Professional Documents
Culture Documents
Request For Funds Transfer & Abc / CDR / TC Issuance
Request For Funds Transfer & Abc / CDR / TC Issuance
Customer #
(For Bank Use Only)
Branch Code
Date
D
PKR
Amount in Figures
Other _________________
(Please specify)
Other _________________
(Please specify)
Amount in Words
Address
Telephone/ Mobile #
Branch Code
Branch
Account #
APPLICANT'S INFORMATION
Name (In Block Letters)
CNIC/Passport/Other ID #
Address
__________________________________________________________________________________
CDD/ KYC INFORMATION (IN CASE APPLICANT IS A WALK-IN CUSTOMER)
Occupation/Profession
Employer's Name &
Address (If Employed)
Mobile #
Tel # (Office)
MODE OF PAYMENT
CASH
CHEQUE # _______________
ACCOUNT
Account #
Branch
I declare that information provided in this form is correct and verifiable with all risks and consequences at my part. Further, I
confirm that I have read and understood the Terms & Conditions mentioned overleaf and received the instruments (s)/
Receipt.
Applicant's Signature/ Thumb Impressions**
(B) Commision
(C) Other Charges
(D) Tax
Total A+B+C+D
Exchange Rate
(For FCY)
Equivalent PKR
No of Leaves
Value
Serial No.
From
To
Total
Authorized Signature & IBS #