KALIA SECURITY VAULT (PVT) LTD.
Agreement For Licensing Of Lockers
This Application & Agreement for licensing of locker is made at Karachi this -------------day of --------20, between Kalia Security Vault (Pvt) ltd., having its registered office and its vault at 39-E Badar Commercial Street #7, D.H.A, Phase V, Ext. Karachi, Pakistan & licensees whose particulars are given below, in accordance with all terms & conditions mentioned overleaf.

SIZE OF THE LOCKER

STATUS

LICENCEE  1

LICENCEE  2

LICENCEE  3

SMALL

3 PHOTOGRAPHS
( 1  X   1 )

3 PHOTOGRAPHS
( 1  X   1 )

3 PHOTOGRAPHS
( 1  X   1 )

MEDIUM
LARGE
X-LARGE
JUMBO
SPECIMEN SIGNATURE      
NAME(S)      
FATHER/HUSBAND'S NAME (WRITE "F" OR "H" in box)            
NIC NUMBER      
PASSPORT NUMBER      
DATE & PLACE OF ISSUE      
DATE OF BIRTH      
PROFESSION      
RESIDENTIL ADDRESS      
TELEPHONE/FAX #      
OFFICE ADDRESS      
TELEPHONE/FAX #      
EMAIL      

OPERATING INSTRUCTIONS (IF ANY)

     
SUBJECT TO CLAUSE      10    , ALL GOOD ARE KEPT AT LICENCEE'S OWN RISK.
I/ We have read & understood the terms and conditions of Agreement for Licensing of Lockers & undertake to be bound by & abide by the same, which shall be a binding contract between me/us & yourselves.

SIGNATURE(S)

____________
LICENCEE 1

____________
LICENCEE 2

____________
LICENCEE 3

Required:-
1. 3 Passport size photographs 1X1.
2. One N.I.C copy

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