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For Credit to Collection A/C # 0042-79000936-03 ISIC Development Pakistan Maintained at HBL State Life Branch Karachi

First Name: Surname: Nationality:


Date of Birth: Card Type:
D D ISIC M M

PHOTO
Y Y Y Y

Email : Mobile :

ITIC

IYTC

Statutory declaration and agreement with data handling


1. I declare honestly that the data which I specified are true and complete and the confirmations are valid. Identification documents used are originals. I am aware that if I were to specify incorrect data or were to suppress information which would alter the outcome of this application, that I would be liable for a penalty of up to 5000, - Rupees and may be claimed as damages in accordance to the Act no. 40/1964 Collection of Laws, Civil Code, as amended by appointment. I hereby give my signature to this application form by course of law no. 101/2000 Collection of Laws, about protection of personal data, as amended by appointment, to the company ALIVE ASIA (Pvt) Ltd. 4 Bank Square, The Mall, Lahore 54000, Pakistan. I acknowledge and agree to the above mentioned company to utilise personal data, including photo, to verify my status (i.e. to attest card truth and status of pupil/student or educational / academic worker which for the condition of student benefits and advantages). Additionally also for the registration, control, trading, marketing in terms of enterprise activities for an unlimited period of time and covering all elements of the personal data collected. I agree and provide the rights to Alive Asia (Pvt) Ltd and third persons to use my email address for the sending of relevant and related trading information and value added services e.g. mobile wallet, connected to the respective identity document which I have applied for in accordance of the law no. 480/2004 Collection of Laws. I take due note to and I agree that my personal data may be handled by third parties and in particular stored and utilised by the central International Association Services (IAS) office place, seated at Kongensgade 40H, DK 1264 Copenhagen K, Denmark and trading at Keizersgracht 174-176, 1016 DW Amsterdam, Netherlands. I understand that the IAS is a service company of Denmark and a not for profit organization of the International Student Travel Confederation. Data shall be used for the provision of benefits in other territories where differing levels of protection of personal data may exist. I take due note to agree with personal data processing in the range and the condition as mentioned above and I will not misuse benefits which have been contractually provided. More info will find on www.isic.com.pk at section personal data protection.

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Information about rights of the subject data by course of 11 a 21 of law no. 101/2000 Collection of Laws, about personal data protection
The data manager is able to handle personal data which was received from the subject according to his/her agreement and to add other personal data. To give the personal data is free. The personal data will be utilized in written form and electronic form. The subject of data must be provided when required by law without delay. If the subject believes that the data manager has handled the data incorrectly, the data manager is required to provide a full explanation and may asked to release further details or undertake certain action related to the data in question. This may consist of correcting, reviewing and or liquidation of the personal data. If the data manager does not respond to the request of the subject, the subject can approach the Board of the personal data protection for further action.

For a complete list of benefit partners please visit www.isic.com.pk & www.isic.org Please note that the entire application form must be filled out for the applicable identity card to be issued:

Please follow these steps to get an ISIC card: 1. Fill out the Application Form. Kindly get it attested from your school / Academic Institution 2. One recent photographs attach with it (Passport size) 3. Deposit Rs. 930/- ($9.5 USD) in our bank account at any HBL Branch in Pakistan

HBL BRANCH Name: HBL Branch Code: HBL Deposit Slip #: HBL Account Title: ISIC Development Pakistan HBL Account Number: 0042-79000936-03 4. Copy of Deposit from the Bank.

Mail all these documents to the following address:

International Student Identity Card (ISIC): 4-Bank Square, Shahrah E Quaid-e-azam Lahore Pakistan

Thank you and Best wishes ISIC Development Pakistan 4 Bank Square, Shahrah e Quaid e Azam, Lahore - 54000. Pakistan. Mob: +92 333 844 4164 Fax: +92 42 3629 8664 Email: info@isic.com.pk www.isic.com.pk www.isic.org

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