International Islamic University

Islamabad

Pensioner's Pre-Receipted Bill

Received a sum of Rs __________________ (Rupees _____________________________)

from the international Islamic University Islamabad being the amount of my pension
as retired pension of Mr. Shaukat Hayat for the period from _____________________to
___________________ @ Rs ___________________ per month.

Name: Shaukat Hayat

Son of: Sandal Khan
Designation: Asst. Prof. of Law
Address: 14, Neelum Road, G-9/3, Islamabad
Account Number: 50060010977903.
Bank Branch: Habib Bank Limited, International Islamic University,
Islamabad Branch.
Branch Code: 5006.
Bank Address: Habib Bank Limited, International Islamic University,
Islamabad , H-10, Islamabad.

Signature: ____________________

Dated: __________________

Certificate
It is certified that the pensioner, who has signed this bill in my presence is alive and
he has not re-married today on __________________.

Name: Seyyed Inam ur Rahman,

Department of Media & Communication Studies,
International Islamic University,
Islamabad.
Designation: Assistant Professor

Signature: ___________________

Dated: __________________

Official Seal: _________________________