Meezan Bank Account Opening Form

The Premier Islamic Bank (Individual, Joint and

Sole Proprietorship Accounts)

Date: 2024-05-09 Branch Code: 0030 CIF: 9050533

Branch Name: MEEZAN DIGITAL CENTRE Account No: 0109871919
City: Karachi, Pakistan. IBAN: PK05MEZN0000300109871919

NATURE OF ACCOUNT

Customer Type: Individual (Single)

Title of Account (in BLOCK letters): BIBI RANI

Mailing Address (fill applicable fields): House number 6 , street number 9 , badar colony sani road Faisalabad Faisalabad

Type: Current Account Savings Account

PKR USD EURO
Account: Product: Meezan Digi Asaan Account Currency:
GBP Other
Purpose: Savings Salary Business Other

PERSONAL INFORMATION APPLICANT DETAILS

Full Name (as per ID document & in BLOCK letters) BIBI RANI

Gender Male Female Other

Father's / Husbands Name UNAYYAR ABBAS KHAN

Marital Status Single Married Divorced Widowed

Date of Birth 1985-01-01

Nationality Pakistani

Country of Residence Pakistan

None Below Matric Below Graduation but Matric & Above

Education
Graduate Post Graduate Other
Number: 33202-7756035-8
ID Document Date of Issuance: 2017-03-15
Date of Expiry: 2027-03-15
Contact Number Mobile: 03441519012
Personal Email Address bibirani1214@gmail.com
Name of Employer / Business
Employer / Business Address
Nature of Business / Main Category (Only 1 to be mentioned)
Sub Category: Housewife
Occupation Unemployed

FATCA / CRS DECLARACTION

Are you a US born/ citizen/ resident/ green card holder? OR hold a US mailing/sole care of address/ telephone number? OR have you given standing
orders for a US account? OR have a power of attorney /authorized signatory/ mandate holder having US address/connections?

Yes No If Yes, please submit the FATCA Declaration Form

I am Citizen or Tax Resident of Pakistan only.

Yes No If No, please submit the CRS Declaration Form

CUSTOMER DEMOGRAPHIC OR FINANCIAL INFORMATION APPLICANT DETAILS

1. Ultimate beneficial owner of account Self Other

2. Source of Earnings / Income (Primary) Unemployed(Student?Housewife?Ret)

3. Monthly Income (with Currency) 15000 PKR

Have you been refused banking facilities by another bank/
4. NO
DFIs/MFBs?

ZAKAT EXEMPTION

Yes No If Yes, please select reason: Due to Fiqah (please submit form CZ-50) Non-Muslim

SERVICES AND FACILITIES

(Note: Charges will be applicable as per latest schedule of charges available in Meezan Bank branches and at www.meezanbank.com)
Transaction Alert Service (SMS and Email)

*Digital Transaction Alerts: These alerts are free, mandatory, and activated by default. Digital transactions include transactions through Mobile
Application, Internet Banking, ATM, POS, E-commerce, etc.

Note: 1. Transaction alerts shall be sent on your provided mobile number and email address in the personal information section above.
2. If your mobile network is on MNP, type MNP from your handset & SMS to 9060 & 8079 for subscription.

Periodic Account Statement Delivery Pease select any one delivery option:

Electronic Statement at email address provided above Email Frequency: Monthly

I have authorized the Bank to send me account statement at above mentioned email address instead of dispatching hard copy of account statement
through courier/ mail.