LI FE CERTI FI CATE

T O WHOM IT MAY CONCE RN

This is to certify that
holder of PPO No.
S/O
CNIC No. whose
specimen signature / thumb impression and address are appended below is alive on the
date .
Pensioner Signature / Thumb impression
!ddress
Phone No.
"City !rea Code#
Signature of !ttesting Officer
!ddress
Phone No.
"City !rea Code#
Note: This certificate is to be signed by Cass!I "a##etted Officer $ Miitary
Co%%issioned officer or as a&thori#ed &nder FTR!'('
w w w . p m a d.gov.pk