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Name

S/O,W/O,D/O

House No.

Street

Village/Mohallah

Post Office

10

Tehsil

District

Ward/Union Council

PA

NA

Profession

Education

NIC. No.

Tel No

I agree with the TPP Manifesto and undertake to stand by it.

Place

Date

       
Membership Fee Pakistan Rs.10/-
Overseas US $ 10/-
  UK £ 05/-