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NOMINATION FORM

FOR PAY CONTINUITY PLAN

Name of the Employee PP NO

Grade & Designation Place of Posting

CNIC No Contract No

I hereby solemnly affirm and declare with my free consent without any coercion the following
nominee(s) for the disbursement/payment of the amount of Pay Continuity Plan/amount as per
Group policy of the Bank in case of my death during service. The bank shall be absolved from any
claim received beyond this nomination.
S.No Name of the Relationship Date of the CNIC No of Share in Total
Nominee with the Birth of the the Nominee amount
Nominee Nominee (%age)
01

02

03

04

05

( only spouse, parents and children) in case of death of any nominee, his/her share shall be equally
divided into remaining nominees.

________________________
Signature of the Employee with
Thumb Impression & Date
Witness No. 01 Witness No. 02
Name Name
CNIC NO CNIC NO

Signature Signature

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