DOR_____________DOD___________Receipt No______________Amount_________

EMBASSY OF PAKISTAN, BRUSSELS a : ‫ † ن‬êë ‫رث‬

APPLICATION FOR GENERAL CONSULAR SERVICE
‫م‬5 @ ‫ اءے م‬: ‫در ا‬

Please tick the required work: ú‫ن د‬ : ‫ م‬5 êë : h œ

1. Birth Certificate a8 ã :

2. Nationality Certificate a8

3. Coutim Certificate a8 @

4. Name Spelling Certificate a8 ñ ‫رے‬ ‫م‬

5. Same Person’s name Certificate ‫ م‬5‫ار‬a: ‫در ا‬ ‫ا‬

6. Power of Attorney ê ‫ر‬

7. Attestations of Papers @ ‫اث‬h: 5

8. Any other work (please specify below line)‫ ۔‬ú‫ د‬ã : ‫ﻻءن‬ : h œ ‫ م‬5 ‫@ ءی اؤر‬
________________________________________________________________________
________________________________________________________________________
1.Name ‫______________________________________________________________ م‬
2.Father’s Name/or Husband’s Name ‫ م‬5 a ‫>و‬/ ‫______________________________ ؤا‬
3. Date of birth ‫ اءش‬6 9 ‫__________________________________________________ ر‬
4. Place of Birth ‫ اءش‬6 ‫_________________________________________________ م‬
(Pakistani Passport particulars)‫@ اءف‬ ‫ رٹ‬ÿ †
No:__________Date of issue___________Place of issue__________Validity__________
a ‫ ا اء‬9 ‫ر‬ ‫م ا اء‬ 9‫ر‬

(Pakistani NIC particulars) ‫@ اءف‬ ‫ رڈ‬5 †

No:__________Date of issue___________Place of issue__________________________
a ‫ ا اء‬9 ‫ر‬ ‫م ا اء‬

6
( Belgian Passport/Belgian NIC particulars) ‫@ اءف‬ ‫ رڈ‬5 ‫ رٹ‬ÿ
No:__________Date of issue___________Place of issue__________Validity__________
a ‫ ا اء‬9 ‫ر‬ ‫م ا اء‬ 9‫ر‬
6
4. Address in Belgium ê 6 5 ‫ آپ‬ñ ______________________________________
5. Telephone Number a ‫______________________________________________ ون‬
Signature ‫_________________________ د‬Date 9 ‫__________________________ ر‬

APPLICATION FORM FOR CONSULAR SERVICE 1/2

DOR_____________DOD___________Receipt No______________Amount_________

Please see the instructions overleaf ‫ ا ءے‬ê 9 6‫ا‬

INSTRUCTIONS 6‫ا‬
1. Please note that for any consular service, you must have following documents:
‫۔‬ ‫اث‬a:‫د ؤ‬ ‫ز‬ê ‫ر‬ ‫س آپ‬ ‫آپ‬ ‫م‬5 @ êC ñ h ‫@ ٹ‬ œ ‫ اءے‬:

a. Valid Passport 5 @ ‫ رٹ اؤر‬ÿ ‫رآ‬5

b. Original NIC and its one photo copy 5 ‫رڈ اؤر اس ا‬5 ‫ا‬
c. Local valid residence card, valid visa or stay’s legal paper
‫۔‬a:‫@ ءی د ؤ‬ ‫رء‬ ،‫ہ‬a:‫ رآ ؤ‬5 ‫ رڈ‬5 a:‫ رآ ر‬5

FOR POWER OF ATTORNEY ê ‫ر‬

2. Apart from stated in above, following are also necessary
‫ ۔‬ñ ‫ؤری‬a: úa ‫ز‬ê ‫ر‬ ‫ؤہ‬ ‫ دہ‬: ‫ ن‬6 :‫ ا‬a :‫اؤ‬
a. Power of Attorney must contain the identification documents such as passport, NIC
and Belgian residential address without which Power of Attorney will not be certified.
6
úa êë :‫۔ ا‬ ‫ہ ﻻز‬a ‫ؤ‬ ‫ا ر‬5 ‫ اؤر‬a ‫ رڈ‬5 ،a ‫ رٹ‬ÿ ‫اث‬h: 5 ‫ؤا‬ ‫د‬ê ‫ا ر ر‬ ê ‫ر‬

‫ءے ۔‬ ñ @ ‫ ءی @ اس‬êë ñ ê ‫ر‬

b. Power of Attorney will be signed before the Consular Officer in the Embassy.
8 ñ @ ê ‫ر‬ 5 ‫ءے د‬ ‫د‬: ‫ ۔‬5‫ ے‬: ‫د‬ a ‫آ‬ê êë ‫رث‬ :‫اؤ‬ ê ‫ؤاﻻ ر‬ ‫د‬ê ‫ر‬

‫ ۔‬5 ‫ءے‬
c. The applicant is required to bring two witnesses with their original NIC and their
photocopies.
‫ ۔‬5 ‫ ﻻءے‬ñ ‫رث‬ ã ‫ ں‬5@ ‫ رڈ اؤر ان‬5 ‫ا‬ ‫ اں‬ê @ ‫ؤاﻻ دؤ ا ں‬ ‫د‬ê ‫ر‬
________________________________
________________________________
________________________________

APPLICATION FORM FOR CONSULAR SERVICE 2/2