GOVERNMENT OF PAKISTAN FORM PHAF-05

MINISTRY OF HOUSING & WORKS

PHA FOUNDATION
(MEMBERSHIP FORM FOR KUCHLAK ROAD PROJECT QUETTA ONLY)

Quota (Select One) Federal Government Government of Balochistan General Public PHA-F/Mo H&W
Category of Housing Unit applied for (Select one) Cat-I Cat-II Cat-III Cat-IV Appartment

NAME OF APPLICANT

FATHER'S / HUSBAND's Paste Photograph

NAME (1'x1') Don’t staple
CNIC # - -
DATE OF BIRTH - -

POSTAL ADDRESS

CONTACT DETAIL OFFICE LAND LINE

CELL #

DD/PO No. DATE - -

BANK NAME BRANCH

Paste copy of CNIC (Front Side). Don’t staple Paste copy of CNIC (Back Side). Don’t staple

I certify that the information filled in this proforma are correct to the best of my knowledge.
DATE OF APPLICATION - - Applicant's Signature
(dd-mm-yyyy)
For Government Employees Only

OFFICE'S NAME & ADDRESS

DATE OF JOINING SERVICE - - (dd-mm-yyyy)

DESIGNATION BPS
Attestation:
Signature with stamp of Authorized Officer SUPERANNUATION DATE - -
APPLICANT'S COPY This portion is to be filled by PHA-F
Membership Registration Form
Received with thanks from Mr./Mrs./Ms.________________________________________________CNIC
A Membership Registration Form along with demand draft/pay order for the sum of RS-(In Figures)
(In Words) _____________________________________________________________________
Vide demand draft/pay order/bank reciept No._______________________________________ Date:

Authorised Officer _________________________

Note: Please submit a copy of demand draft alongwith original application form at
Stamp & Signature ___________________________
PHAF head office Islamabad/Regional Offices for record.

Page 1 of 2
 GENERAL INSTRUCTIONS

 This Membership Form is for Kuchlak Road Project Quetta Only.

 All Pakistani citizens, including Azad Kashmir, Gilgit Baltistan, and
Overseas Pakistanis having valid NADRA CNIC are eligible for
membership.
 Membership fee is Rs.10000/-.(Non- refundable) for General Public and Rs.
5000/- for Government Employees (both Federal and Government of
Balochistan).
 Membership form along with demand draft shall be submitted in head office
of PHA Foundation Islamabad, regional offices at Quetta, Lahore and
Karachi.
 Please fill in the form in CAPITAL letters.
 Cutting / overwriting or ambiguous entries shall not be accepted.
 Latest photograph shall be affixed on form on specified place.
 Copy of CNIC shall be enclosed as well as pasted on the form.
 In case of overseas Pakistanis copy of Passport shall be enclosed.
 Demand Drafts of Rs. 10,000/- (Non-refundable) for General Public and
Rs. 5000/- (Non-refundable) for Government Employees (both federal and
government of Balochishtan) in favor of PHA Foundation, Islamabad,
should be submitted along with membership form.
 Incomplete form will not be entertained.
I have read the above general instructions and understood them.

Signature & Date

Page 2 of 2