Government of Pakistan
Ministry of Religious Affairs
                    ********
Summary Form
a: Name of the Company:__________________________________ Enr.No.  
Mannazam No.  
Address:______________________________________________
Amount of Guarantee /cash Deposited  
Name of Chief Executive:_________________________________
b: Total Quota allocated (2011):  
Additional Quota Allocated:  
Grand Total:  
c: No. of Total Forms submitted:  
No of
Hujjaj
Amount of Airfare paid to air-line No of
Hujjaj
Amount of CHD
Adults Short        
Long        
Child
(Up to 7 yr)
Short        
Long        
Child
(Up to 14 yr)
Short        
Long        
  Total:        
(Attach list of all applicants with their Name, CNIC, Age, Passport No. Package, Address, Tel contact No., Number of days alongwith receipt of air-fare paid to the air-line. Ministry will provide password for online submission of data)
d:
i) Have you signed agreement with Hujjaj    
Yes No
ii) If yes attach copy otherwise give reasons for not signing it:
______________________________________________________
______________________________________________________
e: Name of person, nominated for multiple visa of KSA:  
Designation in company:  
Passport No:   Place of issue:  
CNIC No  
Date of Issue:   Date of Expiry:  
(Only Chief Executive or Director of the Company is allowed for multiple visa. In case of nomination of Director, authority letter of the Chief Executive should be attached ) 
f: Details of Hajj Packages offered to intending Hujjaj:
Package No. 1 Rs.____________________ Package No. 2 Rs.____________________
(Attach detailed breakup of the Package)
g: Detail of Bank Account:
Name of Bank:  
Branch:   Acc No:  
Address:  
h: Details of training 
Session Date Venue Name of Trainer
Training Session 1      
Training Session 2      
Training Session 3      
i: Details of Staff deputed with Hujjaj:
  Name Form No
Attendants    
1    
2    
3    
4    
Doctor    
Religious Scolar/Alam-e-Din    
I undertake:
i) that all intending Hujjaj have been booked from the region allocated to my company. 
ii) that I have neither booked intending Hujjaj through sub-agent nor sold my quota to any other 
HGO/company
iii) that I have not made booking over and above quota allocated to me and Hajj dues has been received
from the intending Hujjaj, is according to quota allocated to me.
iv) that I have made agreement with all Hujjaj booked by me.
v) I further undertake that if the company or its management fails to perform all their obligations or if
any irregularity is observed in its performance, the Ministry of Religious Affairs, Islamabad shall be
within its power to award compensation to the aggrieved Haji, penalize the Hajj Group Organizer for
non-fulfillment of package or non-adherence to the policy/instructions of the Ministry and may also
forfeit the Cash Guarantee if so warranted and also the penalty could be non-registration for next
Hajj seasons.
Signature of the Chief Executive
Company's Name & Seal Name____________________________
(Chief Executive)
Signature & Thumb Impression of All Directors
 Director 1:  Director 2:  Director 3:  Director 4: