Additional Request Form

Branch Branch Code SBP Code Date D D M M Y Y Y Y

SBP
New IBAN P K HA B B 0 0 Account Officer

Existing Customer Details Existing IBAN P K HA B B 0 0

Customer No. Customer Name
To update customer detail, please fill Customer Information Form.
* FCY Accounts can be opened. Please select currency.
New Account Request (Please tick appropriate box)
Current Account HBL Current Account* HBL BasicBankingAccount HBL @Work*
HBL FreedomAccount HBLiD HBL HumWatan Other
(please specify)
Savings Account HBL RutbaAccount HBL PLS SavingsAccount HBL ValueAccount HBL MoneyClub Staff Savings Account

HBL SavingsAccount* HBL DailyMunafaAccount HBL DailyProgressive Other

(please specify)

Finance Account Running Finance Cash Finance Other

(please specify)

Purpose of Account Savings Salary Business Credit Facility Consumer Finance

Home Remittance Import / Export Other (please specify)
Currency of Account PKR USD EURO GBP CNY Other
(please specify)
Initial Deposit Source of Initial Deposit Cash Internal Monetary Wire
(amount) Transfer Instrument Transfer
Operational Instructions (Please select an option) Self Guardian Photo Either or Survivor Joint
For Either or Survivor/Joint Customers (Please fill the following)
Name Customer No. Signature
Primary Applicant
Joint Applicant 1
Joint Applicant 2
Joint Applicant 3
Singly Jointly with
Minor Details (For MoneyClub Accounts Only)
Full Name
Gender Male Female Other Date of Birth D D M M Y Y Y Y
Identification Document Form B Birth Certificate CRC Document No.
Guardian relationship with Minor Father Mother By Court Order Other Email

Residential Address
House/Appt. No./Appt. Name Street No./Name
Area/District City Country
Post/Zip Code (if applicable) Nearest Landmark (if applicable)
City of Birth Country of Birth Country of Residence
Do you have multiple Nationalities? Yes No
If 'Yes', please list your nationalities
Are you, or have you ever been a citizen or tax resident of a country other than Pakistan? (If ‘Yes’, please complete the CRS/FATCA form) Yes No

Term/Fixed Deposits I/We hereby authorise the Bank to debit my/our IBAN and create the following deposit:

P K HA B B 0 0 Period
Amount (in figures) PKR/FCY Amount (in words) PKR/FCY

Currency of Account PKR USD EURO GBP Other

(please specify)

On Maturity:
(Tick Appropriate Box)
Encash and credit to Account No. P K HA B B 0 0
Credit Profit/Interest in Account No. P K HA B B 0 0
Rollover for same tenure With Profit Without Profit

Profit Frequency (Please tick the appropriate box) Monthly Quarterly Half-Yearly Yearly Maturity

Account Conversion Request (The conversion request will be entertained after at least six months of account opening/conversion within the same account)

Existing Type of Account Requested Type of Account

Reason for Conversion Avail interest free account Avail free services Other

HBL Nisa Debit Card and cheque book may be issued

HBL NISA (for female account holders only) Please select
Enroll De-enroll Card Cancellation HBL DebitCard No.

HBL Nisa, UnionPay HBL Nisa, MasterCard Name to appear on

HBL DebitCard

Customer Slip / Copy

We acknowledged receipt of your request for additional services/IBAN PK HAB B 0 0
Authorised signature with
Date D D M M Y Y Y Y branch stamp S. No.
 HBL DebitCard Request HBL iD, HBL MoneyClub, HBL Rutba, HBL Haryali etc accounts will have their standard cards issued to the customers rather than the ones from the card deck
For Supplementary DebitCard, please complete the Supplementary DebitCard Application Form.

Card Issuance Card Cancellation* Card Replacement* PIN Replacement* Account Linkage/Tagging*

Select DebitCard HBL Gold DebitCard, MasterCard HBL World DebitCard, MasterCard HBL DebitCard, MasterCard HBL DebitCard, Visa HBL DebitCard, UnionPay HBL DebitCard, PayPak

Applicant *HBL DebitCard No.

Name on Card (If applicable)
For Account Linkage/Tagging only Account No./IBAN

Reason for Issuance New Issuance Loss Theft Damage Expired Incorrect Embossing

Electronic Services HBL SMS Alerts HBL PhoneBanking HBL InternetBanking

E-Statement E-Statement Frequency Daily Monthly Half-yearly Yearly

Email Address Mobile Number

Change in Details Please update my following address across all delivery channels Residential Permanent Work

House No./Appt. No./Office No./Appt. Name/Office Name

Street No./Name Area/District City

Country Nearest Landmark Post/Zip Code (if applicable)

(if applicable)

Telephone No. Fax No. Mobile

(Area Code) (Area Code)

Signature Update Please update my/our new signature on the account mentioned overleaf Signature Cards Attached Yes No

Stop Cheque Request Stop Loss Cheque No. to/or

Amount Favoring Date of Issue D D M M Y Y Y Y

Customer copy attached Yes No Time of instruction received & marked Date of Request D D M M Y Y Y Y

Debit the charges from my above-mentioned account.

Account Certificate/ Balance Certificate Duplicate Statement of Account
Statement
Date D D M M Y Y Y Y Start Date D D M M Y Y Y Y End Date D D M M Y Y Y Y

Standing Instructions Amount Start Date D D M M Y Y Y Y Expiry Date D D M M Y Y Y Y

Frequency Beneficiary Account No. P K HA B B 0 0

(Daily, Weekly, Fortnightly, Monthly, Quarterly, Half-Yearly, Yearly)

Account Closure I/We wish to close my/our account for reason

ChequeBook Returned Yes No Cheques from to

HBL DebitCard Surrendered Yes No DebitCard No.

Locker Surrendered Yes No

Break Opening of Lockers Key No. allotted to me for Locker No. has been misplaced/lost. Please issue a new key.
(Due to loss of key)

Account Title Change Correction Correct Account Title

Activation of Please activate my account mentioned overleaf Copy of valid CNIC submitted
In-Active Account Reason for non-usage of account

Other Requests/Instructions
Authority and Declaration:
I/We hereby authorize HBL to carry out my/our instructions as specified hereinabove in this Additional Request Form, subject to the terms and conditions
governing my/our account(s) with the Bank and my/our subscription of any and all other services and products of the Bank. I/We represent and warrant
that the information given above is true, correct and complete in all respects.
I/We hereby authorize the Bank to debit my/our bank account with the charges applicable on the above service(s) and/or product(s) as per the current
Schedule of Bank Charge . I/We hereby agree and accept to pay these charges.

Signature of Applicant(s)

Signature/Photograph/
Thumb Impression

Primary Applicant Joint Applicant 1 Joint Applicant 2 Joint Applicant 3

For Bank Use Only

Approved By Signature Verified By

Date Received D D M M Y Y Y Y P.A. No. P.A. No.