Application Form

Application Form # : Date:

Branch & Region Name: Branch Code:

1. Personal Data

Name of Applicant: C.N.I.C. # :

Father’s/Husband’s Name: C.N.I.C. # :

Date of Birth: Age: Educational Qualification:

D D M M Y Y Y Y (in years)
Nationality: N.T.N. Number: (where applicable)

Dependants: Next of Kin with address:

Current Address:

Permanent Address:

Office Phone # : Email:

Residence Phone # : Mobile # :

2. Employment Data

Occupation: Name of Employer:

Address of Employer:

Office Contact # :

Designation/Job Title: Employment Level (Grade/BPS/SPS):

Department: Monthly Gross Salary: Monthly Net Take Home Salary:

Mode of Salary Receipt: Direct Credit via DDO Consolidated cheque issued by DDO

Other (if any, please mention) Length of Service in Years:

Remaining Service: Salary Disbursing Officer’s Name with Address:

Salary Disbursing Officer’s Contact # : Fax # :

3. Finance Request Data

Request for: 1) Fresh Case 2) Renewal/Enhancement

Finance Limit Requested: Rs. equal to month(s) of advance net take home salary of Rs.

Purpose of Finance: NBP Salary Account # :

The Nation’s UAN 111 627 627

National Bank of Pakistan
Bank
www.nbp.com.pk
 4. Please attach the following with your application:

• Last 3 months’ salary • Copies of CNICs of applicant & TWO references • Copies of employee ID cards of applicant & references • Customer undertaking on Rs. • 5 cross cheques favoring
slips/certificate. (duly attested by concerned NBP branch/gazetted (attested by NBP branch/gazetted officer) where applicable 20/- stamp paper (bond paper) NBP along with letter
officer) of authority

5. Two references of work colleagues (same or higher grade, who

bank with the same NBP branch or any NBP branch or any other bank).

(i) Name: (ii) Name:

Address: Address:

A/C # : A/C # :

Bank/Branch Name (Code) with Address: Bank/Branch Name (Code) with Address:

Phone (Res.): Phone (Res.):

Mobile No: Mobile No:

Phone (Office): Phone (Office):

Fax: Fax:

C.N.I.C. # : C.N.I.C. # :

National Tax #: National Tax #:

(Where applicable) ( ) (Where applicable) ( )

Email: Email:

Signature: (Verification Stamp) Signature: (Verification Stamp)

Note: Reference Person(s) signatures will be duly verified by Branch as per Bank’s policy and procedures.

6. Authorization / Declaration

I, _______________________________ (S/o), (W/o), (D/o) ______________________________ hereby confirm as follows:

(i) That National Bank of Pakistan ("NBP") may at its discretion extend to me a finance facility up to the aggregate amount stated in item 3 of the Application Form ("Finance Facility").

(ii) That the decision to extend the Finance Facility to me and the amount of the Finance Facility to be extended to me shall lie solely with NBP and I shall abide by NBP’s decision in this respect.

(iii) That NBP has the right to reject any financing application without assigning any reason and to cancel the Finance Facility extended to me or any portion thereof and to seek immediate repayment of all
amounts outstanding and payable by me in respect of the Finance Facility, or to convert such facility into any other facility without assigning any reason.

(iv) That I will be responsible for any stamp duties or taxes that are payable arising out of the loan agreement.

(v) That I shall provide all such further information and documents as may be requested by NBP, prior to extending the Finance Facility to me and/or at any time thereafter.

(vi) That I shall not transfer my salary and employment benefits whatsoever to any other account, including any other branch of NBP, at any time after the submission of the Application Form, without the prior
written approval of NBP.

The Nation’s UAN 111 627 627

National Bank of Pakistan
Bank
www.nbp.com.pk
(vii) I hereby give irrevocable standing instructions to NBP to directly debit my salary account for monthly repayment or at NBP’s discretion of the above requested limit. I also understand and undertake to
draw my finance limit from the NBP cash counter once a month only. This restriction does not apply on cheques presented in clearing, ATMs etc.

(viii) That all information provided by me in the Application Form is true and correct and I hereby indemnify NBP and hold NBP harmless against any damage that may be suffered as a result of NBP’s reliance
on the information provided herein.

(ix) That in case any installment cannot be recovered by debiting my salary account, I authorize NBP to fill up the date of cheque and the required amount of recovery of the relevant amount.

(x) I hereby confirm that I will inform NBP whenever I get transferred from my present place of posting.

(xi) I hereby authorize the bank and third parties including my bankers to exchange any of my information or make enquiries for the purpose of considering my application and for the conduct of any of my
accounts. I confirm that in the event my signature herein below differs materially from the signature on my CNIC, NBP is authorized and instructed to rely on the documents which I am to execute for this
loan/or other communications signed or required to be signed by me in the manner specified herein below.

(xii) I hereby authorize the bank to deduct/charge the following:

Rs.2,000/- or 2% of the loan amount, whichever is higher, subject to a maximum ceiling of Rs. 20,000/-
Fresh
Processing Fee 2%

Rollover/Enhancement Rs.2,000/- or 2% of the net/fresh enhanced amount, whichever is higher, subject to a maximum ceiling of Rs. 20,000/-
2%
Verification Charges
Actual to Verification Agency
In case when physical, telephonic verification of applicant & DDO verification is done (Currently Rs. 450/-)
450

In case when DDO verification is done only Actual to Verification Agency (currently Rs. 125/-)

125

Early Payment Charges 2% of Adjustment Amount

Documentation and Legal Charges At Actual

Note: The obove charges are exclusive of any FED/taxes applicable as per law.
(xiii) That I have read and understood the Application Form and whatever has been stated hereabove, Signature of Applicant
and I have kept a copy of the same duly filled in for my record.

7. Other finance facilities already availed from NBP/other banks

(Attach separate sheet if required)

Fund Based/Non-Fund Based (Facilities obtained from NBP/other banks)

Current Status
Amount Installment Outstanding Amount
Amount Rescheduled/
Name of Bank Product Name Sanctioned Sanction Date Expiry Date Amount Restructured (if any)
Regular Over-due (if any)

How did you find out about NBP Advance Salary?

Print Media Television Ad FM Radio SMS Alert

Branch Staff Friends/Colleagues Outdoor Marketing Word-of-Mouth

Call Center Telemarketing Others

The Nation’s UAN 111 627 627

National Bank of Pakistan
Bank
www.nbp.com.pk
 8. CF-I Undertaking
(Attach separate sheet if required)

I, _____________________________________________________________________________ (S/o), (D/o), (W/o) ________________________________________________

holder of CNIC# ___________________________________________, undertake that the detail of my existing exposure from the
“Entire Banking Sector” as on _____________________________________________________________________ is as under:

Details of Credit Cards (clean) limits being availed from other banks/DFIs:

Sr.# Name of Bank/DFI Approved Limit

Details of Credit Cards (secured) limits being availed from other banks/DFIs:

Sr.# Name of Bank/ DFI Approved Limit

Details of Personal Loans (clean) limits being availed from other banks/DFIs:

Sr.# Name of Bank/ DFI Approved Limit Amount Outstanding on Application Date

Details of Personal Loan (secured) limits being availed from other banks/DFIs:

Sr.# Name of Bank/DFI Approved Limit Amount Outstanding on Application Date

Details of other facilities (clean & secured) being availed from other banks/DFIs:

Sr.# Name of Bank/DFI Approved Limit Nature (clean/secured) Current Outstanding

Applied Limit (including the Application in process):

Sr.# Name of Bank/DFI Facility under Process Nature of Facility (clean/secured)

Signature:

(For Official Use Only)

Finance: Approved Disapproved Amount: Rs. Period:

Other Conditions:

Signatures with Stamp: Recommending Officer Sanctioning Authority

The Nation’s UAN 111 627 627

National Bank of Pakistan
Bank
www.nbp.com.pk
EMPLOYER UNDERTAKING

Ref # ________________ Date: __________________

The Manager
National Bank of Pakistan
_________________________ Branch
_________________________

Dear Sir/Madam,

EMPLOYER UNDERTAKING

This is to confirm that Mr. / Ms. / Mrs. ___________________ (S/o), (D/o), (W/o) _______________, holder of CNIC No. __________________________ is our
permanent employee since ________ and his/ her retirement year is ________. He/ She maintains salary account number ________________________ with
National Bank of Pakistan ________________ branch (city/area).

We irrevocably undertake that the salary and all other employment-related remuneration and payments, including settlement, retirement or end
service benefits relating to this employee will only be paid through the above stated NBP bank account till the employee has repaid all amounts
outstanding and would not be transferred to any other bank/branch unless prior N.O.C./written confirmation is obtained from NBP Branch
Manager/authorized signatory at the above noted branch.

In case of any order/instructions issued by any regulatory authority regarding transfer of the salary accounts of the company’s to any other bank,
we undertake to first adjust the NBP loan/finance amount by any source whatsoever of our employee(s) before transferring the salary accounts.

We shall promptly notify the NBP Branch of any change in the status of the employee’s employment with us, including without limitation, transfer,
promotion, demotion, commencement of disciplinary proceedings, suspension, termination or resignation, death or any other matter which may
have a material adverse effect on the ability of the employee to perform his/her obligations under the Facility Agreement.

In case of termination or dismissal etc. of our employee, NBP’s claim over the outstanding Finance Facility extended to our employee shall always
prevail over all other claims.

We confirm that the *estimated end-of-service benefits of the subject employee as of date less any liabilities thereon exceed the amount of finance
limit requested.

We confirm that not any disciplinary proceedings are pending against the employee.

We shall abide by the terms of this Undertaking.

I shall give my unconditional consent to the above Salary Disbursing Officer/Authorized signatory
(Signature of Employee/Customer) (Signature with Official Stamp)

(* No exact calculations required)

N.B
- NBP will verify the above undertaking directly from the salary disbursement/authorized signatory.
- Reference Person(s) signature(s) will be duly verified by branch as per NBP’s policy and procedure.