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AEDB (CERTIFICATION) REGULATIONS, 2021

APPLICATION FORM
(FRESH/ RENEWAL)

CATERGORY APPLIED FOR


(Tick the relevant column)
C-1  C-2  C-3 

1 Name of Firm / Company

1.1 Date of Establishment


D D M M Y Y Y Y

2 Name of CEO

3 NTN -
4 STRN

5 Provincial
STRN

6 PEC Reg. No.

7 Address Head Office (Registered)

7.1 City
7.2 Contact Number
7.3 Fax Number
7.4 Email Address
7.5 Website

Name of Country
8 Country of origin Pakistani  Foreign 

Partnership Private Limited Company 


9 Type of Ownership
Public Limited Company SMC (Pvt) Ltd Company 
(Tick one only)
Statutory Body Joint Venture 
Sole Proprietorship 

10 Application process fee


10.1 Bank
10.2 Branch

10.3 Pay Oder /Demand Draft No.

10.4 Amount
(PKR)
(In figures) (In words) Dated

D D M M Y Y Y Y

11 Bank Guarantee
11.1 Issuing Bank

11.2 Branch

11.3 Guarantee No.

11.4 Issuing Date


D D M M Y Y Y Y

11.4 Valid up to
D D M M Y Y Y Y

12 UNDERTAKING
I undertake that the information given above and documents / papers attached
herewith are correct and accurate to the best of my knowledge.

Company / Firm Seal


Signature:

Name:

Mobile No:

Date: _____________________

CNIC No: - -

(CEO/ Chairman/ Managing Partner or Director)

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