
   Form No. (H-4-2014) 
HOTEL ACKNOWLEDGEMENT RECEIPT (HAR) 
 
(Under Section 3(2) of KPK Hotels Restriction (Security) Ordinance-2014) 
 
(Police Copy) 
 
Hotel Acknowledgement Receipt No _____________ 
District _____________   P.S ________________ 
 
1.  This  is  to  certify  that  complete  details  about  the  registration,  capacity  and 
management  of    ________________________  established  in  _________________ 
have  been  submitted  by____________________________(Owner/Lessee/Manager) 
on____/____/2014 
 
2.  Issuance  of  HAR  No._________has  been  incorporated  in  D.D.___________ 
Dated:_____/____/2014 by MASI/MHC_____________________________________ 
 
3.  Signature of Owner/Lessee/Manager on Receipt of HAR:- 
_____________________________________________________________________ 
 
 
 
____________________ 
Signature of SHO/MASI 
 
Date of Issuance: ____ /____ / ___________ 
 
                 Official      
Stamp of P.S  
 
 
   Form No. (H-4-2014) 
HOTEL ACKNOWLEDGEMENT RECEIPT (HAR) 
 
(Under Section 3(2) of KPK Hotels Restriction (Security) Ordinance-2014) 
 
(Hotel Copy) 
 
Hotel Acknowledgement Receipt No _____________ 
District _____________   P.S ________________ 
 
1.  This  is  to  certify  that  complete  details  about  the  registration,  capacity  and 
management  of   ________________________  established  in  _________________ 
have been submitted by____________________________(Owner/Lessee/Manager) 
on____/____/2014 
 
2.  Issuance  of  HAR  No._________has  been  incorporated  in  D.D.___________ 
Dated:_____/____/2014 by MASI/MHC_____________________________________ 
 
 
3.  Signature of Owner/Lessee/Manager on Receipt of HAR:- 
_____________________________________________________________________ 
 
 
 
____________________ 
Signature of SHO/MASI 
 
Date of Issuance: ____ /____ / ___________ 
 
                 Official      
Stamp of P.S