Application Form for Kpt Restricted Area Smart Card

APPLICATION FORM FOR KPT RESTRICTED AREA SMART CARD

1.General Information

a. Name:______b. Father’s Name:______

c. N. I. C. Number: ______d. Occupation:______

e. Firm/Company Name & Address ______

f. Designation: ______g. Valid Up to______

h. Nature of Appointment: ______i. Date of Appointment:______

j. Telephone No (Office) ______(Res)______(Mob)______

k. E. mail:______l. Fax No______

m. New / Renewal / Duplicate______

n. Police Verification (Verified/Not Verified) If verified then attach copy______

o. National Tax Number(NTN)______
p. Present Residential Address of Applicant ______

2. Documents/Information Required

a. Annual individual entry pass (AIE) 1-Year

(1)  Copy of CHAL (Custom house authorized license) ______

(2)  Copy of shipping license of custom ______

(3)  Copy of permit from KPT______4. KPT agreement ______

(4)  Membership from chamber of commerce & industries including Sales Tax Certificate______

(5)  License from custom for ship chandlers______

(6)  Letter from shipping agent & Permit from Custom & KPT______

(7)  For Chipping & Painting and Ship repairs ______

(8)  Letter head prequalification of KPT & Copy of work order ______

(9)  Application & undertaking from Transport union ______

(10)  Permission from marine Pollution ______

(11)  Application from PNSC______

(12) Copy of Service card______.

(13) Survey License from Government of Pakistan ______

b. Annual non cargo vehicle/Pass (1 Year)

(1) / KPT Pass No ______/ (2) / Name of Owner ______
(3) / Veh. Reg. No. ______/ (4) / Name of Driver ______
(5) / N.I.C. of Driver ______/ (6) / Driver License No. ______
(7) / Valid upto ______/ (8) / Copy of Reg. of Veh ______
(9) / Copy of Root Permit ______/ (10) / Copy of Driving License ______
(11) / Copy of NIC of the owner ______

c. Crew Pass(Short Period)(15-Days)

(1) / Name of Crew ______/ (2) / Rank of Rating ______
(3) / C. D. C. No. ______/ (4) / Seaman Identity Card No.______
(5) / N.I.C. No.______/ (6) / Name of Ship ______
(7) / Validity From :______To : ______
(8) / Signature / Thumb impression of Crew ______
(9) / Application alongwith crew list duly signed by PNSC administration ______

d. KPT Contractor

(1) Prequalification of KPT______2. Copy of work order______

e. Foreigner’s pass (DIPLOMAT)

(1) / Passport No. ______/ (2) / Nationality ______
(3) / C/O M/s ______/ (4) / Purpose of visit ______
(5) / H.B. Challan No.______/ (6) / Dated ______
(7) / Place of visit ______From ______To ______
(8) / Company Shipping agent letter ______
(9) / Copy of Passport and visa Endorsement______
(10) / Clearance from Director Naval Intelligence (DNI)______
(11) / Letter from the Embassy ______

f. All Government Employees Pass

(1) / Application from Govt. Department ______
(2) / Photo Copy of Service Card______

g. Daily Cargo Vehicle Pass

(1) / Vehicle No. ______/ (2) / Name of Driver / Cleaner______
(3) / Type of Vehicle ______/ (4) / Time of entry ______
(5) / Dated______

h. Daily Individual Pass

(1) / Purpose of Visit ______/ (2) / Place of Visit ______
(3) / Date of Issue ______
(5) / Application on Company Letter Head ______

Signature/Thumb impression of applicant: _______

Signature & Seal of owner of the Company: ______

NOTE:-

Applications be forwarded to :-TeleData –W-14, Ground Floor-KPT Import

Terminal,Eduljee Dinshaw road Karachi Port Trust,KARACHI-74000.