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Branchless Banking Account Opening Request Date D D M M Y Y Y Y

The Manager,
Branchless Banking Operations,
Bank Alfalah Limited

Subject: Branchless Banking Account Opening

Dear Sir,

I hereby request Bank Alfalah Ltd to open a branchless banking account on the basis of the information provided by
me which I confirm is true and correct in all aspects.

It is understood that this account will be used for bonafide branchless banking transactions. I agree to inform you of
any changes in information provided on the AOF or related documents.

Name________________________________________________
Signature

For Bank Use Only

Signatures Verified in person by


(Bank Alfalah Agent Management Team – Branchless Banking)

Name________________________________

Signature

Date ________________________________
Branchless Banking Date D D M M Y Y Y Y
Account Opening Form Level ii

Franchise ID_________________________________Retail ID _________________________City ____________________

Business Name _____________________________________ Account Owner Name_______________________________

Mother’s Name _____________________________________Place of Birth ______________________________________

CNIC No. NTN (if any) ____________Date of Birth __________Gender ___________

Father’s Name ________________________________________________Email___________________________________

Landline No. ______________________Cell No. _________________________ Alternate Cell No.___________________

Business Address _____________________________________________________________________________________

________________________________________Nearest Landmark ____________________________________________

Residence Address____________________________________________________________________________________

_______________________________________For Correspondence ___________________________________________

Bu siness Address_____________________________________________________________________________________

Country of Stay*_____________________________________Province _________________________________________


*Kindly fill attached ‘Common Reporting Standard’ Form if country of stay is other than Pakistan
Businesss Type
Sole Proprietorship NGO Partnership Charity/Trust Private Limited Government Entity
Operating Instructions
Number of MSISDN (Device Required Agent BB Account)
1.___________________2.___________________3.___________________4.___________________5.__________________

Applicant Signature
I agree with the terms and conditions, which I have carefully read/heard and understood. I have also received the copy
of this document and hereby admit that all information provided is correct.

Applicant’s Name Applicant Signature Thumb Impression


Signature Mandate

Signature as per CNIC Current Signature for Transactions


For Bank Use Only
NADRA Bio Positive Negative Bank Alfalah Hot Scan results Positive Negative Document Attached
Wallet Account No Core Account
Checked by

Bank Alfalah Agent Management___________________________________A/C Opening Officer_____________________

A/C Opening Supervisor______________________Operation’s Manager______________________Remarks____________

Date D D M M Y Y Y Y
Bank Alfalah Branchless Banking Date D D M M Y Y Y Y
Account Handler Addition/Deletion Form

Addition Deletion

Account Handler Name ________________________________________________________________________________

Mobile No.______________________Other Contact No._____________________Seller Code_______________________

CNIC No. Gender Male Female DOB: D D M M Y Y Y Y

Business Address________________________________________________________________ _____________________

House____________________________Street___________________________Block/Area_________________________

City____________________________Postal Code_______________________Country_____________________________

Permanent Addres_______________________________________________________________ _____________________

House____________________________Street___________________________Block/Area_________________________

City____________________________Postal Code_______________________Country_____________________________

Country of Stay*_____________________________________Province _________________________________________


*Kindly fill attached ‘Common Reporting Standard’ Form if country of stay is other than Pakistan

Authorisations

Utility bill payment Pay business Transfer Out cash withdrawal from wallet

Money transfer Transfer in cash deposit to wallet register wallet accounts

A/C Handler Mother Name _________________________________A/C Handler Place of Birth _____________________

A/C Handler Email ________________________________________A/C Owner Name _____________________________

Date D D M M Y Y Y Y

A/C Handler Signature A/C Owner Signature

Note:
Account Handler valid CNIC copy is mandatory.
Bank Alfalah Branchless Banking Date D D M M Y Y Y Y
Agent Visit Report

Franchise ID _____________Retail ID ____________ Region ____________Date of Account Activation ______________

Business Name _______________________________________________________________________________________

Customer Name ______________________________________________________________________________________

CNIC No. City____________Business Address _______________________________

____________________________________________________________________________________________________

Person met __________________________________________________Purpose of Visit: Business Address Verification

Date of Visit _____________________

Comments

I have personally visited the above mentioned premises of agent and verified its address.

Visited by: Agent Management Officer (AMO) Reviewed by: Regional Manager Agent Management Team

Name _________________________________ Name _________________________________

Signature Signature

Employee Code_________________________ Employee Code_________________________

Date D D M M Y Y Y Y
Bank Alfalah Branchless Banking Date D D M M Y Y Y Y
New Agent Take up (NATP) Form / Agent KYC

Name of Agent _______________________________________________________________________________________

CNIC No. Business Name _________________________________________________

Business Address _____________________________________________________________________________________

__________________________________________________ Nearest Landmark __________________________________

Tehsil _________________________ District __________________________ Region _____________________________

Country of Stay*_____________________________________Province _________________________________________

Landline No. _______________________ Mobile No. _____________________Retailer ID__________________________

Franchise ID ____________ Other Contact No. _____________Business Working Hours: From ___________To________

Operating Current Business Since ___________ (years/months)

Current Business Premises _________________ (years/months)


Premises is Rented Owned Leased

Preferred Language: Urdu English Punjabi Pushto Sindhi Balochi Saraiki

Agent Profile

Below Average Average Above Average Good Outstanding

Rate the Security Level of the Shop

Unsecured Partially Secured Secured

Please confirm ratio of Cash and Credit Sales

Cash _____________% Credit ___________%


*Kindly fill attached ‘Common Reporting Standard’ Form if country of stay is other than Pakistan

Other Bank Details


Bank Name ___________________________________________A/C Number ____________________________________

Monthly Income (PKR) _________ Acc. Turnover per Annum (PKR) ________ Dominant Mode of Deposit (PKR) _______

Dominant Mode of Withdrawal PKR ____________ Name of Expected Local Geographies for Transactions __________

No. of Expected Monthly Credit Transactions ________ Expected Monthly Credit Turnover of Account PKR _________

Name of Expected International Geographies for Transactions ___________Investment in Business (PKR) ___________

Business Turnover (PKR) _____________Purpose of Account ________________Nature of Business ________________


Salaried Individual Details
Name of Employer ______________________________________ Title /Position _________________________________

Employed Since ______________ Status _____________________ Salary and Other income _______________________

Expected Type of Counter Parties _____________ Customer is PEP __________Occupation/Profession _____________

Customer Profile (Snapshot) _________________________________


Neighbour Check
Neighbour 1

Name __________________________Type of Business ____________________Name of Business __________________

Relationship with Business Positive Negative Undecided Remarks_____________________________

Neighbour 2

Name __________________________Type of Business ____________________Name of Business __________________

Relationship with Business Positive Negative Undecided Remarks_____________________________

Neighbour 3

Name __________________________Type of Business ____________________Name of Business __________________

Relationship with Business Positive Negative Undecided Remarks_____________________________

Reviewed by ZSM OneLoad


Employee Name Employee Code

Date
MD
Y of visit Date D D M M Y Y Y Y

Signature/Stamp
Recommended by Regional Manager Agent Management BAFL
Employee Name Employee Code

Date
MD
Y of visit Date D D M M Y Y Y Y

Signature/Stamp
For Bank Alfalah Branchless Banking Operation Team Use Only
NADRA Verification Positive Negative
Account Screened for UNSC List Positive Negative
E-CIB Positive Negative
Risk Level High Medium Low
AgentChex Yes No
FATCA Yes No
Recommended Not Recommended Remarks ____________________________________

Employee Name Employee Code

Date
MD
Y of visit Date D D M M Y Y Y Y

Signature/Stamp
Indemnity against difference Date D D M M Y Y Y Y
in Signature from CNIC

The Manager,
Branchless Banking Operations,
Bank Alfalah Limited

Subject: Signature Indemnity

Dear Sir,

I intend to open Branchless Banking Account in your bank and would like to inform you that my current signature differ
with the one’s appearing on my current CNIC. I hereby indemnify Bank Alfalah of any loss caused due to variation in my
signature. I would be responsible for all transactions that originate from my account.

I would appreciate if you could please accept my current signature on all Branchless Banking Account opening
documents.

I have authenticated my current signature with my signature on CNIC.

Name________________________________________________
Specimen of my Current Signature

Specimen of my Signature as per latest CNIC_______________________________________________________________

For Bank Use Only

Signatures verified in person by


(Bank Alfalah Agent Management Team – Branchless Banking)

Name________________________________

Signature

Date ________________________________

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