National Bank of PakistanUAN 111 627 627www.nbp.com.pk

BankThe Nation’s

Application Form # : Date:

Branch & Region Name: Branch Code:

Application Form

1. Personal Data

Dependants: Next of Kin with address:

Name of Applicant:

Father’s/Husband’s Name:

Date of Birth: Age: Educational Qualification:

Nationality: N.T.N. Number: (where applicable)

Office Phone # :

Residence Phone # :

Permanent Address:

Email:

Mobile # :

(in years)

Current Address:

C.N.I.C. # :

C.N.I.C. # :

2. Employment Data

Designation/Job Title: Employment Level (Grade/BPS/SPS):

Salary Disbursing Officer’s Name with Address: Remaining Service:

Salary Disbursing Officer’s Contact # : Fax # :

Name of Employer:Occupation:

Department: Monthly Gross Salary: Monthly Net Take Home Salary:

Mode of Salary Receipt: Direct Credit via DDO Consolidated cheque issued by DDO

3. Finance Request Data

Request for:

Finance Limit Requested: Rs. equal to month(s) of advance net take home salary of Rs.

Purpose of Finance: NBP Salary Account # :

2) Renewal/Enhancement1) Fresh Case

Office Contact # :

Address of Employer:

D D M M Y Y Y Y

Length of Service in Years: Other (if any, please mention)

National Bank of PakistanUAN 111 627 627www.nbp.com.pk

BankThe Nation’s

5.

(i) (ii)

Two references of work colleagues (same or higher grade, whobank with the same NBP branch or any NBP branch or any other bank).

Phone (Res.):

Fax:

Name:

Address:

A/C # :

Bank/Branch Name (Code) with Address:

Email:

Mobile No:

Phone (Res.):

Fax:

Name:

Address:

Bank/Branch Name (Code) with Address:

Email:

Signature: (Verification Stamp) Signature: (Verification Stamp)

Note: Reference Person(s) signatures will be duly verified by Branch as per Bank’s policy and procedures.

C.N.I.C. # :

I, _______________________________ (S/o), (W/o), (D/o) ______________________________ hereby confirm as follows:

(i) That National Bank of Pakistan ("NBP") may at its discretion extend to me a finance facility up to the aggregate amount stated in item 3 of the Application Form ("Finance Facility").

(ii) That the decision to extend the Finance Facility to me and the amount of the Finance Facility to be extended to me shall lie solely with NBP and I shall abide by NBP’s decision in this respect.

(iii) That NBP has the right to reject any financing application without assigning any reason and to cancel the Finance Facility extended to me or any portion thereof and to seek immediate repayment of allamounts outstanding and payable by me in respect of the Finance Facility, or to convert such facility into any other facility without assigning any reason.

(iv) That I will be responsible for any stamp duties or taxes that are payable arising out of the loan agreement.

(v) That I shall provide all such further information and documents as may be requested by NBP, prior to extending the Finance Facility to me and/or at any time thereafter.

(vi) That I shall not transfer my salary and employment benefits whatsoever to any other account, including any other branch of NBP, at any time after the submission of the Application Form, without the priorwritten approval of NBP.

6. Authorization / Declaration

4.

• Last 3 months’ salary slips/certificate.

Please attach the following with your application:

• Copies of CNICs of applicant & TWO references (duly attested by concerned NBP branch/gazetted officer)

• Copies of employee ID cards of applicant & references (attested by NBP branch/gazetted officer) where applicable

• Customer undertaking on Rs. 20/- stamp paper (bond paper)

Mobile No:

A/C # :

• 5 cross cheques favoring NBP along with letter of authority

National Tax #:(Where applicable) ( )

National Tax #:(Where applicable) ( )

Phone (Office): Phone (Office):

C.N.I.C. # :

National Bank of PakistanUAN 111 627 627www.nbp.com.pk

BankThe Nation’s

7. Other finance facilities already availed from NBP/other banks (Attach separate sheet if required)

Fund Based/Non-Fund Based (Facilities obtained from NBP/other banks)

Name of Bank Product NameAmount

Sanctioned Sanction Date Expiry DateInstallment

Amount

Regular Over-due (if any)

Current Status

Outstanding Amount Amount Rescheduled/ Restructured (if any)

(xiii) That I have read and understood the Application Form and whatever has been stated hereabove,

Note: The obove charges are exclusive of any FED/taxes applicable as per law.

and I have kept a copy of the same duly filled in for my record.

Documentation and Legal Charges

Processing Fee

Actual to Verification Agency(Currently Rs. 450/-)

Actual to Verification Agency (currently Rs. 125/-)

2% of Adjustment Amount

Verification ChargesIn case when physical, telephonic verification of applicant & DDO verification is done

In case when DDO verification is done only

Early Payment Charges

At Actual

Signature of Applicant

450

125

(xii) I hereby authorize the bank to deduct/charge the following:

(vii) I hereby give irrevocable standing instructions to NBP to directly debit my salary account for monthly repayment or at NBP’s discretion of the above requested limit. I also understand and undertake todraw my finance limit from the NBP cash counter once a month only. This restriction does not apply on cheques presented in clearing, ATMs etc.

(viii) That all information provided by me in the Application Form is true and correct and I hereby indemnify NBP and hold NBP harmless against any damage that may be suffered as a result of NBP’s relianceon the information provided herein.

(ix) That in case any installment cannot be recovered by debiting my salary account, I authorize NBP to fill up the date of cheque and the required amount of recovery of the relevant amount.

(x) I hereby confirm that I will inform NBP whenever I get transferred from my present place of posting.

(xi) I hereby authorize the bank and third parties including my bankers to exchange any of my information or make enquiries for the purpose of considering my application and for the conduct of any of myaccounts. I confirm that in the event my signature herein below differs materially from the signature on my CNIC, NBP is authorized and instructed to rely on the documents which I am to execute for thisloan/or other communications signed or required to be signed by me in the manner specified herein below.

FreshRs.2,000/- or 2% of the loan amount, whichever is higher, subject to a maximum ceiling of Rs. 20,000/-

Rollover/Enhancement Rs.2,000/- or 2% of the net/fresh enhanced amount, whichever is higher, subject to a maximum ceiling of Rs. 20,000/-

2%

2%

How did you find out about NBP Advance Salary?

Word-of-Mouth

Others

Outdoor MarketingBranch Staff

Call Center

SMS AlertFM RadioPrint Media Television Ad

Friends/Colleagues

Telemarketing

National Bank of PakistanUAN 111 627 627www.nbp.com.pk

BankThe Nation’s

Signature:

Sr.# Name of Bank/ DFI Approved Limit

Sr.# Name of Bank/ DFI Approved Limit Amount Outstanding on Application Date

Details of Personal Loan (secured) limits being availed from other banks/DFIs:

Sr.# Name of Bank/DFI Approved Limit Amount Outstanding on Application Date

Details of other facilities (clean & secured) being availed from other banks/DFIs:

Sr.# Name of Bank/DFI Approved Limit Nature (clean/secured) Current Outstanding

Applied Limit (including the Application in process):

Details of Personal Loans (clean) limits being availed from other banks/DFIs:

Sr.# Name of Bank/DFI Facility under Process Nature of Facility (clean/secured)

Signatures with Stamp: Recommending Officer Sanctioning Authority

Other Conditions:

Amount: Rs. Period:

(For Official Use Only)

Finance: Approved Disapproved

Details of Credit Cards (secured) limits being availed from other banks/DFIs:

Details of Credit Cards (clean) limits being availed from other banks/DFIs:

Sr.# Name of Bank/DFI Approved Limit

8. CF-I Undertaking (Attach separate sheet if required)

I, _____________________________________________________________________________ (S/o), (D/o), (W/o) ________________________________________________

holder of CNIC# ___________________________________________, undertake that the detail of my existing exposure from the

“Entire Banking Sector” as on _____________________________________________________________________ is as under:

EMPLOYER UNDERTAKING

This is to confirm that Mr. / Ms. / Mrs. ___________________ (S/o), (D/o), (W/o) _______________, holder of CNIC No. __________________________ is our permanent employee since ________ and his/ her retirement year is ________. He/ She maintains salary account number ________________________ with National Bank of Pakistan ________________ branch (city/area).

We irrevocably undertake that the salary and all other employment-related remuneration and payments, including settlement, retirement or end service benefits relating to this employee will only be paid through the above stated NBP bank account till the employee has repaid all amounts outstanding and would not be transferred to any other bank/branch unless prior N.O.C./written confirmation is obtained from NBP Branch Manager/authorized signatory at the above noted branch.

In case of any order/instructions issued by any regulatory authority regarding transfer of the salary accounts of the company’s to any other bank, we undertake to first adjust the NBP loan/finance amount by any source whatsoever of our employee(s) before transferring the salary accounts.

We shall promptly notify the NBP Branch of any change in the status of the employee’s employment with us, including without limitation, transfer, promotion, demotion, commencement of disciplinary proceedings, suspension, termination or resignation, death or any other matter which may have a material adverse effect on the ability of the employee to perform his/her obligations under the Facility Agreement.

In case of termination or dismissal etc. of our employee, NBP’s claim over the outstanding Finance Facility extended to our employee shall always prevail over all other claims.

We confirm that the *estimated end-of-service benefits of the subject employee as of date less any liabilities thereon exceed the amount of finance limit requested.

We confirm that not any disciplinary proceedings are pending against the employee.

We shall abide by the terms of this Undertaking.

I shall give my unconditional consent to the above

(Signature of Employee/Customer)

Salary Disbursing Officer/Authorized signatory

(Signature with Official Stamp)

Ref # ________________

The Manager

National Bank of Pakistan

_________________________ Branch

_________________________

Dear Sir/Madam,

EMPLOYER UNDERTAKING

(* No exact calculations required)

N.B

- NBP will verify the above undertaking directly from the salary disbursement/authorized signatory.

- Reference Person(s) signature(s) will be duly verified by branch as per NBP’s policy and procedure.

Date: __________________