Enrollment Form

Date
The Manager,

Branch
Pakistan

I/We request you to upgrade my/our relationship to Premium Banking status.

Account Number Account Title

E-Statement Frequency Monthly Quarterly Half Yearly

Email Address Mobile Number

I/We authorize the Bank to send me/us account statement at the above-mentioned email
address instead of dispatching hard copy of the same through courier/mail.

DECLARATION
1. I/We understand that Premium Banking services are offered by the Bank at its
sole discretion to customer (including Current and Savings account holders) who
maintain the required criteria.
2. Criteria for Premium Banking Services are mentioned in the Bank’s Schedule of
Charges and can be changed as per the Bank’s discretion.
3. Premium Banking services may be discontinued if the required criteria are not
maintained. Subsequently, charges for services shall be levied as per the Bank’s
Schedule of Charges.
4. The Bank is also entitled to market its products and services to its existing customers
via SMS, emails and other channels.
5. I/We undertake to continue to abide by the Bank’s terms and conditions applicable
to my/our account(s).

Signature of Account Holder Signature of Joint Account Holder Signature of Joint Account Holder Signature of Joint Account Holder
(Primary) (If Applicable) (If Applicable) (If Applicable)

FOR BANK USE ONLY

Customer ID

Account Details:
Account Numbers Account Type Currency Balance PKR Equivalent
(eg. MBA, MBP, Current, etc.) Balance

1.
2.
3.

Term Deposit Deal IDs Deal Type Currency Balance PKR Equivalent
(eg. COII, MMC, DMC, etc.) Balance

1.
2.
3.

Premium Banking Criteria Met: Yes No

If No, was deviation obtained from Area Manager & Manager Premium Banking? Yes No

In case of deviation, please attach approval obtained on email from Area Manager & Manager Premium Banking with this form.

Input By (Name & Signature) Date:

Authorized By Branch Manager (Name & Signature) Date:

Remarks (if any)

"Effective from October 2020"