Overseas Online Application

Membership Form

DHAI - 400(R)

DEFENCE HOUSING AUTHORITY ISLAMABAD-RAWALPINDI

(Membership / Associate Membership Form)

PHASE

PROJECT

OVERSEAS PAKISTANI BALLOT

Name Hunain Imtiaz

NICOP No

Passport No

(Attested Photocopy Attached)

(If any)

(Attested Photocopy Attached)

Personal No (Svc Pers)

Rank

Arm/Svc

Educational Qualification MBA

Profession Business Man

Religion Islam

Nationality Pakistani

Plot/Shop/Villa/Apartment No 4

(Res/Com) Residential

Street/Lane No 12

Sector K

Size 1 Kanal

Date of Birth/Age 04-10-1977

Place of Birth Karachi

Marital Status Married

Date of Marriage 17-09-2003

10.

Father's Name Saqib Imtiaz

Profession Business Man

11.

Husband's Wife's Name Zunaira Imtiaz

Profession House Wife

12.

Present Address H# 4, St 2, DHA Phase I, Rawalpindi

Tel No (Office)

Tel No (Res)

Mobile No +92-321-5467335

Fax No

E-mail [email protected]

13.

Permanent Address H# 4, St 2, DHA Phase I, Rawalpindi

Tel No (Office)

Tel No (Res)

Mobile No +92-321-5467335

Fax No

E-mail [email protected]

14.

Present Domicile Rawalpindi

DEFENCE HOUSING AUTHORITY ISLAMABAD-RAWALPINDI

Defence Mall, Defence Avenue, Phase-I Islamabad, Tel: UAN 111-555-400. Fax 5788086, Email: [email protected], www.dhai-r.com.pk

15.

Next of Kin

Relation

NICOP No

Passport No

(Attested Photocopy Attached)

(If any)

(Attested Photocopy Attached)

Address

Tel No (Office)

Tel No (Res)

Mobile No +92-321-5467335

Fax No

E-mail [email protected]

16.

List of Family Members:-

SER	NAME	DATE OF BIRTH/AGE	RELATION
a.	Zunaira Imtiaz	02-04-1980	WIFE
b.
c.
d.
e.
f.

17.

Following are attached:-

a.	Two Passport size coloured photographs
b.	Attested photocopy of CNIC.
c.	Attested photocopy of CNIC of next of Kin (NOK).

18.

I hereby declare and certify that:-

a.	The above particulars are correct to the best of my knowledge and belief.
b.	I am desirous to become a Member / Associate Member of DHA Islamabad-Rawalpindi in accordance with the rules/byelaws, terms & conditions of the DHA Islamabad-Rawalpindi. I hereby agree to abide by the same.

Date : 28-07-2020

DEFENCE HOUSING AUTHORITY ISLAMABAD-RAWALPINDI

Defence Mall, Defence Avenue, Phase-I Islamabad, Tel: UAN 111-555-400. Fax 5788086, Email: [email protected], www.dhai-r.com.pk

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Payment Details - DHA Islamabad-Rawalpindi

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Order Summary

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APPLICATION DETAILS

OVERSEAS PAKISTANI BALLOT

+92-51-111-555-400

Extn 1244, 1258, 1381

Extn 1301 - 1305
Cell +92-321-5082777
+92-321-5081777

[email protected]

Consumer/Application No
Please login to your Roshan Digital Account and pay against the above mentioned consumer/application no. After successful payment you will receive a confirmation email from Bank and DHA Islamabad along with user credentials on your registered email address. In-case of any issue please email at [email protected]