Customer Instructions Form

Date: _______________
The Manager
Meezan Bank Limited
________ Branch
Karachi

Dear Sir,

Please follow my/our instruction(s) no.______________ selected below:

1 Open a _______ Saving/Current account under the same reference as my/our existing
________ Saving/Current account

2 Close my/our account(s) with your branch. I/we also surrender unutilized cheque book(s)
from ____________ to ____________, from ____________ to ____________

3 Transfer sum of Rs. _______________ (In words) ____________________________________

from my/our account to A/c no. ____________________ (Title)__________________________

4 Convert ____________ (In words) __________________________________ from my account

into Pak Rupees at official rate of exchange and credit into my/our A/c no.___________________

5 Change my mailing address to: ___________________________________________________

___________________________________________________________________________
___________________________________________________________________________

6 Change my/our telephone no.:

Mobile: _________________ Res.: ____________________ Off.: ___________________

7 Change my/our mailing instructions to (SEND / HOLD)

8 Issuance of account statement from __________ to __________

9 Issuance of account maintenance certificate

10 Issuance of WHT/ Balance confirmation certificate from ____________ to ___________

11 Other Instructions: ___________________________________________________________

_________________________________________________________________
_________________________________________________________________

This Application is governed by the General Terms and Conditions of Bank Account.

Account no.:_______________________ Name(s): _____________________________________

Signature(s): ___________________________________________________________________

For office use only

Received by: ________________ Processed by: _______________ Manager _________________

Remarks: ______________________________________________________________________