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Existing Customer Details: Additional Request Form
Existing Customer Details: Additional Request Form
Residential Address
House/Appt. No./Appt. Name Street No./Name
Area/District City Country
Post/Zip Code (if applicable) Nearest Landmark (if applicable)
City of Birth Country of Birth Country of Residence
Do you have multiple Nationalities? Yes No
If 'Yes', please list your nationalities
Are you, or have you ever been a citizen or tax resident of a country other than Pakistan? (If ‘Yes’, please complete the CRS/FATCA form) Yes No
Term/Fixed Deposits I/We hereby authorise the Bank to debit my/our IBAN and create the following deposit:
P K HA B B 0 0 Period
Amount (in figures) PKR/FCY Amount (in words) PKR/FCY
On Maturity:
(Tick Appropriate Box)
Encash and credit to Account No. P K HA B B 0 0
Credit Profit/Interest in Account No. P K HA B B 0 0
Rollover for same tenure With Profit Without Profit
Profit Frequency (Please tick the appropriate box) Monthly Quarterly Half-Yearly Yearly Maturity
Account Conversion Request (The conversion request will be entertained after at least six months of account opening/conversion within the same account)
HBL DebitCard, PayPak HBL offers PayPak Debit Card by default. If you would like a Debit Card other than PayPak, please select from the options below:
:
HBL Nisa, UnionPay HBL Nisa, MasterCard Name to appear on HBL DebitCard
Select Debit Card HBL DebitCard, PayPak HBL offers PayPak Debit Card by default. If you would like a Debit Card other than PayPak, please select from the options below:
:
HBL Gold DebitCard, MasterCard HBL World DebitCard, MasterCard HBL DebitCard, MasterCard HBL DebitCard, Visa HBL DebitCard, UnionPay
HBL iD, HBL MoneyClub, HBL Rutba, HBL Haryali etc. accounts will have their standard cards issued to the customers rather than the ones from the card deck. For Supplementary Debit Card, please complete the
Supplementary Debit Card Application Form.
Reason for Issuance New Issuance Loss Theft Damage Expired Incorrect Embossing
Electronic Services HBL SMS Alerts HBL PhoneBanking HBL InternetBanking
(OTC transactions)
E-Statement E-Statement Frequency Daily Monthly Half-yearly Yearly
Email Address Mobile Number
Change in Details Please update my following address across all delivery channels Residential Permanent Work
Signature Update Please update my/our new signature on the account mentioned overleaf Signature Cards Attached Yes No
Break Opening of Lockers Key No. allotted to me for Locker No. has been misplaced/lost. Please issue a new key.
(Due to loss of key)
Activation of Please activate my account mentioned overleaf Copy of valid CNIC submitted
In-Active Account Reason for non-usage of account
Other Requests/Instructions
Authority and Declaration:
I/We hereby authorize HBL to carry out my/our instructions as specified hereinabove in this Additional Request Form, subject to the terms and conditions
governing my/our account(s) with the Bank and my/our subscription of any and all other services and products of the Bank. I/We represent and warrant
that the information given above is true, correct and complete in all respects.
I/We hereby authorize the Bank to debit my/our bank account with the charges applicable on the above service(s) and/or product(s) as per the current
Schedule of Bank Charge . I/We hereby agree and accept to pay these charges.
Signature of Applicant(s)
Signature/Photograph/
Thumb Impression