National Database and Registration Authority: & & Y Y ( ( 77 GGZZ XX

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National Database and Registration Authority


National Identity Card For Overseas Pakistanis
Fathers Name (First, Middle, Last)
Mothers Name
(First, Middle, Last)
Spouses NIC / CNIC / NICOP No.
(First, Middle, Last) (compulsory for married or widowed)
Visible Mark of Identification
( Leave blank if not applicable)
Country of Issue of Passport
Country of Stay Abroad
( Where the Applicant is residing / likely to reside)
Date of Birth ( DD / MM / YYYY)
Pakistani OR Foreign Passport No.
Gender
Male
Female
Profession
Business
Engineering
Medicine
IT
Management
Law
Labour
Student
Education Status / Purpose of Stay Abroad
Emigrant/Employment Abroad
Dual Nationality Holder
Resident/Immigrant Visa Holder
Resident or intending resident
Abroad: (Please tick one of the
below)
Dependent
OPF Member
Gratis NICOP
Govt. Duty/training
Dependent of above
g p Z & y { 7 g Z ** x
g p Z & y { z Z 7 g Z ** x
g p Z & y { z Z { 7 g Z ** x
Applicant NIC / CNIC / CRC / NICOP No.
Fathers NIC / CNIC / NICOP No.
Mothers NIC / CNIC / NICOP No.
Spouses Name
(As it appears on legal documents
Attester Name
Paste your recent
photograph
here
Do not use Pin or Staple
1.5 x 2
Date of Expiry ( DD / MM / YYYY)
In case of Jammu & Kashmir citizen
Azad Jammu & Kashmir Migrant from Kashmir Valley Migrant from Jammu Kashmir or Other areas
Marital Status
Married
Unmarried
Divorced
Widowed
Applicants Signature
Applicants Left Thumb
Applicants Full Name (First, Middle, Last)
4
Instructions
(a) Read carefully the instructions given at the back before filling the form.
(b) One of the addresses (Present / Permanent) MUST be a Pakistani Address.
(c) Form will be rejected if marked fields are left blank.
(d) Both English and Urdu fields are compulsory to be filled.
(e) Use CAPITAL letters to fill the form.
Place of Birth
* Phone Number
E-mail
Attester Signature
{ z 0+ 7 g Z ** x / ~
(NICOP OR CNIC holder)
Graduate
Under Graduate
Others
(Country Code - City Code - Phone No.)
*
7
*
10
*
13
*
21 22
*
23
*
24
*
25
29
*
5
*
9
*
8
9
12
*
11
15
*
14
16
17
*
19
*
18
*
20
30
*
Family Head NIC / CNIC / NICOP No. Relation with Family Head
Type of Application New Duplicate Renewal Change Surrender
1
*
2
*
3
*
32
*
( ~ { Z Z c z g ~ / { )
Attester CNIC / NICOP No.
31
*
Mode of Payment
Bank Receipt No.
Bank Draft No.
Ministry of Interior, Government of Pakistan
28
* Religion
Muslim
Christian
Qadiani /
Ahmedi
Hindu
Parsi
Sikh
Budhist
Applicants Old NIC No.
Barcode Sticker
(Preferably Foreign, Zip code is required if applicable / Otherwise Pakistani) Present Address
(Pakistani / Foreign Address, Zip code is required if applicable) Permanent Address
Student Visa
Medical Treatment
Post Graduate
Others Others
Others
I Solemnly affirm that, I believe completely and unconditionally in the finality of the Prophethood of the
Prophet MUHAMMAD (PBUH), and that I am not a follower of any person who claims Prophethood on the
basis of any interpretation of this word, neither I believe such a claimant to be a reformer or a prophet,
nor I belong to Qadiani or Lahori group or call myself Ahmedi.
*
34
*
33
*
Extra Rs. 50 for Pakistan &
US$ 10 or equivalent for
abroad will be charged.
Tel ephone Number i s
mandat ory f or Home
Delivery.
Home Delivery
None
Pakistan
Abroad
**
*
Blood Group
*Blood Relative Reference Name
26
27
Signatureor
M andatory incaseof M uslim
* Mobile Number
(PTO and See Para 12)
Relation
CNIC / NICOP No.
Thum b Im pression
Nadra Receipt No.
Date:
Date:
Date:
Amount: Currency:
For Official Use Only
USA Address with Zip Code
U S A
Pakistani Address with Tehsil & District
P A K I S T A N
FILLABLE FORM
ANY CNIC/NICOP HOLDER,
BUT NOT BLOOD RELATIVE
CONSULATE GENERAL OF PAKISTAN
NADRA OFFICE
12 East 65th Street, New York, NY 10065
www.pakistanconsulateny.org /nadra@pakistanconsulateny.org


NEW NICOP (FIRST TIME):

DOCUMENT DETAIL
1. Dully filled NICOP Form With thumb and signature including Urdu field (6, 9, 12, 15)
(application will be rejected if *marked fields left blank)

2. CNIC (Computer ID Card) or
MNIC (Manual ID Card) copy
Both sides (prefer CNIC if issued)
3. Valid Passport Copy
(Pakistani or U.S./Foreign)
If applicant OR applicants parents (both) have CNIC/NICOP then
notarized copy of expired passport is also acceptable

4. Two recent Pictures
(passport size)
White background only, facing towards camera
5. Fees US$ 35.00
(Money order only)
Payable to the Consulate General of Pakistan New York
6. Blood Relative
CNIC/NICOP reference
Require CNIC/NICOP reference of first blood relative (Father,
Mother, Brother, Sister, Son, Daughter or *Spouse) in column 33

7. Marriage Certificate copy
(for female applicants only)
First time registration as married person (not required if female
applicant is more than 50 years old)

8. A stamped, self addressed
envelope
If sending this application by mail (for receipt)

FOR CHILDREN BORN IN USA/FOREIGN COUNTRY:

DOCUMENT DETAIL
1. Dully filled NICOP Form With thumb including Urdu field (6, 9, 12, 15) (application will
be rejected if *marked fields left blank)

2. Birth Certificate Copy Must attach Child Registration Certificate (CRC, also called
form bay), if issued from NADRA

3. Valid Passport Copy
(Pakistani or U.S./Foreign)
If child has (CRC) OR parents (both) have CNIC/NICOP, then
notarized copy of expired passport is also acceptable

4. Two recent Pictures
(passport size)
White background only, facing towards camera
5. Fees US$ 35.00
(Money order only)
Payable to the Consulate General of Pakistan New York
6. Parents MNIC or CNIC or
NICOP copies

7. A stamped, self addressed
envelope
If sending this application by mail (for receipt)

FOR CHILDREN BORN IN PAKISTAN:

DOCUMENT DETAIL
1. Dully filled NICOP Form With thumb including Urdu field (6, 9, 12, 15) (application will
be rejected if *marked fields left blank)

2. Child Registration Certificate
(CRC) and/or
Birth Certificate copy
Must attach Child Registration Certificate (CRC, also called
form bay), if issued from NADRA

3. Valid Passport Copy
(Pakistani or U.S./Foreign)
If child has (CRC) OR parents (both) have CNIC/NICOP, then
notarized copy of expired passport is also acceptable

4. Two recent Pictures
(passport size)
White background only, facing towards camera
5. Fees US$ 35.00
(Money order only)
Payable to the Consulate General of Pakistan New York
6. Parents MNIC or CNIC or
NICOP copies

7. A stamped, self addressed
envelope
If sending this application by mail (for receipt)

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