____/____/20223

Manager Account Number:

The Premier Bank Ltd
Branch: Account Title:

STANDING INSTRUCTION

Dear Sir/Madam,

1. I am giving standing instruction from

A/C:_____________________________________

for Monthly Payment of MSS A/C: ____________________________________

2. I am giving standing instruction to deposit the Profit of

A/C:_______________________

from my FDR A/C:__________________________ at maturity date.

3. I am giving standing instruction to deposit the both Principle and Profit of

A/C:____________________________ from my FDR

A/C:________________________

at maturity date.

4. I would like to withdraw the standing instruction(s) from

A/C:_______________________

Please realize the charge (if any) from my account for implementation of the same.

Accountholder’s Signature 2nd Accountholder’s Signature

(if joint)

FOR BANK USE ONLY

Signature(s) Verified

Checked By Authorized By