Election Commission, Pakistan Association Japan Nomination Form for General Elections, Pakistan Association Japan (2008-2010) Candidate for the Post of Prefectural ______________________ of the ___________________ Prefecture Name: Paste Photograph Here Father’s Name: National ID Card No. (NADRA or NICOP or Pakistan Origin) Visa Status in Japan: Visa Expiration Date: Address: T Prefecture _______________ City _____________ Alien Card No. Passport No. Phone: Passport Expiration Date: Fax: E.mail: Please attach copies of the passport, alien card, NADRA/NICOP card, etc. Nominee 1 : Name Address Tel. Nominee 2 : Name Address Tel. Please pay Election Fee (Furikomi) in the following Post Office Account Post Office Account 10650-22403741 AL-HAQ Muhammad Imran Have you transferred Election Contesting Fee? Yes / No , on which date 2008/11/___________ I hereby declare that all the information provided above is correct to my knowledge. Signature: _______________________________________ Date: 2008/ / The duly filled forms should reach to Dr. Imran Al-Haq by November 07, 2008, 6:00 pm. 〒 300-2662 Ibaraki Prefecture, Tsukuba shi, Kaname 315-10, Dr. Imran Al-Haq Notes: (1) Forms should preferably be typed/printed but handwritten are also acceptable. (2) Incomplete forms will be rejected.
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