THIS DECLARATION is made on __________________ at __________________

The Manager
Standard chartered Bank (Pakistan) Limited
__________________________Lahore

Dear Sir/Madam,

That I, __________________ S/O/W/o _______________ holding CNIC No. _______________

resident of _________________________ maintaining an Account No,. ___________________
titled _____________________ with the Standard Chartered Bank (Pakistan) Limited (“Bank”)
and do hereby confirm that I am a:
Occupation Source of funds CNIC of the person funding the account
Housewife / Widow
Landlord/Agriculturis
t
Student
Retired Person

I do hereby confirm and declare that the above mentioned information is correct to the best of
my knowledge and any change in the above mentioned information will be notified by me to the
bank immediately.
This declaration is governed by and shall be construed in accordance with Laws of Pakistan.
IN WITNESS of which this Declaration has been executed as a deed and has been delivered and
takes effect on the date first mentioned on page 1.
Yours Faithfully,

_____________________
Name & Signature
Relationship / Account No. ________________
Title Account: ___________________________
CNIC No. _______________________________

Witnesses 1. __________________________ 2.____________________________

CNIC No. _____________________ CNIC No. ___________________
Date:_________________________ ____________________________