD COLSPAN="19"><TABLE
CELLSPACING="0" CELLPADDING="0" LANG="en-US" style=""><TR><TD
style="WIDTH:112.45mm;min-width: 111.04mm;HEIGHT:7.14mm;"
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf54"><DIV style="WIDTH:111.04mm;">e-Khidmat
Center</DIV></TD></TR></TABLE></TD><TD ROWSPAN="3" COLSPAN="7"></TD></TR><TR
VALIGN="top"><TD style="HEIGHT:7.14mm;WIDTH:0.00mm"></TD><TD></TD><TD ROWSPAN="2"
COLSPAN="2"></TD><TD COLSPAN="18"><TABLE CELLSPACING="0" CELLPADDING="0" LANG="en-
US" style=""><TR><TD style="WIDTH:112.29mm;min-width: 110.88mm;HEIGHT:7.14mm;"
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf57"><DIV style="WIDTH:110.88mm;">Government
of the Punjab</DIV></TD></TR></TABLE></TD></TR><TR><TD
style="HEIGHT:2.28mm;WIDTH:0.00mm"></TD><TD></TD><TD COLSPAN="18"></TD></TR><TR
VALIGN="top"><TD style="HEIGHT:12.70mm;WIDTH:0.00mm"></TD><TD></TD><TD
COLSPAN="39"><TABLE CELLSPACING="0" CELLPADDING="0" LANG="en-US" style=""><TR><TD
style="WIDTH:164.57mm;min-width: 163.16mm;HEIGHT:12.70mm;"
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf512"><DIV style="WIDTH:163.16mm;"><DIV
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf59"><span
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf58">AFFIDAVIT</span></DIV><DIV
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf511"><span
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf510">(For Lost of Citizen Facilitation and
Service Center Receipt)</span></DIV></DIV></TD></TR></TABLE></TD><TD ROWSPAN="13"
COLSPAN="2"></TD></TR><TR><TD style="HEIGHT:11.37mm;WIDTH:0.00mm"></TD><TD
COLSPAN="40"></TD></TR><TR VALIGN="top"><TD
style="HEIGHT:0.64mm;WIDTH:0.00mm"></TD><TD COLSPAN="5"></TD><TD ROWSPAN="2"
COLSPAN="19"><TABLE CELLSPACING="0" CELLPADDING="0" LANG="en-US"><TR><TD<DIV
style="WIDTH:67.96mm;min-width: 66.55mm;HEIGHT:6.35mm;"
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf515
P81b96846f2ae4cf4a0aca0a5b0f1996b_1_r14"> </DIV></TD></TR></TABLE></TD><TD
COLSPAN="7"></TD><TD ROWSPAN="2" COLSPAN="9"><TABLE CELLSPACING="0" CELLPADDING="0"
LANG="en-US"><TR><TD<DIV style="WIDTH:66.94mm;min-width: 65.53mm;HEIGHT:6.35mm;"
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf518
P81b96846f2ae4cf4a0aca0a5b0f1996b_1_r14"> </DIV></TD></TR></TABLE></TD></TR><T
R VALIGN="top"><TD style="HEIGHT:5.72mm;WIDTH:0.00mm"></TD><TD></TD><TD ROWSPAN="2"
COLSPAN="3"><TABLE CELLSPACING="0" CELLPADDING="0" LANG="en-US" style=""><TR><TD
style="WIDTH:3.10mm;min-width: 1.69mm;HEIGHT:6.35mm;"
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf521"><DIV
style="WIDTH:1.69mm;">I</DIV></TD></TR></TABLE></TD><TD></TD><TD></TD><TD
ROWSPAN="2" COLSPAN="6"><TABLE CELLSPACING="0" CELLPADDING="0" LANG="en-US"
style=""><TR><TD style="WIDTH:25.83mm;min-width: 24.42mm;HEIGHT:6.35mm;"
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf524"><DIV style="WIDTH:24.42mm;">S/O, D/O,
W/O</DIV></TD></TR></TABLE></TD></TR><TR><TD
style="HEIGHT:0.64mm;WIDTH:0.00mm"></TD><TD></TD><TD COLSPAN="21"></TD><TD
COLSPAN="9"></TD></TR><TR VALIGN="top"><TD
style="HEIGHT:0.64mm;WIDTH:0.00mm"></TD><TD COLSPAN="20"></TD><TD ROWSPAN="2"
COLSPAN="16"><TABLE CELLSPACING="0" CELLPADDING="0" LANG="en-US"><TR><TD<DIV
style="WIDTH:110.54mm;min-width: 109.12mm;HEIGHT:6.35mm;"
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf527
P81b96846f2ae4cf4a0aca0a5b0f1996b_1_r14"> </DIV></TD></TR></TABLE></TD><TD
COLSPAN="4"></TD></TR><TR VALIGN="top"><TD
style="HEIGHT:5.71mm;WIDTH:0.00mm"></TD><TD></TD><TD ROWSPAN="2"
COLSPAN="19"><TABLE CELLSPACING="0" CELLPADDING="0" LANG="en-US" style=""><TR><TD
style="WIDTH:37.49mm;min-width: 36.08mm;HEIGHT:6.35mm;"
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf530"><DIV style="WIDTH:36.08mm;">permanent
resident of</DIV></TD></TR></TABLE></TD><TD></TD><TD ROWSPAN="2" COLSPAN="3"><TABLE
CELLSPACING="0" CELLPADDING="0" LANG="en-US" style=""><TR><TD
style="WIDTH:16.19mm;min-width: 14.78mm;HEIGHT:6.35mm;"
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf533"><DIV
style="WIDTH:14.78mm;">presently</DIV></TD></TR></TABLE></TD></TR><TR><TD
style="HEIGHT:0.64mm;WIDTH:0.00mm"></TD><TD></TD><TD ROWSPAN="2"
COLSPAN="17"></TD></TR><TR><TD style="HEIGHT:0.78mm;WIDTH:0.00mm"></TD><TD
COLSPAN="20"></TD><TD COLSPAN="3"></TD></TR><TR VALIGN="top"><TD
style="HEIGHT:0.63mm;WIDTH:0.00mm"></TD><TD COLSPAN="7"></TD><TD ROWSPAN="2"
COLSPAN="31"><TABLE CELLSPACING="0" CELLPADDING="0" LANG="en-US"><TR><TD<DIV
style="WIDTH:141.58mm;min-width: 140.17mm;HEIGHT:6.35mm;"
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf536
P81b96846f2ae4cf4a0aca0a5b0f1996b_1_r14"> </DIV></TD></TR></TABLE></TD><TD
COLSPAN="2"></TD></TR><TR VALIGN="top"><TD
style="HEIGHT:5.72mm;WIDTH:0.00mm"></TD><TD ROWSPAN="4" COLSPAN="2"></TD><TD
ROWSPAN="2" COLSPAN="4"><TABLE CELLSPACING="0" CELLPADDING="0" LANG="en-US"
style=""><TR><TD style="WIDTH:14.04mm;min-width: 12.62mm;HEIGHT:6.35mm;"
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf539"><DIV style="WIDTH:12.62mm;">living
at</DIV></TD></TR></TABLE></TD><TD></TD><TD></TD><TD ROWSPAN="2"><TABLE
CELLSPACING="0" CELLPADDING="0" LANG="en-US" style=""><TR><TD
style="WIDTH:7.76mm;min-width: 6.34mm;HEIGHT:6.35mm;"
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf542"><DIV
style="WIDTH:6.34mm;">and</DIV></TD></TR></TABLE></TD></TR><TR><TD
style="HEIGHT:0.63mm;WIDTH:0.00mm"></TD><TD ROWSPAN="2"
COLSPAN="33"></TD></TR><TR><TD style="HEIGHT:0.95mm;WIDTH:0.00mm"></TD><TD
ROWSPAN="2" COLSPAN="4"></TD><TD></TD></TR><TR VALIGN="top"><TD
style="HEIGHT:0.63mm;WIDTH:0.00mm"></TD><TD COLSPAN="4"></TD><TD ROWSPAN="2"
COLSPAN="20"><TABLE CELLSPACING="0" CELLPADDING="0" LANG="en-US"><TR><TD<DIV
style="WIDTH:64.41mm;min-width: 63.00mm;HEIGHT:6.35mm;"
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf545
P81b96846f2ae4cf4a0aca0a5b0f1996b_1_r14"> </DIV></TD></TR></TABLE></TD><TD
COLSPAN="4"></TD><TD ROWSPAN="2" COLSPAN="7"><TABLE CELLSPACING="0" CELLPADDING="0"
LANG="en-US"><TR><TD<DIV style="WIDTH:50.05mm;min-width: 48.63mm;HEIGHT:6.35mm;"
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf548
P81b96846f2ae4cf4a0aca0a5b0f1996b_1_r14"> </DIV></TD></TR></TABLE></TD><TD></T
D></TR><TR VALIGN="top"><TD style="HEIGHT:5.72mm;WIDTH:0.00mm"></TD><TD></TD><TD
ROWSPAN="2" COLSPAN="7"><TABLE CELLSPACING="0" CELLPADDING="0" LANG="en-US"
style=""><TR><TD style="WIDTH:18.53mm;min-width: 17.12mm;HEIGHT:6.35mm;"
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf551"><DIV style="WIDTH:17.12mm;">national
of</DIV></TD></TR></TABLE></TD><TD ROWSPAN="3" COLSPAN="2"></TD><TD ROWSPAN="2"
COLSPAN="3"><TABLE CELLSPACING="0" CELLPADDING="0" LANG="en-US" style=""><TR><TD
style="WIDTH:30.98mm;min-width: 29.57mm;HEIGHT:6.35mm;"
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf554"><DIV style="WIDTH:29.57mm;">holder of
CNIC No</DIV></TD></TR></TABLE></TD><TD></TD><TD></TD></TR><TR><TD
style="HEIGHT:0.63mm;WIDTH:0.00mm"></TD><TD></TD><TD ROWSPAN="2"
COLSPAN="20"></TD><TD ROWSPAN="3" COLSPAN="9"></TD></TR><TR><TD
style="HEIGHT:0.95mm;WIDTH:0.00mm"></TD><TD COLSPAN="8"></TD><TD ROWSPAN="2"
COLSPAN="3"></TD></TR><TR VALIGN="top"><TD
style="HEIGHT:0.63mm;WIDTH:0.00mm"></TD><TD COLSPAN="7"></TD><TD ROWSPAN="2"
COLSPAN="18"><TABLE CELLSPACING="0" CELLPADDING="0" LANG="en-US"><TR><TD<DIV
style="WIDTH:56.92mm;min-width: 55.51mm;HEIGHT:6.35mm;"
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf557
P81b96846f2ae4cf4a0aca0a5b0f1996b_1_r14"> </DIV></TD></TR></TABLE></TD><TD
COLSPAN="5"></TD></TR><TR VALIGN="top"><TD
style="HEIGHT:5.72mm;WIDTH:0.00mm"></TD><TD ROWSPAN="14" COLSPAN="2"></TD><TD
ROWSPAN="2" COLSPAN="4"><TABLE CELLSPACING="0" CELLPADDING="0" LANG="en-US"
style=""><TR><TD style="WIDTH:14.04mm;min-width: 12.62mm;HEIGHT:6.35mm;"
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf560"><DIV style="WIDTH:12.62mm;">valid
till</DIV></TD></TR></TABLE></TD><TD></TD><TD></TD><TD ROWSPAN="2"
COLSPAN="14"><TABLE CELLSPACING="0" CELLPADDING="0" LANG="en-US" style=""><TR><TD
style="WIDTH:92.42mm;min-width: 91.00mm;HEIGHT:6.35mm;"
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf563"><DIV style="WIDTH:91.00mm;">solemnly
affirm that I have lost my Citizen Facilitation and
</DIV></TD></TR></TABLE></TD><TD ROWSPAN="35" COLSPAN="2"></TD></TR><TR><TD
style="HEIGHT:0.63mm;WIDTH:0.00mm"></TD><TD ROWSPAN="2"
COLSPAN="20"></TD></TR><TR><TD style="HEIGHT:0.95mm;WIDTH:0.00mm"></TD><TD
ROWSPAN="2" COLSPAN="4"></TD><TD COLSPAN="14"></TD></TR><TR VALIGN="top"><TD
style="HEIGHT:0.63mm;WIDTH:0.00mm"></TD><TD COLSPAN="17"></TD><TD ROWSPAN="2"
COLSPAN="17"><TABLE CELLSPACING="0" CELLPADDING="0" LANG="en-US"><TR><TD<DIV
style="WIDTH:109.47mm;min-width: 108.06mm;HEIGHT:6.35mm;"
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf566
P81b96846f2ae4cf4a0aca0a5b0f1996b_1_r14"> </DIV></TD></TR></TABLE></TD></TR><T
R VALIGN="top"><TD style="HEIGHT:5.72mm;WIDTH:0.00mm"></TD><TD ROWSPAN="2"
COLSPAN="20"><TABLE CELLSPACING="0" CELLPADDING="0" LANG="en-US" style=""><TR><TD
style="WIDTH:54.60mm;min-width: 53.19mm;HEIGHT:6.35mm;"
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf569"><DIV style="WIDTH:53.19mm;">Service
Center receipt bearing no</DIV></TD></TR></TABLE></TD><TD></TD></TR><TR><TD
style="HEIGHT:0.63mm;WIDTH:0.00mm"></TD><TD ROWSPAN="2"
COLSPAN="18"></TD></TR><TR><TD style="HEIGHT:10.39mm;WIDTH:0.00mm"></TD><TD
COLSPAN="20"></TD></TR><TR VALIGN="top"><TD
style="HEIGHT:6.35mm;WIDTH:0.00mm"></TD><TD></TD><TD COLSPAN="37"><TABLE
CELLSPACING="0" CELLPADDING="0" LANG="en-US" style=""><TR><TD
style="WIDTH:164.43mm;min-width: 163.02mm;HEIGHT:6.35mm;"
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf572"><DIV style="WIDTH:163.02mm;">I declare
on oath that I shall be responsible for use/misuse of receipt lost by me. Kindly
issue my</DIV></TD></TR></TABLE></TD></TR><TR><TD
style="HEIGHT:0.95mm;WIDTH:0.00mm"></TD><TD COLSPAN="38"></TD></TR><TR
VALIGN="top"><TD style="HEIGHT:0.64mm;WIDTH:0.00mm"></TD><TD COLSPAN="7"></TD><TD
ROWSPAN="2" COLSPAN="18"><TABLE CELLSPACING="0" CELLPADDING="0" LANG="en-
US"><TR><TD<DIV style="WIDTH:57.14mm;min-width: 55.73mm;HEIGHT:6.35mm;"
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf575
P81b96846f2ae4cf4a0aca0a5b0f1996b_1_r14"> </DIV></TD></TR></TABLE></TD><TD
COLSPAN="13"></TD></TR><TR VALIGN="top"><TD
style="HEIGHT:5.72mm;WIDTH:0.00mm"></TD><TD></TD><TD ROWSPAN="2" COLSPAN="5"><TABLE
CELLSPACING="0" CELLPADDING="0" LANG="en-US" style=""><TR><TD
style="WIDTH:18.39mm;min-width: 16.98mm;HEIGHT:6.35mm;"
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf578"><DIV
style="WIDTH:16.98mm;">requested,</DIV></TD></TR></TABLE></TD><TD></TD><TD></TD><TD
ROWSPAN="2" COLSPAN="3"><TABLE CELLSPACING="0" CELLPADDING="0" LANG="en-US"
style=""><TR><TD style="WIDTH:21.25mm;min-width: 19.84mm;HEIGHT:6.35mm;"
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf581"><DIV
style="WIDTH:19.84mm;">Certificate.</DIV></TD></TR></TABLE></TD><TD ROWSPAN="4"
COLSPAN="9"></TD></TR><TR><TD style="HEIGHT:0.63mm;WIDTH:0.00mm"></TD><TD></TD><TD
ROWSPAN="2" COLSPAN="20"></TD></TR><TR><TD
style="HEIGHT:21.11mm;WIDTH:0.00mm"></TD><TD ROWSPAN="2" COLSPAN="6"></TD><TD
COLSPAN="3"></TD></TR><TR VALIGN="top"><TD
style="HEIGHT:0.64mm;WIDTH:0.00mm"></TD><TD ROWSPAN="11" COLSPAN="4"></TD><TD
ROWSPAN="3" COLSPAN="17"><TABLE CELLSPACING="0" CELLPADDING="0" LANG="en-
US"><TR><TD<DIV style="WIDTH:57.49mm;min-width: 56.08mm;HEIGHT:6.35mm;"
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf584
P81b96846f2ae4cf4a0aca0a5b0f1996b_1_r14"> </DIV></TD></TR></TABLE></TD><TD
ROWSPAN="2" COLSPAN="2"></TD></TR><TR VALIGN="top"><TD
style="HEIGHT:0.63mm;WIDTH:0.00mm"></TD><TD></TD><TD ROWSPAN="3" COLSPAN="7"><TABLE
CELLSPACING="0" CELLPADDING="0" LANG="en-US" style=""><TR><TD
style="WIDTH:18.53mm;min-width: 17.12mm;HEIGHT:6.35mm;"
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf587"><DIV
style="WIDTH:17.12mm;">Signature:</DIV></TD></TR></TABLE></TD><TD></TD><TD
ROWSPAN="3" COLSPAN="8"><TABLE CELLSPACING="0" CELLPADDING="0" LANG="en-
US"><TR><TD<DIV style="WIDTH:57.49mm;min-width: 56.08mm;HEIGHT:6.35mm;"
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf590
P81b96846f2ae4cf4a0aca0a5b0f1996b_1_r14"> </DIV></TD></TR></TABLE></TD></TR><T
R VALIGN="top"><TD style="HEIGHT:5.08mm;WIDTH:0.00mm"></TD><TD></TD><TD></TD><TD
ROWSPAN="3" COLSPAN="2"><TABLE CELLSPACING="0" CELLPADDING="0" LANG="en-US"
style=""><TR><TD style="WIDTH:23.43mm;min-width: 22.02mm;HEIGHT:6.35mm;"
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf593"><DIV style="WIDTH:22.02mm;">Received
By:</DIV></TD></TR></TABLE></TD></TR><TR><TD
style="HEIGHT:0.64mm;WIDTH:0.00mm"></TD><TD></TD><TD ROWSPAN="3"
COLSPAN="18"></TD></TR><TR><TD style="HEIGHT:0.63mm;WIDTH:0.00mm"></TD><TD
ROWSPAN="3" COLSPAN="8"></TD><TD ROWSPAN="18" COLSPAN="8"></TD></TR><TR><TD
style="HEIGHT:20.21mm;WIDTH:0.00mm"></TD><TD ROWSPAN="17" COLSPAN="2"></TD></TR><TR
VALIGN="top"><TD style="HEIGHT:0.63mm;WIDTH:0.00mm"></TD><TD ROWSPAN="2"
COLSPAN="17"><TABLE CELLSPACING="0" CELLPADDING="0" LANG="en-US"><TR><TD<DIV
style="WIDTH:57.49mm;min-width: 56.08mm;HEIGHT:6.35mm;"
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf596
P81b96846f2ae4cf4a0aca0a5b0f1996b_1_r14"> </DIV></TD></TR></TABLE></TD><TD></T
D></TR><TR VALIGN="top"><TD style="HEIGHT:5.72mm;WIDTH:0.00mm"></TD><TD></TD><TD
ROWSPAN="2" COLSPAN="7"><TABLE CELLSPACING="0" CELLPADDING="0" LANG="en-US"
style=""><TR><TD style="WIDTH:18.53mm;min-width: 17.12mm;HEIGHT:6.35mm;"
class="Ad1aab8b5d80d4a0e8485cf3f39e1adf599"><DIV
style="WIDTH:17.12mm;">Thumb:</DIV></TD></TR></TABLE></TD><TD></TD></TR><TR><TD
style="HEIGHT:0.63mm;WIDTH:0.00mm"></TD><TD></TD><TD ROWSPAN="2"
COLSPAN="18"></TD></TR><TR><TD style="HEIGHT:7.04mm;WIDTH:0.00mm"></TD><TD
ROWSPAN="2" COLSPAN="8"></TD></TR><TR VALIGN="top"><TD
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