PASSPORT OFFICE COPY DEPOSITOR’S COPY TREASURY COPY

National Bank of Pakistan National Bank of Pakistan National Bank of Pakistan

Case No. Date : Case No. Date : Case No. Date :

Call Date : Call Date : Call Date :
Name : Name : Name :
N.I.C. No. N.I.C. No. N.I.C. No.
Address : Address : Address :

Paid into the National Bank of Pakistan in cash for credit to
Passport & Visa Fee Collection Account and subsequent
credit to A/c No. “9200-9254 - EMIGRATION AND
PASSPORT FEES” with State Bank of Pakistan.
ORDINARY INTERNATIONAL PASSPORT
Paid into the National Bank of Pakistan in cash for credit to
Passport & Visa Fee Collection Account and subsequent
credit to A/c No. “9200-9254 - EMIGRATION AND
PASSPORT FEES” with State Bank of Pakistan.
ORDINARY INTERNATIONAL PASSPORT
Paid into the National Bank of Pakistan in cash for credit to
Passport & Visa Fee Collection Account and subsequent
credit to A/c No. “9200-9254 - EMIGRATION AND
PASSPORT FEES” with State Bank of Pakistan.
ORDINARY INTERNATIONAL PASSPORT

Rs. Ps. Rs. Ps. Rs. Ps.

(a) Fresh Passport (a) Fresh Passport (a) Fresh Passport

(b) Renewal (b) Renewal (b) Renewal
(c) Endorsement for (c) Endorsement for (c) Endorsement for
(Additions/Alterations, etc.) (Additions/Alterations, etc.) (Additions/Alterations, etc.)
(d) Visa Fee (d) Visa Fee (d) Visa Fee
(e) Nationalization/Citizenship (e) Nationalization/Citizenship (e) Nationalization/Citizenship
Certificates Fee Certificates Fee Certificates Fee
(f) Any other fee including cost of (f) Any other fee including cost of (f) Any other fee including cost of
passport Booklet passport Booklet passport Booklet

Rupees Rupees Rupees

(in words) (in words) (in words)
NOT REFUNDABLE

NOT REFUNDABLE

NOT REFUNDABLE
Head Cashier Officer’s Sign. Head Cashier Officer’s Sign. Head Cashier Officer’s Sign.

Bank Charges Bank Charges Bank Charges

Rs. 25/- Rs. 25/- Rs. 25/-
Sign. of Depositor Sign. of Depositor Sign. of Depositor