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: Years: Educational Qualification:

Nationality: N.T.N Number: (where applicable)

Dependants: Next of Kin with address:

Current Address:

Permanent Address:

Office Phone # : Cell # : Email:

Phone # :

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 via DDO Consolidated cheque issued by DDO

4) Other (if any, please mention) Length of Service: 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 021 111 627 627

National Bank of Pakistan
Bank
www.nbp.com.pk
 4. Please Attach The Following With Your Application

• Last 3 Months’ Salary • Employer undertaking. • Copies of CNICs of Applicant & TWO References • Copies of Employee ID cards of Applicant & References • Customer Undertaking on Rs.
Slips/Certificate. (duly attested by concerned NBP branch/Gazetted (attested by NBP branch/Gazetted Officer) where applicable. 20/- stamp paper (Bond Paper).
Officer

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.: Cell No.:

Phone # (Off.):

Fax: Fax:

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

National Tax #: National Tax #:

Email: Email:

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

Note: References 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 items 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 or through their authorized 3rd party agent, 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 021 111 627 627

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:

Fresh
Application Fee
Flat Rs. 1,000 Plus F.E.D. Plus F.E.D. 1,000
Rollover/Enhancement (Non Refundable) ( )

Rs.2,000/- or 2% of the loan amount whichever is higher, subject to maximum ceiling of Rs. 20,000/- (Plus F.E.D.)
Fresh
Processing Fee (Plus F.E.D.)

Rollover/Enhancement Rs.2,000/- or 2% of the net/fresh enhanced amount whichever is higher, subject to maximum ceiling of Rs. 20,000/- (Plus F.E.D.)
(Plus F.E.D.)

Early Payment Charges 2% of adjustment amount + FED

Documentation and Legal Charges At Actual

(xiii) That I have read and understood the Application Form and whatever has been stated herein Signature of Applicant
above, 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)

The Nation’s UAN 021 111 627 627

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 021 111 627 627

National Bank of Pakistan
Bank
www.nbp.com.pk
 ON RS. 100/- STAMP PAPER (BOND PAPER)

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 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.
 ON RS.20/- STAMP PAPER (BOND PAPER)
Dated
To,
The Branch Manager,
National Bank of Pakistan
________________
________________

UNDERTAKING

I, _______________ S/O, D/O, W/O _________________________ adult, resident of House/ Flat # ___________________,
________________ (City), holding National Identity Card/ CNIC # ___________________, do hereby indemnify, undertake and
declare on solemn affirmation as under:

That I have applied for NBP Advance Salary Product of National Bank of Pakistan, and I declare irrevocably and unconditionally as
under:

➢ That the total monthly amortization payments being made by me inclusive of all consumer loans from any bank/DFI do not and
shall not exceed 50% of my net disposable income at all material times or such other limit as may be prescribed by the State Bank
of Pakistan and/or NBP from time to time.
➢ I and my dependents (as per SBP Prudential Regulations) have not previously availed clean cash limit up to Rs. 3,000,000/- from any
other bank / DFI apart from NBP.
➢ Any breach of this undertaking shall without any further reference to me amount to a breach of NBP Advance Salary Scheme and
NBP shall be fully entitled to exercise its rights under the NBP Advance Salary Scheme. In this regard, I undertake and hold NBP
harmless against any losses or liabilities of whatsoever nature that NBP may incur by reason of sanctioning me the NBP Advance
Salary Product in reliance of this Undertaking.
➢ I declare & solemnly undertake that I will / have NOT applied / use the funds obtained through this loan / advance salary facility for
the purchase of any “Initial Public Offering” (IPO’s).
➢ I declare & solemnly undertake that I will / have NOT applied / use the funds obtained through this loan / advance salary facility for
the purchase of any, shares, or apply them for stock exchange market trading, or trading of real estate, sata activities, gambling
etc..
➢ I declare & solemnly undertake that the loan / advance salary / funds will not be applied for money laundering, smuggling, opium
/ alcohol / banned item trade, unlawful, illegal activities.
➢ I declare & solemnly undertake that the loan / advance salary / funds will not be applied for any terrorist activities.
➢ I solemnly declare that I am not involved with any money laundering, terrorist group(s) / faction, banned religious group and / or
any ultra vires acts, and I am not involved in any unlawful / illegal activities.
➢ This undertaking is effective from the date of sanction.
➢ I declare & solemnly undertake that the loan / advance salary / funds will be utilized for the purpose that I have applied for in my
application to the bank (NBP).

Whatever has been stated above is true and correct to the best of my knowledge and belief and nothing has been concealed therein.

EXECUTANT
WITNESSES

i) __________________________

ii) __________________________
Reference N o .
-----
Dated:

Branch Manager,
National B a n k of Pakistan
______________

Declaration/Undertaking and Indemnity by Borrower for obtaining Finance Facility amounting to

Rs. ___ /- (Rupees only) ap p r o v e d by the National Bank o f Pakistan
vide ___________ , ____________ and __________ Agreements.

Dear Sir/Madam,

In accordance with the Anti-Money Laundering and Combating the Financing of Terrorism (AML/CFT)
Regulations, issued by State Bank of Pakistan. The Politically exposed persons "PEP" is defined as follows:

"Politically exposed persons or PEPs" are individuals who are entrusted with prominent public functions either
domestically or by a foreign country, or in an international organization, for example Heads of State or
of government, senior politicians, senior government, judicial or military officials, senior executives of
state owned corporations/departments/autonomous bodies etc.

Having read and understood the above definition of Politically exposed persons ("PEPs"),

I Mr. / Ms. _____________ (S/o),(D/o),(W/o) _____________ holder of CNIC No. ______________________

and NTN No. ______________ , in the capacity of a borrower or customer of National Bank of Pakistan
hereby confirm and undertake as follows:

i. I am not a Politically Exposed P e r s o n (PEP) as defined a b o v e or as amended/revised/changed

from time to time nor have any close associates or family members who are PEPs.
OR*
I have been assessed as a Politically Exposed Person (PEP) as defined above or as
amended/revised/changed from time to time and following are my close associates or family
members who are PEPs;
a)
b)
c)

*Strike out whichever is n ot applicable

ii. I am under the obligation;

to inform the National Bank o f Pakistan of a change t o my status or the status of my close associates,
family members as a PEP, should it change at any time in the future subsequent to execution of
this Declaration, Undertaking, Indemnity;
 iii. Authorize to this effect, th e National Bank of Pakistan to establish means t o assess the source of
wealth or beneficial ownership of f u n d s and/or monitor business relation with me as
customer/borrower.

iv. To keep the National Bank of Pakistan and its directors, executives as well as its officers safe,
harmless and indemnified against all losses, damages, actions, suits, proceedings, liabilities, costs,
claims, demands, penalties etc., whatsoever occasioned to or suffered by the National Bank of Pakistan
as a result of acceptance of this continuing instrument.

v. This letter of continuing Declaration, Undertaking and indemnity shall be binding upon me and all
my legal heirs under all circumstances and will be subject to the applicable laws of Islamic Republic of
Pakistan and the competent courts of Karachi shall have the exclusive jurisdiction to resolve any
dispute.

In the event I fail to abide by this Declaration, Undertaking and Indemnity as noted above, the National Bank of
Pakistan is authorized to immediately proceed against me either in the competent Court of Law or to take any
Regulatory action, recall finance facilities entirely at my risk and cost for the purpose of implementation and specific
performance of this continuing instrument.

In witness hereof I hereby sign this continuing Declaration, Undertaking and Indemnity on this
______________day of _________ 2017.

Witness 1: ________________

Witness 2: ________________

Signatures (as per CNIC and or Passport)

Name: ___________________
CNIC No. __________________
NTN No. __________________
Father's or Husband’s Name: _________________
Complete Official Address: _________________
Complete Residential Address: ________________