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NAME OF APPLICANT*

First Name Last Name

Father's Name*

First Name Last Name

CNIC*

0 of 13 max characters

Date of Birth*

Gender*

Male
Female

Address*

Street Address Union Council City Tehsil

Email*

PTCL #

With Area Code(021-1234567)

Mobile*

0300-1234567

Preferred Mode of Contact

PTCL
Mobile
Email

Education

Choose Highest Education

Institute*

Current Employment Status

Own Buisness
Employed
Unemployed

EXPERIENCE IN WASTE MANAGEMENT:

IF EMPLOYED: Designation

Company Name:

Business

Sole Proprietor
Partnership
Public or Pvt Ltd

Company Name*

Company Address

Company Telephone*

Address:

Monthly Salary or Income

I Am Applying For CLEAN PAKISTAN Franchise Operation in the Following Area

City*

Tehsil*

District*

Current Waste Management Organization Working In the Desired Area*

IF ALREADY IN BUSINESS*

Will You Conduct the Franchise?*

Personally
Delegate

Do You Have a Site for Waste Collection in your Union Council?*

Yes
No

Terms & Conditions*

Registration / Processing Fee of Rs. 5,000/- is non refundable.
Payment may be made online through Telenor Easy Paisa at www.cleanpakistan.pk or in cash at any branch of NBP.
You can apply for only one Union Council in one Application Form.
All applications should be submitted online at www.cleanpakistan.pk
Pricing / Markup rate for borrowers is fixed 8% per annum.
Waste Busters will reserve the right or accept to reject any applications without assigning any reasons and its decision shall be considered final.
I understand that loan application will be evaluated under the criteria given by the PMYBL / NBP and Waste Busters cannot guarantee approval / sanction of the loan applied for under the scheme.

Upload Your Picture*

Payment Mode*

Easy Paisa
Bank
Visa/MasterCard

Easy Paisa Code

Bank Deposit Slip No.

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