Title Mr. Miss. Mrs. Ms.

Full Name

Father Name

Surname

Gender Male Female Other

Religion Muslim Non-Muslim

Maritial Status Single Married Seperated Divorced Widowed

Date of Birth

CNIC Number

CNIC Issue Date

CNIC Expiry Date

Postal Address

Current Address

Permenant Address

District Select District Sukkur Ghotki Khairpur Larkana Shikarpur Jacobabad Kashmore Hyderabad Matiari Tando Muhammad Khan Tando Allahyar Dadu Jamshoro Thatta Sujawal Badin Shaheed Benazirabad Naushahro Feroze Mirpurkhas Umerkot Tharparkar Sanghar Karachi Kambar/Shahdadkot

Domicile No

Domicile Issue Date

PRC Select PRC Urban Rural

PRC Form-D No

PRC Form-D Issue Date

Town/Taluka/Tehsil

Contact Number

WhatsApp