NBP KAROBAR (UNDER PRESIDENT'S ROZGAR SCHEME)

LOAN APPLICATION FORM

PERSONAL INFORMATION
Please (✓) the box that applies to you
To Be Filled In Block Letters Only

Mr./Ms./Mrs. First Name Middle Name Last Name

CNIC No. (New) NIC No. (Old)
Father's/Husband's Name
Father's/Husband's CNIC No. NTN No. (If Available)
Nationality Mother’s Maiden Name Gender: Male Female
Date of Birth Day Month Year Age Years
Educational Qualification Below Matric Matric Intermediate Graduate Masters
Employment Status (If applicable) Unemployed
Self Employed Professional Name of Office / Business Net Monthly Income Rs.
Salaried Name of Employer Net Monthly Income Rs.
Businessperson Name of Business Net Monthly Income Rs.
Nature of Business Industrial Commercial Agriculture Services Other

Office Address
Current House Status Owned Family Owned Rented Other (Please Specify)
Type of Accommodation House Apartment Other If Rented, Monthly Rent (Rs.)
Residing (Accommodation) Independently Jointly Shared with Relative No. of People Residing Together
Residential Address (Present) House No. Street Area / Mohalla
Village City Union Council
Postal Code (Present) E-mail Address
Telephone Number (Present) Home Office Mobile
Residing at above address since
Residing in the city since month year
If period is less than 2 years, kindly provide prior address(es) during last two years

Residential Address (Permanent) House No. Street Area /Mohalla

Village City Union Council
Postal Code (Permanent) Telephone No.
Next of Kin Name Telephone No.
Next of Kin Address
Marital Status Unmarried Married Divorced/Separated No.of Dependents Adults Children Other
Existing Limits (all borrowing of the customer) Amount Expiry Date
Status
Regular Amount Overdue (if any) Amount Rescheduled/ Restructured (if any)
Fund Based
Non-Fund Based

Applying for Product
Requested Loan Amount (Rs.)
Term of Loan (1-5 years)
Description/
Model of finished goods
LOAN INFORMATION
NBP Karobar Utility Store NBP Karobar Mobile Utility Store
NBP Karobar Mobile General Store NBP Karobar Transport
NBP Karobar PCO Others (Please Specify)
NBP Karobar Tele-centre Down Payment % of price Rs.
Funds required for the shop setup of Utility Store:
Years
Advance Rent/Security Deposit
Furniture, Fixtures and Equipments etc.

REFERENCES / GUARANTOR INFORMATION

Reference No. 1:
Name Father’s Name
CNIC No. (New) NIC No. (Old)
Residence Address
Telephone Number Home Office Mobile Occupation
Office Address NTN No. Signature

Reference No. 2: (Not Close Relative)

Name Father’s Name
CNIC No. (New) NIC No. (Old)
Residence Address
Telephone Number Home Office Mobile Occupation
Office Address NTN No. Signature
(P.T.O) Rs. 5/-