GOVERNMENT HAJJ SCHEME
Data Collection Form For Hajj 2025 (1446 A.H)
(Please read the instructions before filling)
Hajj Application No.
Group Information Hajj Scheme Regular Sponsorship Makkah Accommodation
Auto generated Applicant Type Group Size (Select ✓only one)
Hajj Package (Select ✓only one) Beds / Room Tick(✓)
S.#
S.# Stay in KSA Stay in Madinah
(Days)
Tick
1. Two
Photo with Light Blue
(Days) (✓)
1. Short 20 to 25 3 2. Three
Background
2. Long 38 to 42 8 3. 4 to 6 (Family)
Do you require Shia Facilities? 4. Sharing
(For Shia Pilgrims only) Place of Departure
Yes No
Islamabad Lahore Karachi Quetta Multan Qurbani Yes No
(See instruction at H(vii))
Applicant’s CNIC No. Date of Birth (σ7]iYZÅäY6eÃV”/ÁÐw‚12~ÝzgÅ]x~Š:)
Gender Male Female
- - D D M M Y Y Y Y
Sur Name of Applicant (As per Passport ) Given Name of Applicant (As per Passport )
Education
(Highest Qualification)
Profession
Father/Husband’s Name
Mehram Information (Optional) Blood Group
Mehram’s Application No. (Female Applicants only)
* Present Postal Address(for hajj training to be conducted according to your present address)
Helper Information
(Mandatory for 80+ yrs, Special and Disable persons) District (As per Postal Address) Passport No.
Helper’s Application No.
Date of Issue
Tehsil (As per Postal Address)
Relationship with Helper
Date of Expiry (At least 06-12-2025)
Mobile Network
Vaccinated against Covid?
Yes No
(NADRA Certificate to be attached) Mobile Number (Converted SIM not allowed) Token No. in case of Passport applied
Have you performed Hajj? Yes No 0 3
Nominee Information X ÏñYÅÃgZŠ¸g ãp `gŠ~ä{Æ(Nominee) Š'
× *VœZŠ Zx Ó~]gßÅ%¯ Token Amount (Rs.) 200,000/-
Nominee Name (must be adult and Blood relative) Deposit Date (Rs.) D D M M 2024
Amount in USD
Nominee’s CNIC No. Nominee’s Mobile No.
Reference No
- - 0 3
Deposit Date (USD) D D M M 2024
Bank Account Information (Mandatory for Regular Hajj Scheme)
IBAN Account No./Assan Account. Relationship with Account Holder
(Only for Minor - < 18 Years)
Account Title
4E
45E
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