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Registration No.

Name of Applicant

S/O, D/O, W/O

CNIC

Passport No.

Mailing Address Current

Mailing Address Permanent

Designation / Occupation

Phone No.

Res.

Mobile

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Nominee Information

Name of Nominee

S/O, D/O, W/O

CNIC

Passport No.

Relationship with Applicant

Phone No.

Select Unit Type

Additional Membership

NAHRA Resorts & Golf Club Membership

DD / Pay Order / Cash Receipt #

Total Amount (PKR)

Amount in Words

Date

Drawn on Bank

Branch

Remarks