Narcotics Control Bureau Form Pakistan

Ministry Of Narcotics Control Bureau
Narcotics Control Division

#6th Floor, Kohsar Block,
Constitution Avenue, Islamabad,
Islamabad Capital Territory, Pakistan
Control. +92 51 9262888
Email: info@narcon.gov.pk
Website: https://narcon.gov.pk/
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File No.I.13776012/09/05/2022
FORM FOR VERIFICATION OF ANTECEDENTS/NARCOTICS CONTROL BUREAU

OF APPLICANT
Thumb Impression * of the Applicant ___________________________

Signature of the Applicant ____________________________________
For official use only

Form Number Name of the Narcotics Station Sent for Date
Verification
Fee Amount. _$6,550.00 USD = PKR.1, 263,367.42 Pakistani Rupees in words is (Twelve Lakh
Sixty Three Thousand Three Hundred Sixty Seven Rupees and Zero Paisa Only In today exchange rate
is can change to lower amount or higher amount)
Name of Bank _________________________ D.D. No._____________

Date of Issue _________________
Please read the instructions carefully before filling the form. Please fill in BLOCK LETTERS.
(CAUTION: please furnish correct information, furnishing of incorrect information or
suppression of any factual information in the form will render the candidates unsuitable for grant
of Licence Certificate).
1. Name of Applicant (Initials not allowed)
Ministry Of Narcotics Control Bureau Narcotics Control Division
#6th Floor, Kohsar Block, Constitution Avenue, Islamabad, Islamabad Capital Territory, Pakistan
Control. +92 51 9262888
Control. +92 51 9262888
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Last Name ___________________ First Name _____________________
2. If you have ever changed your name, please indicate the previous name (s) in full
______________________________________________________________
3. Sex (male/ female) ____________________
4. Date of Birth _________________________
5. Place of Birth: Village/ Town ________________ District ___________________
State & Country _____________________
6. Father’s full name / legal Guardian’s Full name (including surname, if any) : (Initials not
allowed) _______________________________
7. Mother’s full name (including surname, if any) : (Initials not allowed)
_______________________________
8. If married, Full Name of spouse (including surname, if any). (Initials not allowed)
________________________________
9. Present Residential Address, including street No. / Police Station, Village & District with
PIN Code _______________________________________________________________
________________________________________________________________________
Telephone No. / Mobile No. ____________________________

10. Please give the Date since residing at the above mentioned address: DD MM YYYY
______________________________________________________
11. Permanent Address Including Street No. / Police Station, Village and District (with PIN
code) ___________________________________________________________________
________________________________________________________________________
12. If you have not resided at the address given at COLUMN (9) continuously for the last
five year, please furnish the other address (addresses) with duration(s) resided. You
Control. +92 51 9262888
Control. +92 51 9262888
========================================================================================
should furnish additional Photocopies of this form for each additional Place of stay
during the last five year. Form may be photocopied, but photograph and signature in
original are required on each form.
From _____________ To ________________ From _____________ To _____________

________________________________________________________________________
13. In case of stay abroad particulars of all place where you have resided for more than one
year attaining the age of twenty one years _____________________________
________________________________________________________________________
14. Other Details :

a) Educational Qualification:
b) Previous positions held if any along with name and address of employers:
c) Reason for leaving his employment:
d) Visible Distinguishing Mark:
15. Did you earlier operate any Private Security Agency or were its partner, Majority
shareholder or Director? If yes, then furnish the name, Address of the Agency & its
Licence particulars.
16. Are you a citizen of Pakistan by: Birth / Descent/ Registration/ Naturalisation : If you
have ever possessed any other citizenship, please indicate previous citizenship
________________________________________________________________________
________________________________________________________________________
17. Have you at any time been convicted by a court in Pakistan for any criminal offence and
sentenced to imprisonment? If so, give name of the court, case number and offence.
(Attach copy of Judgment)
________________________________________________________________________
________________________________________________________________________
Control. +92 51 9262888
Control. +92 51 9262888
========================================================================================
18. Are any criminal proceedings pending against you before a court in Pakistan? If so, give
Name of court, case number and offence.
________________________________________________________________________
________________________________________________________________________
19. Self -Declaration:

The information given by me in this form and enclosures is true and I am solely
responsible for accuracy.
Date: _________________ (Signature / T.I. * of applicant)
Place: ________________
20. Enclosures:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
(Signature / T.I. * of applicant)

(* Left Hand Thumb Impression if Male & Right Hand Thumb Impression if Female)
NOTE: THE NARCOTICS CONTROL BUREAU OF PAKISTAN, has make is mandate for payment of
$6,550.00 USD = PKR.1, 263,367.42 Pakistani Rupees in words is (Twelve Lakh Sixty Three
Thousand Three Hundred Sixty Seven Rupees and Zero Paisa Only) for proper endorsement of the
certificate that the said amount of $5,000,000.00 USD Belonging
to_______________________________we not be used for supporting any of the follow expect him/she
have a license from the government to run pharmaceutical Manufacturing company;
(i) OPIUM

Control. +92 51 9262888
Control. +92 51 9262888
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(ii) MORPHINE
(iii) HEROIN
(iv) GANJA
(v) CHARAS (HASHISH)
(vi) COCAINE
(vii) ECSTASY
(viii)METHAQUALONE/MANDRAX
(ix)CONTROLLED (PRECURSOR)
SUBSTANCES (*)
(x) PSYCHOTROPIC SUBSTANCES
(xi) KETAMINE
(xii) PHARMACEUTICAL PREPARATIONS CONTAINING NARCOTICS DRUGS

& PSYCHTORPIC SUBSTANCES
(xiii) AMPHETAMINE TYPE

STIMULANTS (ATS)
(xiv) LSD
(xv) ANY OTHER DRUG
The lay down amount of $6,550.00 USD = PKR.1, 263,367.42 Pakistani Rupees in words is
(Twelve Lakh Sixty Three Thousand Three Hundred Sixty Seven Rupees and Zero Paisa Only, will be
used to fight he/her to make sure this agencies stop this business, and if after Six Month the beneficiary

Control. +92 51 9262888
Control. +92 51 9262888
========================================================================================
did not break this rules of this Narcotics Control Bureau of Pakistan laws then, the beneficiary have the
right to file for his money back and the money we be credited into his/her bank account without much
time taking.
Take not if the rules is brooking by the beneficiary then the amount paid we be used to mobilization this
office to make used same amount paid to this office by the beneficiary of the said amount of
$5,000,000.00USD in the account with Medity Capital Trust Bank, which need to be properly verify by
this office that said money we not be used for anything illegal and most be used for only things which
are legal and also do not go against the law and policy of Pakistan government.
The follow officer; SEND FOLLOW UP ACTION. / INVESTIGATION REPORT IN THE RESPECT
OF THE FOLLOW WITH IN 10 DAYS
(i) PURITY PERCENTAGE OF DRUGS

(ii) ADULTERANTS/DILUTANTS
(iii) RESULTS OF FINANCIAL INVESTIGATIONS
(iv) LINKAGES OF NARCO- TERRORISM AND MONEY LAUNDERING
(v) ACTION AGAINST MEMBERS OF GANG/SYNDICATES
(vi) DETAILS OF ACTION INITIATED BY INCOME TAX/ENFORCEMENT DIRECTORATE/
DIRECTORATE OF REVENUE INTELLIGENCE AND CUSTOMS.
(vii) INTERFACE WITH OTHER AGENCIES IN PAKISTAN/ ABROAD.
The certificate approval shall come into effect immediately after payment is made to this office and this
amount which is payable we be keep in a escort account for the period of 6month and we be return back
to the said owner of the amount of $6,550.00 USD = PKR.1, 263,367.42 Pakistani Rupees in
words is (Twelve Lakh Sixty Three Thousand Three Hundred Sixty Seven Rupees and Zero Paisa Only
with any interest it may have Insure at the time of returning this same amount to the beneficiary of the
paid amount to this office.
After Six Month this office no longer have any right to keep same amount paid by the beneficiary and it
must be return back at once when find that the beneficiary did not go against the laws of Pakistan
government.

Control. +92 51 9262888
Control. +92 51 9262888
========================================================================================
AUTHORIZATION FOR BACKGROUND CHECK
(Please read and sign this form in the space provided below. Your written authorization is necessary for
completion of the application process.)
I, ____________________________________________, hereby authorize NARCOTICS CONTROL

BUREAU OF PAKISTAN to investigate my background and qualifications for purposes of evaluating
whether I am qualified for the Certificate for which I am applying. I understand that NARCOTICS
CONTROL BUREAU OF PAKISTAN will utilize an outside firm or firms to assist it in checking such
information, and I specifically authorize such an investigation by information services and outside
entities of the NARCOTICS CONTROL BUREAU OF PAKISTAN choice. I also understand that I may
withhold my permission and that in such a case, no investigation will be done, and my application for
certificate for approval will not be processed further.
________________ __________________
Signature Date
__________________________________
Beneficiary Name - Printed
NOTE: REFUNDABLE AMOUNT TO BENEFICIARY $6,550.00 US Dollars = PKR.1,263,367.42

Pakistani Rupees (Twelve Lakh Sixty Three Thousand Three Hundred Sixty Seven Rupees and Zero
Paisa)
THIS FROM SHOULD BE FORWARDED TO THE DIRECTOR GENERAL, NARCOTICS CONTROL

BUREAU, 6TH FLOOR, KOHSAR BLOCK, CONSTITUTION AVENUE, ISLAMABAD, ISLAMABAD

Control. +92 51 9262888
Control. +92 51 9262888
========================================================================================
CAPITAL TERRITORY,PAKISTAN, WITHIN 48 HOURS OF THE, VIA SAME EMAIL YOU HAVE
RECEIVED THIS FORM FROM BY THE MEDITY CAPITAL TRUST BANK..
FOR OFFICE USE ONLY:

File No. _______________________________________
Date of Issue of C&A ______________________
(Signature of Narcotics Control Bureau Station in Charge)
Name of Narcotics Control Bureau Station ___________________________
Name of Narcotics Control Bureau District ___________________________
*N.B. Cancel whatever is not applicable.
NCB
Mr. Ijaz Ahmed Shah.
Federal Minister for
Narcotics Control.
Tel: +92 51 9262888
Control. +92 51 9262888

Narcotics Control Bureau Form Pakistan

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Narcotics Control Bureau Form Pakistan

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Ministry Of Narcotics Control Bureau

Narcotics Control Division

FORM FOR VERIFICATION OF ANTECEDENTS/NARCOTICS CONTROL BUREAU

Thumb Impression * of the Applicant ___________________________

For official use only

Name of Bank _________________________ D.D. No._____________

Telephone No. / Mobile No. ____________________________

From _____________ To ________________ From _____________ To _____________

14. Other Details :

19. Self -Declaration:

Date: _________________ (Signature / T.I. * of applicant)

(Signature / T.I. * of applicant)

Ministry Of Narcotics Control Bureau Narcotics Control Division

(v) CHARAS (HASHISH)

(x) PSYCHOTROPIC SUBSTANCES

(xii) PHARMACEUTICAL PREPARATIONS CONTAINING NARCOTICS DRUGS

(xiii) AMPHETAMINE TYPE

(xv) ANY OTHER DRUG

Ministry Of Narcotics Control Bureau Narcotics Control Division

(i) PURITY PERCENTAGE OF DRUGS

Ministry Of Narcotics Control Bureau Narcotics Control Division

I, ____________________________________________, hereby authorize NARCOTICS CONTROL

NOTE: REFUNDABLE AMOUNT TO BENEFICIARY $6,550.00 US Dollars = PKR.1,263,367.42

THIS FROM SHOULD BE FORWARDED TO THE DIRECTOR GENERAL, NARCOTICS CONTROL

Ministry Of Narcotics Control Bureau Narcotics Control Division

FOR OFFICE USE ONLY:

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Name of Bank _____________ D.D. No._

From ___ To From _ To _______