PEC Reg. No. ____________________________

Name: ____________________________

Father’s Name: ____________________________

CNIC No: __ __

(Note: Please attach scanned copy of CNIC)

Mobile: ____________________________

Email: ____________________________

Engineer’s signature(Within the box)

Dated: ___________________

You may email duly signed/scanned copy of this form along with CNIC to Election2015@pec.org.pk

OR

You may send this form duly signed along with copy of CNIC to ;

INCHARGE ELECTION CELL PAKISTAN ENGINEERING COUNCILAtaturk Avenue (East), G-5/2, Islamabad

Pakistan Engineering Council

Ataturk Avenue (East), G-5/2, Islamabad.Ph : +92-51-2829296, 2829348, 2829311

UAN: (051) 111-111-732, Fax : +92-51-2276224email: info@pec.org.pk