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DOMICILE SUBMISSION FORM

Status in Process

Objection

Ready

Issued

Sr.No.

Total

Domicile No._________________________

District______________________

Submission Date______________________

Due Date____________________

Upload Picture_______________________

Full Name: ___________________S/O,D/O,W/O: ______________________________

Address

_______________________________________________________________

Date of Arrival _______________

Occupation _________________

Date of Birth

________________

Mark of Identification _________________

NIC Holder

_________________

NIC No. ______________________________

Marital Status

________________

Spouse Name ___ _________

Remarks _______________________________Mobile Number

Attached Documents
NIC
Father NIC
Husband NIC
Birth Certificate
Bank Receipt
Photographs
Property Documents
Utility Bills
Resident Certificate
School Certificate
Voter List
Duly Filled P1 Form
Domicile Affidavit
Form B

___________________
Children Information

1. __________________________________
2. __________________________________
3. __________________________________
4. __________________________________
5. __________________________________

Grant of Domicile Certificate Under Rule 23

Of the Pakistan Citizenship Rule, 1951

Mr./Mrs/Miss:

_____________________

Son /Daughter /Wife

______________________

Residence

of

_________________________________________________________

has

applied to the District Coordination Officer for the grant of Domicile Certificate on the
prescribed form P which is accompanied by: -

(i)

An affidavit duly sworn by

APPLICANT

Countersigned / attested by Oath Commissioner

(ii)

2.

Verification by Police /Revenue Agency regarding residence of the applicant may

be pursued.
3.

A sum of Rs. 200/- has been deposited in the Bank vide schedule of the Bank

attached under the Citizenship Rule 1951.

4.

The above papers are forwarded to the District Coordination Officer for

necessary action subject to: -

ASSISTANT COMMISSIONER
RAWALPINDI
Office In charge

The forms placed below are in order and have been duly checked
and verified. The District Coordination Officer is requested to issue the Certificate placed
below in duplicate.

OFFICER INCHARGE

D.C.O

APPENDIX XIV

FORM P-1
No. __________________________

Date: ________________

THE PAKISTAN CITIZENSHIP ACT, 1951 (II OF 1951) AND

RULES MADE THEREUNDER (VIDE RULES 23)

CERTIFICATE OF DOMICILE
Wheres ______________ D/O ______________________ has applied for a
certificate of domicile under the Pakistan citizenship Act 1951 (II of 1951) alleging with respect
to himself here is the particulars set on below, and has satisfied the undersigned that the
condition laid down in section 17 of the said Act, for the grant of the certificate of domicile are
fulfilled in the ______________ case.

Now, therefore, in pursuance of the powers conferred by the said

______________ Act and the rules made there under the undersigned hereby grant to
the said this certificate of domicile.
In witness where of I have to subscribed my name this day of _________2014.
Signed: _________________________________________
Name __________________________________________
District Coordination Officer ________________________

PARTICULARS RELATING TO THE APPLICANT

Full Name:
Husband Name:
Address in Pakistan:

______________
______________________
_________________________________________________________________

Address in the country outside Pakistan

NIL
Place
Place of Domicile
Prov/Admn/West Pakistan
Date of arrival in the Place of Domicile:
Married/Single/Widow/Widower
Name of wife or husband
Date of Birth.

Tehsil

District_____

Age: 00-00-0000

Name of children and their ages:

__________________________________________
__________________________________________

PHOTO

Trade or Occupation
Marks of Identification:

NIL

Date: ______/______/2015.
District Coordination Officer
Rawalpindi.

APPENDIX VIII
FORM P
VIDE RULE 23, PAKISTAN CITIZENSHIP RULES 1951
APPLICATION FOR CERTIFICATE OF DOMICILE PAKISTAN
To
The District Coordination Officer,
Rawalpindi.
I, ______________ S/O ______________________ Hereby state that I was formerly the
resident of _________________________________________________________ have arrived
in Tehsil Rawalpindi District Rawalpindi Rev/Adm Punjab
In Pakistan Since ____________ day of

. I have been continuously residing in

Pakistan for a period of _________ years ________ months immediately. preceding

this declaration and I hereby express my intention to abandon my domicile of origin in
________________________ and with a view to acquire the remaining of my life.
I further affirm that I had not migrated to India & returned to Pakistan between
The 1st March 1947 to the date of this application except on visa No. ______________
dated _________.
Issued by the Pakistan Passport office at:
Other particulars are given below: Married / Single / Widow
Name of wife or husband:
Name of Children & their ages:

Trade & Occupation:

Marks of Identification:

Do solemnly affirm that the above statement is true to the best of my knowledge and belief.
Attestation: ____________________

Signature:

Designation: ___________________

Place:

Place and Date: _________________

Date:

RAWALPINDI

PROVINCIAL

Treasury or Sub Treasury

Challan of Cash Paid into

Challan No.

National Bank of Pakistan

State Bank of Pakistan

FORM 32 A

To be filed in the Remitters

IN WORD RUPEES

200/-

1390-MISC

Amount

(Rupees Two Hundred Only )

Signature
Treasury

Full Particulars of
the remittance
and of authority
if any

Domicile Fee

District Coordination Officer

Rawalpindi

By Whom Tender

Name or
designation
and address of
the person of
who behalf
money is paid

To be filled by the
Departmental Officer of
the Treasury
Head of
Order of the
Account
Bank

Received Payment
Accountant

Date

Treasury Officer
Agent/Manager

AFFIDAVIT
I,

__________________

S/O

__________________

resident

of

___________________________________________________do hereby solemnly affirm and

declare as under: -

1.

That I am residing in district Rawalpindi since birth.

2.

That I never migrated to India on or after 1st March 1947.

3.

That the particulars furnished by me in the application forms for the grant of
domicile certificate are correct.
That, I neither obtained nor shall obtain the same from any other district of
Pakistan after having been granted this one.

4.

I, further affirm and declare that the contents of the above affidavit are true and
correct to the best of my knowledge and belief and nothing has been concealed there from.

Deponent. ___________________