* These fields are mandatory
Format (Country Code-Area/City Code-Number) (e.g. 92-42-XXXXXXXX)
Format (Moblie Company Code-Number)(e.g. 03XX-XXXXXXX)
Format (Email ID@Domain Name)(e.g. 'firstname.lastname@example.org')
Format (e.g. XXXXX-XXXXXXX-X)
Persons under 18 can mention CNIC Number of their parents/ Guardian or their B-Form Number.
Attach passport size photograph here
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Image Verification *What is this?
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