Chalan Form 1

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Capital Smart City Capital Smart City Capital Smart City

eChallan No : 2011690 CUSTOMER COPY eChallan No : 2011690 FINANCE COPY eChallan No : 2011690 BANK COPY

Branch : Date : Branch : Date : Branch : Date :

Member Name : Ajmal Farooque Member Name : Ajmal Farooque Member Name : Ajmal Farooque
CNIC # : 1730195708139 CNIC # : 1730195708139 CNIC # : 1730195708139
Membership # : FDHI-12872-R07M Membership # : FDHI-12872-R07M Membership # : FDHI-12872-R07M

Plot Size : 175 Sq. Yd. Res Com Plot Size : 175 Sq. Yd. Res Com Plot Size : 175 Sq. Yd. Res Com

Payment Mode : Cash Cheque PO/DD Payment Mode : Cash Cheque PO/DD Payment Mode : Cash Cheque PO/DD

Instr. # : Bank : Date : Instr. # : Bank : Date : Instr. # : Bank : Date :

S.No. Breakup of Dues Amount (PKR) S.No. Breakup of Dues Amount (PKR) S.No. Breakup of Dues Amount (PKR)

1 Installment Number 1 Installment Number 1 Installment Number

2 Booking/Down Payment 2 Booking/Down Payment 2 Booking/Down Payment

3 Membership/Transfer Fee 3 Membership/Transfer Fee 3 Membership/Transfer Fee

4 Other 4 Other 4 Other

Total Amount (PKR) Total Amount (PKR) Total Amount (PKR)

Amount in words : Amount in words : Amount in words :

Account Title : Future Developments Holdings Pvt Ltd Account Title : Future Developments Holdings Pvt Ltd Account Title : Future Developments Holdings Pvt Ltd

Tick relevant Bank Account Number Tick relevant Bank Account Number Tick relevant Bank Account Number

United Bank Limited 251097246 United Bank Limited 251097246 United Bank Limited 251097246

Depositor Name : Depositor Name : Depositor Name :

CNIC : Contact # : CNIC : Contact # : CNIC : Contact # :

Depositor's Signature Cashier Officer Depositor's Signature Cashier Officer Depositor's Signature Cashier Officer

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