7/23/2019 Humanity Foundation Trust

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Humanity Foundation Trust

Name: ______________________

1. Guardians Name (if applicable): _______________________ Relation: ______________________

Contact: _______________________ Mobile: _______________________

a) Address: ____________________________________________________________________________

b) CNIC No: _______________________________ Profession: ____________________

c) Business !er"ice: ____________________________________________________________________

d) Mont#l$ Income (from all sources): (Rs%) __________________________________________________

e) &t#er Address: _______________________________________________________________________

Contact: _______________________ Mobile: _______________________

2. No% of C#ildren: ________________ C#ildren Current !tatus: In 'ob !tud$in

3. Accommodation: &ned Rented

a) Mont#l$ rent (In case of rented accommodation): ____________________________________________

b) In case of oned *ouse: Marlas

4. Nature and e+penses Mont#l$ ,tilities: (Rs%) _______________________________________________

5. *a"e $ou an$ con"e$ance: Motorc$cles Car Bot# None

In case of car: &ned Compan$ CC

6. An$ ot#er Propert$ (if applicable): _______________________________________________________

__________________________________________________________________________________________

STATEMENT

I Mr% Mrs% ________________________________________________ solemnl$ declare t#at t#e abo"e

pro"ided information is correct to t#e best of m$ -nolede% In case. t#e pro"ided information is found fa-e.

t#e present s#all be cancelled b$ t#e Manaement%

/ate: ___________________ !inature: _____________________

Attac#ments re0uired:Copies of NIC, Income Cerificae, !i"i# $i""s %E"ecrici#, &aer, 'as, and

Te"ep(one)

ESE*+IN' STAT!S

Remar-s: _________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

!inature____________________