Professional Documents
Culture Documents
an, Rawalpindi
NCS 20/8/10 Lhr
1 FOR BANK USE ONLY
Account Number
RM Code G8I
BUNDLING
Bundle Type Cashback Level Bundle Code
CASA SECTION
Segment Code 10
ISIC Code
✘
Flag for Non Resident Account Yes No
Minimum Balance Fee Exemption Flag ✘ Yes No
APPROVAL SECTION
Name of RM:
Signature:
Signature:
Institution Classification
Application Reference No
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2 Information about myself Account Number NCS 20/8/10 Lhr
Post Graduate Other for CASA, one of the two fields must be filled.
Home .
Nearest Landmark
Address of Employer (for salaried employees) /
Address of Business (for self- employed)
Dunya Tv (National Communication Services) House # 20,
Main Margalla Road, Sector F-6/3, Islamabad
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3 I would like the following accounts
Currency of Account
✘ PKR USD GBP EUR Other
Product List
Easy Saver (ESA) Supersave (005) Business (104) Basic Banking (BBA) ✘ Payroll Current (CAS/CAG/CAP)
Bonus Saver (BSA) Mahana Izafa (MIA) LCY Current (001/PRI) Staff Account (007) Payroll Savings (SAS/SAG/SAP)
High Yield (002) Flex (004) FCY Current (FC1/FCE/FCG) FCY Savings ((FC2/FCU/FCP)
Others (Name)
Exempted Account*
Please specify the category given below and provide documentary evidence:
Not Applicable
Primary Applicant Joint Applicant
Not Applicable
Primary Applicant Joint Applicant
Not Applicable
Primary Applicant Joint Applicant
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4 I would like a credit card Yes No
Please complete this section Please go to next section
Select your choice of card
PIA Cobrand VISA Platinum PIA Cobrand VISA Gold PIA Cobrand VISA Classic VISA Platinum
5 I would like to apply for transactional / electronic services (Credit Card & Current / Savings Account)
E-Statement ✘ Yes No
Frequency (only for Bank account) Weekly ✘ Monthly Quarterly
Note: In case no frequency is marked then quarterly frequency will be considered by default.
Online Banking ✘
Yes No SMS Banking ✘ Yes No
ATM / Debit Card ✘ Yes No
Name of Applicant Muhammad Shakeel Sadiq
(as it should appear on Debit Card)
Name of Joint Applicant N/A
(as it should appear on Debit Card)
Note: In case no name is provided then first 19 (nineteen) characters of the account title will be embossed on the card
Cheque Book ✘ Yes, 25 leaves Yes, 50 leaves No
Note: The electronic services will be subject to applicable changes as per the Bank's Schedule of Charges, which are revised from time to time
Please ensure that you have provided mobile number and email address if you have requested enrollment for SMS Banking, Online Banking and E-Statement
Kindly note that if you have enrolled for e-statement then you will not get printed statement for bank account.
Not Applicable
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6 We would like a joint account
Yes No Nature of Employment
(please complete the section) (please go to next section) Salaried Self employed Other
Salutation/Title Mr Mrs. Ms Other Occupation / Designation:
Full Name
Name of Employer (for salaried)/
Name of Business (for self-employed):
Nearest Landmark
Telephone Number Nearest Landmark
Home
Office Occupation / Designation
Mobile
Email Address Postal Address
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8 Declaration
By signing below this declaration, I/We request you to open my/our local/ foreign currency account(s)/issue Credit Cards/enroll
into Banc assurance products with Standard Chartered Bank (Pakistan) Limited in Pakistan.
I/We confirm that:
• I/We have carefully read and understood the terms and conditions at its entirety governing the local/ foreign currency
account(s) /Credit Cards/Banc assurance products.
• I/We confirm that I/we have been supplied with a copy of the Terms and Conditions governing the accounts along with AOF
form. The Terms and Conditions governing Credit Cards/Banc assurance products will be provided in Welcome Pack of the
Credit Card.
• I/We agree to be bound by the Terms and Conditions of Account Opening Form/Credit Card/Banca assurance products and
any amendments which Standard Chartered Bank (Pakistan) Limited may include from time to time.
• I/We warrant that all information stated herein and in our/my attachment hereto or otherwise provided to you by me/us or at
our/my request is true and accurate in all material respects. I/We further authorize you to check and verify the information
provided by me/us.
• I/We undertake and declare that in case of a joint account with the operating instructions as Any One Singly/Either or Survivor,
any one of the account holders is authorized to open any link account in any currency with the same operating instructions as the
master account.
• I/We hereby declare and undertake that clean financing facility availed by me/us, in my/our own name, or in the names of my
family members,from other banks through Credit Cards and cheque book (in case of Easy Credit) is neither in excess of nor it
shall be in excess of the State Bank Regulations in this respect from time to time including such financing facility from you and
shall further provide any documentation or personal details to the bank as and when requested by the bank in respect of my
credit details.
• I/We undertake and declare that the bank’s right to refuse my/our application form without giving any reason, extend its
processing period or withdraw and/or reject any offer without providing any reason whatsoever shall not be challenged by me/us.
• I/We hereby agree that by signing on the back of the card and/or using the card I/We will signify my/our agreement to, and
thereafter be bound by such terms and conditions.
• I/We confirm that in the event of my signature herein below differing materially from the signature on my/our computerized
national identity card,you are authorized to rely on my/our agreement and/or other communications signed or purposed to be
signed by me/us in the manner specified below.
• I/We undertake that at any time after making this declaration, any change of information given in this application/attachment
that is reasonably likely to be relevant information required by the Bank, the same will be furnished by me/us immediately without
delay.
By signing below, I/We agree to be bound by the terms and conditions of the products I/We am/are applying for and the
declaration stated above.
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MOST IMPORTANT DOCUMENT – LIABILITIES (Payroll)
My signature below is proof that I have understood and irrevocably agreed to the following:
1 ) My application will not be processed until Standard Chartered Bank (Pakistan) Limited (SCBPL) has received all the
required information / documentation relating to opening of my account.
3) I undertake, acknowledge and warrant that I will not involve or hand over cash/bearer cheque to any Bank
representative(s) for deposit in my account or for any fee. Further, I will not authorize Bank representative(s) for receiving
cheque book on my behalf for whatever reason.
4) I understand that the Standard Chartered Bank (Pakistan) Limited has the right to approve or reject any application
without giving any reason whatsoever.
5) I understand that Standard Chartered Bank (Pakistan) Limited has the right to retract fee waivers and other benefits that
apply to my Payroll account if salary is not credited to my Payroll account for three consecutive months.
6) I understand that the Chequebook will be issued at my request and must be collected by myself or by my duly authorized
representative. If collected by an authorized representative, he/she must present his original ID plus an authority letter
signed by myself before collecting the Chequebook.
7) I understand that PIN and TIN Code will be received after the application is approved. TIN/PIN numbers are confidential
pieces of information and must not be disclosed/ shared with any individual or SCBPL’s representative(s)
8) TIN will be issued and delivered to the address given on Account Opening Form.
9) All other fees/charges are subject to change and will be applicable as mentioned in the Schedule of Charges that is
issued by Standard Chartered Bank (Pakistan) Limited from time to time.
10) I am eligible for Annual Fee waiver on my VISA Debit Card, if I avail the following:
Payroll Current Account + VISA Debit Card + Cash Cover Plus (Insurance)
CNIC # 37405-1856276-9
Date 16-Oct-10
Signature
Optional/ If applicable:
My signature (given above) for using this account is different from the one in my CNIC. The signature as per my CNIC
is given below.
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Customer Acknowledgement
I/We confirm that I/we have been supplied with a copy of the Terms and Conditions
governing the Bank Accounts and/or Insurance Product for Debit Card (i.e. Cash Cover
Plus).
I/We understand that in case of Credit Card(s) and /or Insurance Products (Smart
Wallet/Credit Cover Plus), the Terms & Conditions will be supplied to me/us with Credit
Card(s) Welcome Pack at my/our mailing address mentioned in the Account Opening Form,
if applicable.
N/A
Date:
10
WELCOME PACK DELIVERY AUTHORIZATION
I hereby duly authorize Standard Chartered Bank Pakistan Limited to deliver my account
Welcome Pack (including the Debit Card & Cheque Book) to my below mentioned
authorized representatives of
And /Or
CNIC 37405-1856276-9
Date 16-Oct-10
Signature
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CDD and CB Sanctions Form
✘
CDD Risk Rating: SDD √ SRL check – match/no match (with RM signature):________________
Expected Source of
Funds Salary + personal savings
Comments: Comments:
Note: Sanctioned countries means Burma/Myanmar, Iran, North Korea, Sudan, Syria and Cuba (as at April 2010).
Table for tracking changes in the profile
Date Field Name Description of Change Source of Information Signature
Note: Kindly note that the above table is to track changes if there is any change in customer profile related to below listed
fields:Identity Document No, Nationality, Business Reg. No, Business Reg. Address, Nature of Business, Date and Place of
Birth,Country of Current Residence, Telephone Mobile Number, Occupation, Name of Employer/Business, Designation
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CASA Account Checklist - Individual Pakistani National (LCY/FCY)
Account Number: RM Name :
Note
1 Whenever a copy of CNIC/Passport is received. The RM must sight the original, compare it with the copy with special
focus on the customers photo and mark the photo side "original seen". it is "Original Seen". The RM must also sign and
write his / her name on the copy.
2
Vernacular indemnity is required in case of a shaky signature(s) and/or if signature is in a language other than English
or Urdu.
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