‫اﺳﺘﻤﺎرة ﻃﻠﺐ اﻟﺘﻤﻮﻳﻞ‬

Finance Application Form

Personal details- Primary applicant ‫اﻟﺒﻴﺎﻧﺎت اﻟﺸﺨﺼﻴﺔ – اﻟﻤﺘﻌﺎﻣﻞ اﻟﺮﺋﻴﺴﻲ‬

(please complete all details in CAPITAL letters)
Full name ‫اﻻﺳﻢ اﻟﻜﺎﻣﻞ‬
(as per passport) (‫)ﺣﺴﺐ ﺟﻮاز اﻟﺴﻔﺮ‬
Mr./Ms./Mrs. ‫اﻟﺴﻴﺪة‬/‫اﻟﺴﻴﺪ‬

‫اﻟﺠﻨﺲ‬ (‫ﻋﺪد اﻟﻤﻌﺎﻟﻴﻦ )اﻟﺮﺟﺎء اﻟﺘﺤﺪﻳﺪ‬

 ‫ذﻛﺮ‬  ‫أﻧﺜﻰ‬
Gender Male Female No. of dependents (please specify)

‫اﻟﺠﻨﺴﻴﺔ‬ ‫رﻗﻢ اﻟﺠﻮاز‬ ‫ﺗﺎرﻳﺦ اﻧﺘﻬﺎء اﻟﺠﻮاز‬ Day Month Year

Nationality Passport No. Passport expiry date

‫اﺳﻢ اﻷم‬ ‫رﻗﻢ اﻟﻬﻮﻳﺔ اﻹﻣﺎراﺗﻴﺔ‬ ‫ﺗﺎرﻳﺦ اﻧﺘﻬﺎء اﻟﻬﻮﻳﺔ‬ Day Month Year
Mother’s Emirates ID No. ID expiry date
name

‫ﺗﺎرﻳﺦ اﻟﻤﻴﻼد‬ Day Month Year ‫رﻗﻢ اﻹﻗﺎﻣﺔ‬ ‫ﺗﺎرﻳﺦ اﻧﺘﻬﺎء اﻹﻗﺎﻣﺔ‬ Day Month Year
Date of birth Residence Visa No. Visa expiry date

‫اﻟﺤﺎﻟﺔ اﻻﺟﺘﻤﺎﻋﻴﺔ‬ ‫ﻋﺪد اﻟﺴﻨﻮات ﻓﻲ اﻹﻣﺎرات‬

Marital status Number of years in UAE

‫اﻟﻤﺴﺘﻮى‬ ‫ﻃﺎﻟﺐ ﺟﺎﻣﻌﻲ‬ ‫ﺟﺎﻣﻌﻲ‬ ‫دراﺳﺎت ﻋﻠﻴﺎ‬ (‫ﻏﻴﺮﻫﺎ )ﻳﺮﺟﻰ اﻟﺘﺤﺪﻳﺪ‬

‫اﻟﺘﻌﻠﻴﻤﻲ‬    
Undergraduate Graduate Postgraduate Other (please specify)
Education

Address & Contact details ‫اﻟﻌﻨﻮان وﺗﻔﺎﺻﻴﻞ اﻻﺗﺼﺎل‬

‫ﻋﻨﻮان اﻟﺴﻜﻦ‬ ‫ﻋﻨﻮان اﻟﻌﻤﻞ‬ ‫اﻟﻌﻨﻮان ﻓﻲ اﻟﺒﻠﺪ اﻷم‬

Residence address Office address Home country address

P.O. Box/ :‫ اﻟﻤﺪﻳﻨﺔ‬.‫ ب‬.‫ص‬

Postcode city

Villa/Flat No. :‫اﻟﻔﻴﻼ‬/‫رﻗﻢ اﻟﺸﻘﺔ‬

Building name & No. :‫اﺳﻢ ورﻗﻢ اﻟﻤﺒﻨﻰ‬

Street name/No. :‫اﺳﻢ ورﻗﻢ اﻟﺸﺎرع‬

City ‫اﻟﻤﺪﻳﻨﺔ‬

Residence type Owned  ‫ﻣﻤﻠﻮك‬ ‫ﻧﻮع اﻟﺴﻜﻦ‬

Rented  ‫ﻣﺴﺘﺄﺟﺮ‬
Employer  ‫ﻣﻘﺪم ﻣﻦ‬
provided ‫ﺟﻬﺔ اﻟﻌﻤﻞ‬

Mobile :‫رﻗﻢ اﻟﻬﺎﺗﻒ‬

Email Personal email / Professional email :‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬

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 ‫اﺳﺘﻤﺎرة ﻃﻠﺐ اﻟﺘﻤﻮﻳﻞ‬
Finance Application Form

Employment details (for salaried) ‫ﺑﻴﺎﻧﺎت اﻟﻌﻤﻞ‬

‫اﻟﺤﺎﻟﺔ اﻟﻮﻇﻴﻔﻴﺔ‬ ‫ﻣﻮﻇﻒ‬ ‫ﻋﻤﻞ ﺧﺎص‬ ‫ﻣﺘﻘﺎﻋﺪ‬ ‫رﺑﺔ ﻣﻨﺰل‬ ‫ﻃﺎﻟﺐ‬ ‫ﻏﻴﺮ ذﻟﻚ‬
Employment      
Salaried Self-employed Retired Housewife Student Other
status

‫ﺟﻬﺔ اﻟﻌﻤﻞ‬ ‫ﺗﺎرﻳﺦ اﻟﺘﻮﻇﻴﻒ‬

Day Month Year
Employer Date of
name employment

‫اﻟﻤﻬﻨﺔ‬ ‫اﻟﺮﻗﻢ اﻟﻮﻇﻴﻔﻲ‬ ‫ ﺗﺎرﻳﺦ اﻟﺮاﺗﺐ‬Day Month Year

Profession Staff No. Salary date

‫اﻟﻘﺴﻢ‬ ‫اﻟﻤﺴﻤﻰ‬
‫اﻟﻮﻇﻴﻔﻲ‬
Department
Designation

‫ﻧﻮع اﻟﻌﻘﺪ‬ ‫ﻋﻘﺪ ﺑﺪوام ﻛﺎﻣﻞ‬ ‫ﻋﻘﺪ ﺑﺪوام ﺟﺰﺋﻲ‬ ‫ﻋﻘﺪ ﺧﺎص‬
Contract type   
Permanent contract Limited/fixed contract Special contract

Previous employment details ‫ﺑﻴﺎﻧﺎت اﻟﻮﻇﻴﻔﺔ اﻟﺴﺎﺑﻘﺔ‬

(if less than ١ year in current job) (‫)ﻓﻲ ﺣﺎل ﻣﻀﻲ ﺳﻨﺔ أو أﻗﻞ ﻓﻲ اﻟﻮﻇﻴﻔﺔ اﻟﺤﺎﻟﻴﺔ‬

‫ﺟﻬﺔ‬
‫اﻟﻌﻤﻞ‬ ‫ﺗﺎرﻳﺦ اﻟﺘﻮﻇﻴﻒ‬
‫اﻟﻤﻬﻨﺔ‬ Day Month Year
Date of
Employer Profession
employment
name

‫اﻟﻌﻨﻮان واﻟﻬﺎﺗﻒ‬
‫اﻟﻘﺴﻢ‬ Address & ‫ ﺗﺎرﻳﺦ ﻧﻬﺎﻳﺔ اﻟﺨﺪﻣﺔ‬Day Month Year
Department phone No. Date of leaving

Business details (for self-employed) ‫ﺑﻴﺎﻧﺎت اﻟﻌﻤﻞ اﻟﺤﺮ‬

‫ﻧﻮع اﻟﻌﻤﻞ‬ ‫ﻣﺆﺳﺴﺔ ﻓﺮدﻳﺔ‬ ‫ﺷﺮﻛﺔ ﻣﺴﺎﻫﻤﺔ ﻋﺎﻣﺔ‬ ‫ﻣﺆﺳﺴﺔ ﻓﻲ اﻟﻤﻨﻄﻘﺔ اﻟﺤﺮة‬/‫ﺷﺮﻛﺔ‬
Business Type    Free zone company/
Sole establishment Public joint stock company
establishment

‫ﺷﺮﻛﺔ ذات ﻣﺴﺆوﻟﻴﺔ ﻣﺤﺪودة‬ ‫ﺷﺮﻛﺔ ﺗﻀﺎﻣﻦ‬ ‫أﺧﺮى اﻟﺮﺟﺎء اﻟﺘﺤﺪﻳﺪ‬

   Others (please specify)
Limited liability company General partnership

‫اﺳﻢ اﻟﻤﻨﺸﺄة‬
Business name

‫ﻧﺸﺎط اﻟﺸﺮﻛﺔ‬ ‫إﺟﻤﺎﻟﻲ اﻹﻳﺪاﻋﺎت اﻟﺴﻨﻮﻳﺔ‬

Nature of Annual turnover
business

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‫اﺳﺘﻤﺎرة ﻃﻠﺐ اﻟﺘﻤﻮﻳﻞ‬
Finance Application Form

Customer Income / /‫ﻧﻤﻮذج إﻗﺮار ﺑﺪﺧﻞ‬

Expense Declaration Form ‫ﻧﻔﻘﺎت اﻟﻤﺘﻌﺎﻣﻞ‬

‫درﻫﻢ إﻣﺎراﺗﻲ‬ ‫اﻟﺘﻮاﺗﺮ‬

Income Components ‫ﻋﻨﺎﺻﺮ اﻟﺪﺧﻞ‬
AED Frequency

Monthly Income
(Basic Salary + House Rent Allowance + ‫دﺧﻞ ﺷﻬﺮي‬
Company provided accommodation + ً
‫ﺷﻬﺮﻳﺎ‬ ‫ ﻣﺴﻜﻦ‬+ ‫ ﺑﺪل ﺳﻜﻦ‬+ ‫)اﻟﺮاﺗﺐ اﻷﺳﺎﺳﻲ‬
Transport Allowance + All other Fixed Monthly ‫ ﻛﻞ اﻟﺒﺪﻻت‬+ ‫ ﺑﺪل ﻣﻮاﺻﻼت‬+ ‫ﻣﻦ اﻟﺸﺮﻛﺔ‬
monthly allowances (Shift, remote, (‫ إﻟﺦ‬،‫ ﻣﻬﺎم‬،‫ ﺳﻔﺮ‬،‫اﻟﺸﻬﺮﻳﺔ اﻟﺜﺎﺑﺘﺔ )ﺗﻐﻴﻴﺮ ﺳﻜﻦ‬
hardship etc.)

ً
‫ﺷﻬﺮﻳﺎ‬
Pension Income ‫دﺧﻞ ﺗﻘﺎﻋﺪي‬
Monthly

Variable Income ً ‫دﺧﻞ ﻣﺘﻔﺎوت‬

‫ﺷﻬﺮﻳﺎ‬
(Overtime + Incentives/Commission + + ‫)ﻋﻤﻞ ﺑﻮﻗﺖ إﺿﺎﻓﻲ‬
Fixed Bonus payments) Monthly (‫ ﻣﻜﺎﻓﺂت ﺛﺎﺑﺘﺔ‬+ ‫ﻋﻤﻮﻻت‬/‫ﺣﻮاﻓﺰ‬

Other Perks and Allowances

‫ﺑﺪﻻت واﻣﺘﻴﺎزات أﺧﺮى‬
(Education Allowance + Air Travel ً
‫ﺷﻬﺮﻳﺎ‬
+ ‫ ﺑﺪل ﺗﺬاﻛﺮ ﺳﻔﺮ‬+ ‫)ﺑﺪل ﺗﻌﻠﻴﻢ‬
Allowance + Annual Bonus + Other Monthly (‫ ﺑﺪﻻت أﺧﺮى‬+ ‫ﻣﻜﺎﻓﺄة ﺳﻨﻮﻳﺔ‬
allowances)

Household Income ً ‫دﺧﻞ اﻷﺳﺮة‬

‫ﺷﻬﺮﻳﺎ‬
(Spouse Income + Other Family members ‫)ﻣﺠﻤﻮع دﺧﻞ أﻓﺮاد‬
income living in same household) Monthly (‫اﻷﺳﺮة ﻓﻲ ﻧﻔﺲ اﻟﻤﻨﺰل‬

Investment Income ً
‫ﺷﻬﺮﻳﺎ‬ ‫دﺧﻞ اﺳﺘﺜﻤﺎري‬
(Dividends + Rental Income) Monthly (‫ ﻋﺎﺋﺪ ﺗﺄﺟﻴﺮي‬+ ‫)أرﺑﺎح اﻷﺳﻬﻢ‬

Business Income / ً
‫ﺷﻬﺮﻳﺎ‬ /‫دﺧﻞ ﻣﻦ ﻣﺸﺮوع ﺗﺠﺎري‬
Trade License income Monthly ‫دﺧﻞ رﺧﺼﺔ ﺗﺠﺎرﻳﺔ‬

Other Income ً
‫ﺷﻬﺮﻳﺎ‬ ‫ﻣﺼﺪر دﺧﻞ آﺧﺮ‬
Please Specify Monthly ‫ﻳﺮﺟﻰ ﺗﺤﺪﻳﺪه‬

TOTAL ‫اﻟﻤﺠﻤﻮع‬

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‫اﺳﺘﻤﺎرة ﻃﻠﺐ اﻟﺘﻤﻮﻳﻞ‬
Finance Application Form

Customer Income / /‫ﻧﻤﻮذج إﻗﺮار ﺑﺪﺧﻞ‬

Expense Declaration Form ‫ﻧﻔﻘﺎت اﻟﻤﺘﻌﺎﻣﻞ‬

‫درﻫﻢ إﻣﺎراﺗﻲ‬ ‫اﻟﺘﻮاﺗﺮ‬

Expense Components ‫ﻋﻨﺎﺻﺮ اﻟﻨﻔﻘﺎت‬
AED Frequency

Direct and Immediate Expenses

Housing Rent / Maintenance Services
(if owner occupied) + Utility Bills
(Water & Electricity + Internet,
Landline and Mobile costs) + Food &
Monthly
Living Expenses (Monthly
food expenses / Groceries, Self,
Spouse / Child Maintenance living
expenses, Fashion / Grooming) +
Transport - Fuel / Servicing
‫ﻧﻔﻘﺎت ﻓﻮرﻳﺔ وﻣﺒﺎﺷﺮة‬
‫ ﻓﻮاﺗﻴﺮ‬+ (‫ﺧﺪﻣﺎت ﺻﻴﺎﻧﺔ )اﻟﻤﺎﻟﻚ‬/‫إﻳﺠﺎر ﻣﻨﺰل‬
ً ‫ ﺗﻜﺎﻟﻴﻒ‬،‫ إﻧﺘﺮﻧﺖ‬+ ‫ﻣﺮاﻓﻖ ﻋﺎﻣﺔ )ﻣﻴﺎه وﻛﻬﺮﺑﺎء‬
‫ﺷﻬﺮﻳﺎ‬
‫ ﻧﻔﻘﺎت ﻣﺄﻛﻮﻻت‬+ (‫ﻫﺎﺗﻒ أرﺿﻲ وﻣﺘﺤﺮك‬
،‫ ﺷﺨﺼﻴﺔ‬،‫ﺑﻘﺎﻟﺔ‬/‫وﻣﻌﻴﺸﺔ )ﻣﺼﺎرﻳﻒ ﻣﺄﻛﻮﻻت‬
‫ﻋﻨﺎﻳﺔ ﺑﺎﻟﻤﻈﻬﺮ‬/‫ أزﻳﺎء‬،‫ﻣﻌﻴﺸﺔ أﻓﺮاد اﻟﻌﺎﺋﻠﺔ‬
‫ﺧﺪﻣﺔ ﺳﻴﺎرة‬/‫ وﻗﻮد‬- ‫ ﻣﻮاﺻﻼت‬+ (‫ﺷﻬﺮﻳﺎ‬ ً

Other Direct Expenses ‫ﻧﻔﻘﺎت ﻣﺒﺎﺷﺮة أﺧﺮى‬

(Child Education Expenses, Wages ً
‫ﺷﻬﺮﻳﺎ‬
،‫)ﻧﻔﻘﺎت ﺗﻌﻠﻴﻢ اﻷوﻻد‬
to be paid for domestic workers, Monthly (‫ ﺗﺮﻓﻴﻪ وﻣﻄﺎﻋﻢ‬،‫أﺟﻮر ﻋﻤﺎﻟﺔ ﻣﻨﺰﻟﻴﺔ‬
Entertainment & Casual Dining)

Healthcare Expenses ً
‫ﺷﻬﺮﻳﺎ‬ ‫ﻧﻔﻘﺎت رﻋﺎﻳﺔ ﺻﺤﻴﺔ‬
(Self / Spouse / Kids / Family) Monthly (‫أﺣﺪ أﻓﺮاد اﻷﺳﺮة‬/‫)ﺷﺨﺼﻴﺔ‬

Regular Subscriptions /
Insurance Payments
(Newspaper / Periodicals / Monthly ‫دﻓﻌﺎت ﺗﺄﻣﻴﻦ ﺻﺤﻲ‬/‫اﺷﺘﺮاﻛﺎت ﻣﻨﺘﻈﻤﺔ‬
recurring payments + Auto Insurance, ً
‫ﺷﻬﺮﻳﺎ‬ + ‫دﻓﻌﺎت ﺷﻬﺮﻳﺔ ﻣﺘﻜﺮرة‬/‫ﻣﺠﻠﺔ‬/‫)ﺟﺮﻳﺪة‬
Vehicle Registration Fees + Monthly ‫ ﺗﺄﻣﻴﻦ‬+ ‫ رﺳﻮم ﺗﺴﺠﻴﻞ ﺳﻴﺎرة‬،‫ﺗﺄﻣﻴﻦ ﺳﻴﺎرة‬
Life Insurance + Health Insurance ‫ دﻓﻌﺎت ﺗﺄﻣﻴﻦ‬+ ‫ ﺗﺄﻣﻴﻦ ﺻﺤﻲ‬+ ‫ﻋﻠﻰ اﻟﺤﻴﺎة‬
+ Other Insurance Payments - SIP, ،‫ ﺗﺄﻣﻴﻦ ﻋﻘﺎري‬،‫ﺧﻄﺔ اﺳﺘﺜﻤﺎر ﻣﻨﻬﺠﻴﺔ‬- ‫أﺧﺮى‬
Property Insurance etc. + (‫ﺑﺮﻧﺎﻣﺞ ﺗﻮﻓﻴﺮ‬/‫ ﻣﺴﺎﻫﻤﺎت اﺳﺘﺜﻤﺎرﻳﺔ‬+ ‫إﻟﺦ‬
Investments Contribution /
Savings Plan)

Other Expenses
(Guarantor on other debts + Court order ‫ﻧﻔﻘﺎت أﺧﺮى‬
payments + Support for Extended family + + ‫ دﻓﻌﺎت ﺑﺤﻜﻢ ﻣﺤﻜﻤﺔ‬+ ‫)ﻛﻔﺎﻟﺔ دﻳﻮن أﺧﺮى‬
Air Ticket expense + Lease Payments + ً
‫ﺷﻬﺮﻳﺎ‬ + ‫ دﻓﻌﺎت إﻳﺠﺎر‬+ ‫ ﺗﺬﻛﺮة ﺳﻔﺮ‬+ ‫ﻣﺴﺎﻋﺪة أﻗﺎرب‬
Costs of maintaining services of other Monthly + ‫ﺗﻜﺎﻟﻴﻒ ﺻﻴﺎﻧﺔ ﻋﻘﺎرات إﺿﺎﻓﻴﺔ ﻣﻤﻠﻮﻛﺔ‬
owned properties + Any other expected + ‫ﺗﻜﺎﻟﻴﻒ أو ﻧﻔﻘﺎت أﺧﺮى ﻣﺘﻮﻗﻌﺔ‬
costs or expenses + Miscellaneous (‫ﻧﻔﻘﺎت ﻣﺘﻨﻮﻋﺔ‬
Expenses)

TOTAL ‫اﻟﻤﺠﻤﻮع‬

Alimony deduction (if any) (‫اﻗﺘﻄﺎع ﻧﻔﻘﺔ اﻟﻄﻼق )ﻓﻲ ﺣﺎل وُ ﺟﺪت‬

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‫اﺳﺘﻤﺎرة ﻃﻠﺐ اﻟﺘﻤﻮﻳﻞ‬
Finance Application Form

Existing Banking Relationships for Primary Applicant ‫اﻟﻌﻼﻗﺎت اﻟﻤﺼﺮﻓﻴﺔ اﻟﺤﺎﻟﻴﺔ‬

Account/Deposits Details ‫ﺗﻔﺎﺻﻴﻞ اﻟﺤﺴﺎﺑﺎت واﻟﻮداﺋﻊ‬

1 ‫اﻟﻮدﻳﻌﺔ‬/‫اﻟﺤﺴﺎب‬ 2 ‫اﻟﻮدﻳﻌﺔ‬/‫اﻟﺤﺴﺎب‬ 3 ‫اﻟﻮدﻳﻌﺔ‬/‫اﻟﺤﺴﺎب‬

Account/Deposit 1 Account/Deposit 2 Account/Deposit 3

Type of account/ /‫ﻧﻮع اﻟﺤﺴﺎب‬

deposit ‫اﻟﻮدﻳﻌﺔ‬

Name
‫اﺳﻢ اﻟﻤﺼﺮف‬
of bank

Balance ‫اﻟﺮﺻﻴﺪ اﻟﺤﺎﻟﻲ‬

Other Finance Details ‫ﺗﻔﺎﺻﻴﻞ اﻟﺘﻤﻮﻳﻼت اﻷﺧﺮى‬

‫اﺳﻢ اﻟﻤﺼﺮف‬ ‫إﺟﻤﺎﻟﻲ اﻟﺘﻤﻮﻳﻞ‬ ‫ﻣﺪة اﻟﺘﻤﻮﻳﻞ‬ ‫اﻟﺪﻓﻌﺎت اﻟﺸﻬﺮﻳﺔ‬ ‫اﻟﻤﺒﻠﻎ اﻟﻤﺘﺒﻘﻲ‬
Type of finance ‫ﻧﻮع اﻟﺘﻤﻮﻳﻞ‬
Name of bank Finance amount Finance tenor Monthly payment Outstanding

1 1
Credit card 2 2‫اﻟﺒﻄﺎﻗﺔ اﻻﺋﺘﻤﺎﻧﻴﺔ‬
3 3

1 1
Personal finance ‫اﻟﺘﻤﻮﻳﻞ اﻟﺸﺨﺼﻲ‬
2 2

1 1
Auto finance ‫ﺗﻤﻮﻳﻞ ﻣﺮﻛﺒﺔ‬
2 2

Home finance
1 1 ‫اﻟﺘﻤﻮﻳﻞ اﻟﻌﻘﺎري‬
2 2

Others ‫أﺧﺮى‬

Choose the product ‫اﺧﺘﺮ ﻧﻮع اﻟﺘﻤﻮﻳﻞ‬

‫ﺗﻤﻮﻳﻞ ﺷﺨﺼﻲ‬ ‫ﺗﻤﻮﻳﻞ ﻣﺮﻛﺒﺎت‬ ‫ﺗﻤﻮﻳﻞ ﻋﻘﺎري‬

 Personal Finance
 Auto Finance
 Home Finance

 Please tick this box if you wish to ‫إذا ﻛﻨﺖ ﺗﺮﻏﺐ ﻓﻲ اﻟﺤﺼﻮل ﻋﻠﻰ ﺑﻄﺎﻗﺔ اﺋﺘﻤﺎن ﻣﻦ‬ 
apply for an Al Hilal Credit Card. .‫اﻟﻬﻼل ﻳﺮﺟﻰ وﺿﻊ إﺷﺎرة ﻓﻲ ﻫﺬه اﻟﺨﺎﻧﺔ‬

5
‫اﺳﺘﻤﺎرة ﻃﻠﺐ اﻟﺘﻤﻮﻳﻞ‬
Finance Application Form

Personal Finance ‫اﻟﺘﻤﻮﻳﻞ اﻟﺸﺨﺼﻲ‬

‫ﻧﻮع اﻟﻤﻨﺘﺞ‬  ‫ﻣﺮاﺑﺤﺔ اﻟﺴﻠﻊ اﻟﺘﻮرق‬ ‫إﺟﺎرة اﻟﺨﺪﻣﺎت‬ ‫ﻣﺮاﺑﺤﺔ اﻟﺒﻀﺎﺋﻊ‬

Type of product Commodity Murabaha (Tawarruq)
 Service Ijarah
 Goods Murabaha

 a) ‫ﺳﺪاد اﻟﺘﺰاﻣﺎت‬
Liability settlement
‫ﻣﺮاﺑﺤﺔ اﻟﺼﻜﻮك اﻟﻮﻃﻨﻴﺔ‬  ‫أﺧﺮى‬

Sukuk Murabaha Others

ً
‫ﻧﻘﺪا‬ ‫اﻟﺘﻤﻮﻳﻞ‬
 b)
Cash-out

For Tawarruq Financing (Buyout) (‫ﺗﻔﺎﺻﻴﻞ ﺗﻤﻮﻳﻞ اﻟﺘﻮرق )ﺳﺪاد اﻻﻟﺘﺰاﻣﺎت‬

1‫ﺗﻤﻮﻳﻞ‬ 2 ‫ﺗﻤﻮﻳﻞ‬ 3 ‫ﺗﻤﻮﻳﻞ‬

Finance 1 Finance 2 Finance 3

Name of
‫اﺳﻢ ﺟﻬﺔ‬
financial
‫اﻟﺘﻤﻮﻳﻞ‬
institution

Outstanding finance/ ‫ﻣﺒﻠﻎ اﻻﻟﺘﺰاﻣﺎت‬

liability (AED) ‫اﻟﻘﺎﺋﻤﺔ ﺑﺎﻟﺪرﻫﻢ‬

Finance Information ‫ﻣﻌﻠﻮﻣﺎت اﻟﺘﻤﻮﻳﻞ‬

‫ﻣﺒﻠﻎ اﻟﺘﻤﻮﻳﻞ‬ ‫اﻟﻤﺼﺎرﻳﻒ اﻷﺧﺮى‬ ‫إﺟﻤﺎﻟﻲ ﻣﺒﻠﻎ اﻟﺘﻤﻮﻳﻞ‬

Finance amount Other charges Total finance amount

‫ﺻﺎﻓﻲ‬
‫ﻣﺒﻠﻎ اﻟﺘﻤﻮﻳﻞ‬ ‫اﻟﻤﺪة‬ ‫ﻧﺴﺒﺔ اﻟﻤﺮاﺑﺤﺔ‬
Net finance Tenor Profit rate
amount

‫ﺗﺎرﻳﺦ أول ﻗﺴﻂ‬

Day Month Year
First installment date

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‫اﺳﺘﻤﺎرة ﻃﻠﺐ اﻟﺘﻤﻮﻳﻞ‬
Finance Application Form

Auto Finance ‫ﺗﻤﻮﻳﻞ اﻟﻤﺮﻛﺒﺎت‬

‫ﺟﺪﻳﺪة‬
‫ﻧﻮع اﻟﻤﺮﻛﺒﺔ‬ 
New car ‫رﻗﻢ اﻟﻤﺤﺮك‬ ‫اﻟﺒﺎﺋﻊ‬/‫رﻗﻢ اﺗﺼﺎل اﻟﻤﻮرد‬
Type of car
Engine No. Dealer/Seller contact
‫ﻣﺴﺘﻌﻤﻠﺔ‬

Used car

‫ﻃﺮاز‬/‫ﻧﻮع‬ (‫رﻗﻢ اﻟﻘﺎﻋﺪة )اﻟﺸﺎﺳﻴﻪ‬ ‫اﻟﻤﻮرد‬/‫اﺳﻢ اﻟﺒﺎﺋﻊ‬

Brand/Model Chassis No. Dealer/Seller name

/‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ ﻟﻠﺒﺎﺋﻊ‬

‫ﺳﻨﺔ اﻟﺼﻨﻊ‬ ‫إﻣﺎرة اﻟﺘﺴﺠﻴﻞ‬ ‫رﻗﻢ اﻟﻔﺎﻛﺲ‬
Year of Emirate of Dealer email ID/
manufacture registration Fax No.

‫ﺗﺎرﻳﺦ إﺻﺪار ﻋﺮض اﻷﺳﻌﺎر‬ Day Month Year

Quotation issuance date

Finance Information ‫ﻣﻌﻠﻮﻣﺎت اﻟﺘﻤﻮﻳﻞ‬

‫ﺳﻌﺮ اﻟﻤﺮﻛﺒﺔ‬ ‫إﺟﻤﺎﻟﻲ اﻟﺘﻜﻠﻔﺔ‬ ‫ﻣﺪة اﻟﺘﻤﻮﻳﻞ‬

Vehicle price Total cost Tenor

‫ﻣﺒﻠﻎ ﻗﺴﻂ اﻟﺘﺄﻣﻴﻦ‬ ‫دﻓﻌﺔ ﻣﻘﺪﻣﺔ‬ ‫ﻧﺴﺒﺔ اﻟﺮﺑﺢ‬

Insurance premium Down payment Profit rate

‫اﻟﻤﺼﺎرﻳﻒ اﻷﺧﺮى‬ ‫ﻣﺒﻠﻎ اﻟﺘﻤﻮﻳﻞ‬ ‫ﺗﺎرﻳﺦ أول ﻗﺴﻂ‬

Day Month Year
Other charges Finance amount First installment date

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 ‫اﺳﺘﻤﺎرة ﻃﻠﺐ اﻟﺘﻤﻮﻳﻞ‬
Finance Application Form

In Case of the Third Party Registration ‫ﻓﻲ ﺣﺎل ﺗﺴﺠﻴﻞ ﻃﺮف آﺧﺮ‬
(If any other than the applicant) (‫)أي ﻃﺮف ﻏﻴﺮ ﺻﺎﺣﺐ اﻟﻄﻠﺐ‬

‫اﻟﺘﺴﺠﻴﻞ ﺑﺎﺳﻢ‬ ‫اﻟﻌﻼﻗﺔ ﺑﺼﺎﺣﺐ اﻟﻄﻠﺐ‬

Registration in Relationship with
the name of the applicant

‫اﻟﺠﻨﺲ‬ ‫ ذﻛﺮ‬ ‫ أﻧﺜﻰ‬ ‫رﻗﻢ اﻟﺠﻮاز‬ ‫ﺗﺎرﻳﺦ اﻧﺘﻬﺎء اﻟﺠﻮاز‬ Day Month Year
Gender Male Female Passport No. Passport expiry date

‫اﻟﺠﻨﺴﻴﺔ‬ ‫رﻗﻢ اﻟﻬﻮﻳﺔ اﻹﻣﺎراﺗﻴﺔ‬ ‫ﺗﺎرﻳﺦ اﻧﺘﻬﺎء اﻟﻬﻮﻳﺔ‬ Day Month Year
Nationality Emirates ID No. ID expiry date

‫رﻗﻢ اﻹﻗﺎﻣﺔ‬
‫ﺗﺎرﻳﺦ اﻟﻤﻴﻼد‬ Day Month Year ‫ﺗﺎرﻳﺦ اﻧﺘﻬﺎء اﻹﻗﺎﻣﺔ‬ Day Month Year
Residence
Date of birth Visa expiry date
Visa No.

‫ﻋﺪد اﻟﺴﻨﻮات ﻓﻲ اﻹﻣﺎرات‬

Number of years in the UAE

Address & Contact details ‫اﻟﻌﻨﻮان وﺗﻔﺎﺻﻴﻞ اﻻﺗﺼﺎل‬

‫ﻋﻨﻮان اﻟﺴﻜﻦ‬ ‫ﻋﻨﻮان اﻟﻌﻤﻞ‬ ‫اﻟﻌﻨﻮان ﻓﻲ اﻟﺒﻠﺪ اﻷم‬

Residence address Office address Home country address

P.O. Box/
:‫ اﻟﻤﺪﻳﻨﺔ‬.‫ ب‬.‫ص‬
Postcode city

Villa/Flat No. :‫اﻟﻔﻴﻼ‬/‫رﻗﻢ اﻟﺸﻘﺔ‬

Building name & No. :‫اﺳﻢ ورﻗﻢ اﻟﻤﺒﻨﻰ‬

Street name/No. :‫اﺳﻢ ورﻗﻢ اﻟﺸﺎرع‬

City ‫اﻟﻤﺪﻳﻨﺔ‬

Residence type Owned  ‫ﻣﻤﻠﻮك‬ ‫ﻧﻮع اﻟﺴﻜﻦ‬

Rented  ‫ﻣﺴﺘﺄﺟﺮ‬
Employer  ‫ﻣﻘﺪم ﻣﻦ‬
provided ‫ﺟﻬﺔ اﻟﻌﻤﻞ‬

Mobile :‫رﻗﻢ اﻟﻬﺎﺗﻒ‬

Email Personal email / Professional email :‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬

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 ‫اﺳﺘﻤﺎرة ﻃﻠﺐ اﻟﺘﻤﻮﻳﻞ‬
Finance Application Form

Home Finance ‫اﻟﺘﻤﻮﻳﻞ اﻟﻌﻘﺎري‬

‫ﻧﻮع اﻟﺒﻴﻊ‬ ‫اﻟﺒﻴﻊ ﻓﻲ اﻟﺴﻮق اﻷوﻟﻲ‬ ‫اﻟﺒﻴﻊ ﻓﻲ اﻟﺴﻮق اﻟﺜﺎﻧﻮي‬

Type of sale  
Primary Sale Secondary Sale

‫ﻧﻘﻞ اﻻﻟﺘﺰاﻣﺎت‬
‫اﻟﺸﺮاء‬ ‫إﻋﺎدة ﺗﻤﻮﻳﻞ‬
‫ﻧﻮع اﻟﻤﻨﺘﺞ‬ ‫ﻣﻦ ﺟﻬﺔ أﺧﺮى‬
Type of product ‫اﻟﻤﻴﺴﺮ‬ ‫اﻷراﺿﻲ اذﻛﺮ اﻟﺴﺒﺐ إﻋﺎدة اﻟﺘﻤﻮﻳﻞ‬ ‫ﺗﻤﻮﻳﻞ إﺿﺎﻓﻲ‬ ‫ﻏﻴﺮ ذﻟﻚ‬
   Land refinance  Switch over  
(tick as appropriate) Easy buy Refinance
(from other Top-up Other
(Purpose of)
institutions)

‫ﻋﻘﺎر ﺟﺎﻫﺰ‬ ‫أرض‬ ‫اﻟﺪﻓﻌﺔ اﻷﺧﻴﺮة‬ ‫ﺗﻤ ّﻠﻚ ﺣﺮ ﻟﻠﻌﻘﺎر‬

‫ﺗﻔﺎﺻﻴﻞ اﻟﻌﻘﺎر‬    Final payment 
(‫)ﻣﻌﻠﻮﻣﺎت إﻟﺰاﻣﻴﺔ‬ Ready property Land Freehold property
Property details ‫وﺣﺪة ﺳﻜﻨﻴﺔ‬ ‫وﺣﺪة ﺗﺠﺎرﻳﺔ‬
(mandatory fields) ‫ﺗﺄﺟﻴﺮ ﻋﻘﺎر ﺑﻐﺮض اﻟﺘﻤﻠﻚ‬
 Residential  Commercial 
Leasehold property

‫ﻓﻴﻼ‬ ‫ﺗﺎون ﻫﺎوس‬ ّ

‫ﺷﻘﺔ‬ ّ
‫ﺷﻘﺔ ﻣﻊ روف‬
   Apartment 
‫ﻧﻮع اﻟﻌﻘﺎر‬ Villa Townhouse Penthouse ‫ﻏﻴﺮ ذﻟﻚ‬

Property type ‫أرض‬ ‫ﻣﺒﻨﻰ ﻣﺘﻌﺪد اﻻﺳﺘﺨﺪاﻣﺎت‬ Other
‫ﺗﻤﻮﻳﻞ ﻋﻘﺎر ﺗﺠﺎري‬
  Land  Mixed-use building
Commercial space

‫اﺳﻢ اﻟﻤﻄﻮر‬ ‫اﺳﻢ‬

‫اﻟﻌﻘﺎري‬ ‫اﻟﻤﺸﺮوع‬
Developer Project
name name

‫ﻋﻨﻮان اﻟﻌﻘﺎر‬
Property address

Property Specifications ‫ﺗﻔﺎﺻﻴﻞ اﻟﻌﻘﺎر‬

‫ﻣﺴﺎﺣﺔ اﻟﺒﻨﺎء‬ ‫اﺳﻢ‬ ‫اﻟﻬﺎﺗﻒ‬

(‫)ﻗﺪم ﻣﺮﺑﻊ‬ ‫اﻟﺒﺎﺋﻊ‬ ‫اﻟﻤﺘﺤﺮك‬
Built up area Seller’s Mobile
(sq ft) name

‫ﻣﺴﺎﺣﺔ اﻷرض‬ ‫ﻋﻨﻮان اﻟﺒﺎﺋﻊ‬

Land area Seller’s address

‫اﻟﻐﺮض ﻣﻦ اﻟﻌﻘﺎر‬ ّ
‫اﺳﺘﺨﺪام ﺷﺨﺼﻲ‬ ‫اﺳﺘﺜﻤﺎر‬ ‫اﻟﻤﺘﻮﻗﻊ ﻹﻧﺠﺎز اﻟﺒﻨﺎء‬ ‫اﻟﺘﺎرﻳﺦ‬
Expected usage   Day Month Year
Self –use Investment Expected completion date
of property

Finance Information ‫ﺗﻔﺎﺻﻴﻞ اﻟﺘﻤﻮﻳﻞ‬

‫اﻟﺴﻌﺮ اﻷﺻﻠﻲ ﻟﻠﻌﻘﺎر‬ ‫ﺳﻌﺮ اﻟﺒﻴﻊ‬ ‫اﻟﻤﺪة‬

Original price Selling price Tenor

‫اﻟﻤﺒﻠﻎ اﻟﻤﺘﺒﻘﻲ‬
‫ﻟﻤﻄﻮّ ر اﻟﻌﻘﺎر‬ ‫اﻟﺪﻓﻌﺔ اﻟﻤﻘﺪﻣﺔ‬
Outstanding Down payment
to developer

‫دﻓﻌﺔ اﻟﺒﺎﺋﻊ‬ ‫ﻧﺴﺒﺔ اﻟﺮﺑﺢ‬

Seller payment Profit rate

‫ﻗﺴﻂ اﻟﺘﺄﻣﻴﻦ‬ ‫ﻣﺒﻠﻎ اﻟﺘﻤﻮﻳﻞ‬ ‫ﺗﺎرﻳﺦ أول ﻗﺴﻂ‬

Day Month Year
Premium charged Finance amount First
installment date

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‫اﺳﺘﻤﺎرة ﻃﻠﺐ اﻟﺘﻤﻮﻳﻞ‬
Finance Application Form

Personal details- Joint applicant (‫اﻟﺒﻴﺎﻧﺎت اﻟﺸﺨﺼﻴﺔ )اﻟﻄﻠﺐ اﻟﻤﺸﺘﺮك‬

(please complete all details in CAPITAL letters)

Full name ‫اﻻﺳﻢ اﻟﻜﺎﻣﻞ‬

(as per passport) (‫)ﺣﺴﺐ ﺟﻮاز اﻟﺴﻔﺮ‬
Mr./Ms./Mrs. ‫اﻟﺴﻴﺪة‬/‫اﻟﺴﻴﺪ‬

(‫ﻋﺪد اﻟﻤﻌﺎﻟﻴﻦ )اﻟﺮﺟﺎء اﻟﺘﺤﺪﻳﺪ‬

‫اﻟﺠﻨﺲ‬  ‫ذﻛﺮ‬  ‫أﻧﺜﻰ‬
Gender Male Female No. of dependents (please specify)

‫اﻟﺠﻨﺴﻴﺔ‬ ‫رﻗﻢ اﻟﺠﻮاز‬ ‫ﺗﺎرﻳﺦ اﻧﺘﻬﺎء اﻟﺠﻮاز‬ Day Month Year

Nationality Passport No. Passport expiry date

‫اﺳﻢ اﻷم‬ ‫رﻗﻢ اﻟﻬﻮﻳﺔ اﻹﻣﺎراﺗﻴﺔ‬ ‫ﺗﺎرﻳﺦ اﻧﺘﻬﺎء اﻟﻬﻮﻳﺔ‬ Day Month Year
Mother’s Emirates ID No. ID expiry date
name

‫ ﺗﺎرﻳﺦ اﻟﻤﻴﻼد‬Day ‫رﻗﻢ اﻹﻗﺎﻣﺔ‬ ‫ﺗﺎرﻳﺦ اﻧﺘﻬﺎء اﻹﻗﺎﻣﺔ‬

Month Year Residence Day Month Year
Date of birth Visa expiry date
Visa No.

‫اﻟﻌﻼﻗﺔ ﻣﻊ ﻣﻘﺪم‬
‫اﻟﺤﺎﻟﺔ اﻻﺟﺘﻤﺎﻋﻴﺔ‬ ‫اﻟﻄﻠﺐ اﻷﺳﺎﺳﻲ‬ ‫ﻋﺪد اﻟﺴﻨﻮات ﻓﻲ اﻹﻣﺎرات‬
Day Month Year
Marital status Number of years
Relation with
in the UAE
primary applicant

‫اﻟﻤﺴﺘﻮى اﻟﺘﻌﻠﻴﻤﻲ‬ ‫ﻃﺎﻟﺐ ﺟﺎﻣﻌﻲ‬ ‫ﺟﺎﻣﻌﻲ‬ ‫دراﺳﺎت ﻋﻠﻴﺎ‬ (‫ﻏﻴﺮﻫﺎ )ﻳﺮﺟﻰ اﻟﺘﺤﺪﻳﺪ‬
   
Education Undergraduate Graduate Postgraduate Other (please specify)

Address & Contact details ‫اﻟﻌﻨﻮان وﺗﻔﺎﺻﻴﻞ اﻻﺗﺼﺎل‬

‫ﻋﻨﻮان اﻟﺴﻜﻦ‬ ‫ﻋﻨﻮان اﻟﻌﻤﻞ‬ ‫اﻟﻌﻨﻮان ﻓﻲ اﻟﺒﻠﺪ اﻷم‬

Residence address Office address Home country address

P.O. Box/ :‫ اﻟﻤﺪﻳﻨﺔ‬.‫ ب‬.‫ص‬

Postcode city

Villa/Flat No. :‫اﻟﻔﻴﻼ‬/‫رﻗﻢ اﻟﺸﻘﺔ‬

Building name & No. :‫اﺳﻢ ورﻗﻢ اﻟﻤﺒﻨﻰ‬

Street name/No. :‫اﺳﻢ ورﻗﻢ اﻟﺸﺎرع‬

City ‫اﻟﻤﺪﻳﻨﺔ‬

Residence type Owned  ‫ﻣﻤﻠﻮك‬ ‫ﻧﻮع اﻟﺴﻜﻦ‬

Rented  ‫ﻣﺴﺘﺄﺟﺮ‬
Employer  ‫ﻣﻘﺪم ﻣﻦ‬
provided ‫ﺟﻬﺔ اﻟﻌﻤﻞ‬

Mobile :‫رﻗﻢ اﻟﻬﺎﺗﻒ‬

Email Personal email / Professional email :‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬

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‫اﺳﺘﻤﺎرة ﻃﻠﺐ اﻟﺘﻤﻮﻳﻞ‬
Finance Application Form

Employment details (for salaried) ‫ﺑﻴﺎﻧﺎت اﻟﻌﻤﻞ‬

‫اﻟﺤﺎﻟﺔ اﻟﻮﻇﻴﻔﻴﺔ‬ ‫ﻣﻮﻇﻒ‬ ‫ﻋﻤﻞ ﺧﺎص‬ ‫ﻣﺘﻘﺎﻋﺪ‬ ‫رﺑﺔ ﻣﻨﺰل‬ ‫ﻃﺎﻟﺐ‬ ‫ﻏﻴﺮ ذﻟﻚ‬
Employment      
Salaried Self-employed Retired Housewife Student Other
status

‫ﺟﻬﺔ اﻟﻌﻤﻞ‬ ‫ﺗﺎرﻳﺦ اﻟﺘﻮﻇﻴﻒ‬ ‫اﻟﺮاﺗﺐ اﻟﺸﻬﺮي‬

Employer Date of
Day Month Year
Monthly salary
name employment

‫اﻟﻤﻬﻨﺔ‬ ‫اﻟﺮﻗﻢ اﻟﻮﻇﻴﻔﻲ‬ ‫ ﺗﺎرﻳﺦ اﻟﺮاﺗﺐ‬Day Month Year

Profession Staff No. Salary date

‫اﻟﻘﺴﻢ‬ ‫دﺧﻞ إﺿﺎﻓﻲ‬

Department Additional income

‫اﻟﻤﺴﻤﻰ‬ ‫ﺗﻔﺎﺻﻴﻞ اﻟﺪﺧﻞ اﻹﺿﺎﻓﻲ‬

‫اﻟﻮﻇﻴﻔﻲ‬ Source of
Designation additional income

‫ﻧﻮع اﻟﻌﻘﺪ‬ ‫ﻋﻘﺪ ﺑﺪوام ﻛﺎﻣﻞ‬ ‫ﻋﻘﺪ ﺑﺪوام ﺟﺰﺋﻲ‬ ‫ﻋﻘﺪ ﺧﺎص‬
  
Contract type Permanent contract Limited/fixed contract Special contract

Previous employment details ‫ﺑﻴﺎﻧﺎت اﻟﻮﻇﻴﻔﺔ اﻟﺴﺎﺑﻘﺔ‬

(if less than ١ year in current job) (‫)ﻓﻲ ﺣﺎل ﻣﻀﻲ ﺳﻨﺔ أو أﻗﻞ ﻓﻲ اﻟﻮﻇﻴﻔﺔ اﻟﺤﺎﻟﻴﺔ‬

‫ﺟﻬﺔ‬
‫اﻟﻌﻤﻞ‬ ‫ﺗﺎرﻳﺦ اﻟﺘﻮﻇﻴﻒ‬
‫اﻟﻤﻬﻨﺔ‬
Date of Day Month Year
Employer Profession
employment
name

‫اﻟﻌﻨﻮان واﻟﻬﺎﺗﻒ‬
‫اﻟﻘﺴﻢ‬ Address & ‫ﺗﺎرﻳﺦ ﻧﻬﺎﻳﺔ اﻟﺨﺪﻣﺔ‬
Day Month Year
Department Phone No. Date of leaving

Business details (for self-employed) ‫ﺑﻴﺎﻧﺎت اﻟﻌﻤﻞ اﻟﺤﺮ‬

‫ﻧﻮع اﻟﻌﻤﻞ‬ ‫ﻣﺆﺳﺴﺔ ﻓﺮدﻳﺔ‬ ‫ﺷﺮﻛﺔ ﻣﺴﺎﻫﻤﺔ ﻋﺎﻣﺔ‬ ‫ﻣﺆﺳﺴﺔ ﻓﻲ اﻟﻤﻨﻄﻘﺔ اﻟﺤﺮة‬/‫ﺷﺮﻛﺔ‬
Business Type    Free zone company/
Sole establishment Public joint stock company
establishment

‫ﺷﺮﻛﺔ ذات ﻣﺴﺆوﻟﻴﺔ ﻣﺤﺪودة‬ ‫ﺷﺮﻛﺔ ﺗﻀﺎﻣﻦ‬ ‫أﺧﺮى اﻟﺮﺟﺎء اﻟﺘﺤﺪﻳﺪ‬

   Others (please specify)
Limited liability company General partnership

‫اﺳﻢ اﻟﻤﻨﺸﺄة‬
Business name

‫ﻧﺸﺎط اﻟﺸﺮﻛﺔ‬ ‫إﺟﻤﺎﻟﻲ اﻹﻳﺪاﻋﺎت اﻟﺴﻨﻮﻳﺔ‬

Nature of Annual turnover
business

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‫اﺳﺘﻤﺎرة ﻃﻠﺐ اﻟﺘﻤﻮﻳﻞ‬
Finance Application Form

Customer Income / /‫ﻧﻤﻮذج إﻗﺮار ﺑﺪﺧﻞ‬

Expense Declaration Form ‫ﻧﻔﻘﺎت اﻟﻤﺘﻌﺎﻣﻞ‬

‫درﻫﻢ إﻣﺎراﺗﻲ‬ ‫اﻟﺘﻮاﺗﺮ‬

Income Components ‫ﻋﻨﺎﺻﺮ اﻟﺪﺧﻞ‬
AED Frequency

Monthly Income
(Basic Salary + House Rent Allowance + ‫دﺧﻞ ﺷﻬﺮي‬
Company provided accommodation + ً
‫ﺷﻬﺮﻳﺎ‬ ‫ ﻣﺴﻜﻦ‬+ ‫ ﺑﺪل ﺳﻜﻦ‬+ ‫)اﻟﺮاﺗﺐ اﻷﺳﺎﺳﻲ‬
Transport Allowance + All other Fixed Monthly ‫ ﻛﻞ اﻟﺒﺪﻻت‬+ ‫ ﺑﺪل ﻣﻮاﺻﻼت‬+ ‫ﻣﻦ اﻟﺸﺮﻛﺔ‬
monthly allowances (Shift, remote, (‫ إﻟﺦ‬،‫ ﻣﻬﺎم‬،‫ ﺳﻔﺮ‬،‫اﻟﺸﻬﺮﻳﺔ اﻟﺜﺎﺑﺘﺔ )ﺗﻐﻴﻴﺮ ﺳﻜﻦ‬
hardship etc.)

ً
‫ﺷﻬﺮﻳﺎ‬
Pension Income ‫دﺧﻞ ﺗﻘﺎﻋﺪي‬
Monthly

Variable Income ً ‫دﺧﻞ ﻣﺘﻔﺎوت‬

‫ﺷﻬﺮﻳﺎ‬
(Overtime + Incentives/Commission + + ‫)ﻋﻤﻞ ﺑﻮﻗﺖ إﺿﺎﻓﻲ‬
Fixed Bonus payments) Monthly (‫ ﻣﻜﺎﻓﺂت ﺛﺎﺑﺘﺔ‬+ ‫ﻋﻤﻮﻻت‬/‫ﺣﻮاﻓﺰ‬

Other Perks and Allowances

‫ﺑﺪﻻت واﻣﺘﻴﺎزات أﺧﺮى‬
(Education Allowance + Air Travel ً
‫ﺷﻬﺮﻳﺎ‬
+ ‫ ﺑﺪل ﺗﺬاﻛﺮ ﺳﻔﺮ‬+ ‫)ﺑﺪل ﺗﻌﻠﻴﻢ‬
Allowance + Annual Bonus + Other Monthly (‫ ﺑﺪﻻت أﺧﺮى‬+ ‫ﻣﻜﺎﻓﺄة ﺳﻨﻮﻳﺔ‬
allowances)

Household Income ً ‫دﺧﻞ اﻷﺳﺮة‬

‫ﺷﻬﺮﻳﺎ‬
(Spouse Income + Other Family members ‫)ﻣﺠﻤﻮع دﺧﻞ أﻓﺮاد‬
income living in same household) Monthly (‫اﻷﺳﺮة ﻓﻲ ﻧﻔﺲ اﻟﻤﻨﺰل‬

Investment Income ً
‫ﺷﻬﺮﻳﺎ‬ ‫دﺧﻞ اﺳﺘﺜﻤﺎري‬
(Dividends + Rental Income) Monthly (‫ ﻋﺎﺋﺪ ﺗﺄﺟﻴﺮي‬+ ‫)أرﺑﺎح اﻷﺳﻬﻢ‬

Business Income / ً
‫ﺷﻬﺮﻳﺎ‬ /‫دﺧﻞ ﻣﻦ ﻣﺸﺮوع ﺗﺠﺎري‬
Trade License income Monthly ‫دﺧﻞ رﺧﺼﺔ ﺗﺠﺎرﻳﺔ‬

Other Income ً
‫ﺷﻬﺮﻳﺎ‬ ‫ﻣﺼﺪر دﺧﻞ آﺧﺮ‬
Please Specify Monthly ‫ﻳﺮﺟﻰ ﺗﺤﺪﻳﺪه‬

TOTAL ‫اﻟﻤﺠﻤﻮع‬

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‫اﺳﺘﻤﺎرة ﻃﻠﺐ اﻟﺘﻤﻮﻳﻞ‬
Finance Application Form

Customer Income / /‫ﻧﻤﻮذج إﻗﺮار ﺑﺪﺧﻞ‬

Expense Declaration Form ‫ﻧﻔﻘﺎت اﻟﻤﺘﻌﺎﻣﻞ‬

‫درﻫﻢ إﻣﺎراﺗﻲ‬ ‫اﻟﺘﻮاﺗﺮ‬

Expense Components ‫ﻋﻨﺎﺻﺮ اﻟﻨﻔﻘﺎت‬
AED Frequency

Direct and Immediate Expenses

Housing Rent / Maintenance Services
(if owner occupied) + Utility Bills
(Water & Electricity + Internet,
Landline and Mobile costs) + Food &
Monthly
Living Expenses (Monthly
food expenses / Groceries, Self,
Spouse / Child Maintenance living
expenses, Fashion / Grooming) +
Transport - Fuel / Servicing
‫ﻧﻔﻘﺎت ﻓﻮرﻳﺔ وﻣﺒﺎﺷﺮة‬
‫ ﻓﻮاﺗﻴﺮ‬+ (‫ﺧﺪﻣﺎت ﺻﻴﺎﻧﺔ )اﻟﻤﺎﻟﻚ‬/‫إﻳﺠﺎر ﻣﻨﺰل‬
ً ‫ ﺗﻜﺎﻟﻴﻒ‬،‫ إﻧﺘﺮﻧﺖ‬+ ‫ﻣﺮاﻓﻖ ﻋﺎﻣﺔ )ﻣﻴﺎه وﻛﻬﺮﺑﺎء‬
‫ﺷﻬﺮﻳﺎ‬
‫ ﻧﻔﻘﺎت ﻣﺄﻛﻮﻻت‬+ (‫ﻫﺎﺗﻒ أرﺿﻲ وﻣﺘﺤﺮك‬
،‫ ﺷﺨﺼﻴﺔ‬،‫ﺑﻘﺎﻟﺔ‬/‫وﻣﻌﻴﺸﺔ )ﻣﺼﺎرﻳﻒ ﻣﺄﻛﻮﻻت‬
‫ﻋﻨﺎﻳﺔ ﺑﺎﻟﻤﻈﻬﺮ‬/‫ أزﻳﺎء‬،‫ﻣﻌﻴﺸﺔ أﻓﺮاد اﻟﻌﺎﺋﻠﺔ‬
‫ﺧﺪﻣﺔ ﺳﻴﺎرة‬/‫ وﻗﻮد‬- ‫ ﻣﻮاﺻﻼت‬+ (‫ﺷﻬﺮﻳﺎ‬ ً

Other Direct Expenses ‫ﻧﻔﻘﺎت ﻣﺒﺎﺷﺮة أﺧﺮى‬

(Child Education Expenses, Wages ً
‫ﺷﻬﺮﻳﺎ‬
،‫)ﻧﻔﻘﺎت ﺗﻌﻠﻴﻢ اﻷوﻻد‬
to be paid for domestic workers, Monthly (‫ ﺗﺮﻓﻴﻪ وﻣﻄﺎﻋﻢ‬،‫أﺟﻮر ﻋﻤﺎﻟﺔ ﻣﻨﺰﻟﻴﺔ‬
Entertainment & Casual Dining)

Healthcare Expenses ً
‫ﺷﻬﺮﻳﺎ‬ ‫ﻧﻔﻘﺎت رﻋﺎﻳﺔ ﺻﺤﻴﺔ‬
(Self / Spouse / Kids / Family) Monthly (‫أﺣﺪ أﻓﺮاد اﻷﺳﺮة‬/‫)ﺷﺨﺼﻴﺔ‬

Regular Subscriptions /
Insurance Payments
(Newspaper / Periodicals / Monthly ‫دﻓﻌﺎت ﺗﺄﻣﻴﻦ ﺻﺤﻲ‬/‫اﺷﺘﺮاﻛﺎت ﻣﻨﺘﻈﻤﺔ‬
recurring payments + Auto Insurance, ً
‫ﺷﻬﺮﻳﺎ‬ + ‫دﻓﻌﺎت ﺷﻬﺮﻳﺔ ﻣﺘﻜﺮرة‬/‫ﻣﺠﻠﺔ‬/‫)ﺟﺮﻳﺪة‬
Vehicle Registration Fees + Monthly ‫ ﺗﺄﻣﻴﻦ‬+ ‫ رﺳﻮم ﺗﺴﺠﻴﻞ ﺳﻴﺎرة‬،‫ﺗﺄﻣﻴﻦ ﺳﻴﺎرة‬
Life Insurance + Health Insurance ‫ دﻓﻌﺎت ﺗﺄﻣﻴﻦ‬+ ‫ ﺗﺄﻣﻴﻦ ﺻﺤﻲ‬+ ‫ﻋﻠﻰ اﻟﺤﻴﺎة‬
+ Other Insurance Payments - SIP, ،‫ ﺗﺄﻣﻴﻦ ﻋﻘﺎري‬،‫ﺧﻄﺔ اﺳﺘﺜﻤﺎر ﻣﻨﻬﺠﻴﺔ‬- ‫أﺧﺮى‬
Property Insurance etc. + (‫ﺑﺮﻧﺎﻣﺞ ﺗﻮﻓﻴﺮ‬/‫ ﻣﺴﺎﻫﻤﺎت اﺳﺘﺜﻤﺎرﻳﺔ‬+ ‫إﻟﺦ‬
Investments Contribution /
Savings Plan)

Other Expenses
(Guarantor on other debts + Court order ‫ﻧﻔﻘﺎت أﺧﺮى‬
payments + Support for Extended family + + ‫ دﻓﻌﺎت ﺑﺤﻜﻢ ﻣﺤﻜﻤﺔ‬+ ‫)ﻛﻔﺎﻟﺔ دﻳﻮن أﺧﺮى‬
Air Ticket expense + Lease Payments + ً
‫ﺷﻬﺮﻳﺎ‬ + ‫ دﻓﻌﺎت إﻳﺠﺎر‬+ ‫ ﺗﺬﻛﺮة ﺳﻔﺮ‬+ ‫ﻣﺴﺎﻋﺪة أﻗﺎرب‬
Costs of maintaining services of other Monthly + ‫ﺗﻜﺎﻟﻴﻒ ﺻﻴﺎﻧﺔ ﻋﻘﺎرات إﺿﺎﻓﻴﺔ ﻣﻤﻠﻮﻛﺔ‬
owned properties + Any other expected + ‫ﺗﻜﺎﻟﻴﻒ أو ﻧﻔﻘﺎت أﺧﺮى ﻣﺘﻮﻗﻌﺔ‬
costs or expenses + Miscellaneous (‫ﻧﻔﻘﺎت ﻣﺘﻨﻮﻋﺔ‬
Expenses)

TOTAL ‫اﻟﻤﺠﻤﻮع‬

Alimony deduction (if any) (‫اﻗﺘﻄﺎع ﻧﻔﻘﺔ اﻟﻄﻼق )ﻓﻲ ﺣﺎل وُ ﺟﺪت‬

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‫اﺳﺘﻤﺎرة ﻃﻠﺐ اﻟﺘﻤﻮﻳﻞ‬
Finance Application Form

Existing Banking Relationships ‫اﻟﻌﻼﻗﺎت اﻟﻤﺼﺮﻓﻴﺔ اﻟﺤﺎﻟﻴﺔ‬

Account/Deposits Details ‫ﺗﻔﺎﺻﻴﻞ اﻟﺤﺴﺎﺑﺎت واﻟﻮداﺋﻊ‬

1 ‫اﻟﻮدﻳﻌﺔ‬/‫اﻟﺤﺴﺎب‬ 2 ‫اﻟﻮدﻳﻌﺔ‬/‫اﻟﺤﺴﺎب‬ 3 ‫اﻟﻮدﻳﻌﺔ‬/‫اﻟﺤﺴﺎب‬

Account/Deposit 1 Account/Deposit 2 Account/Deposit 3

Type of account/ /‫ﻧﻮع اﻟﺤﺴﺎب‬

deposit ‫اﻟﻮدﻳﻌﺔ‬

Name
‫اﺳﻢ اﻟﻤﺼﺮف‬
of bank

Balance ‫اﻟﺮﺻﻴﺪ اﻟﺤﺎﻟﻲ‬

Other Finance Details ‫ﺗﻔﺎﺻﻴﻞ اﻟﺘﻤﻮﻳﻼت اﻷﺧﺮى‬

‫اﺳﻢ اﻟﻤﺼﺮف‬ ‫إﺟﻤﺎﻟﻲ اﻟﺘﻤﻮﻳﻞ‬ ‫ﻣﺪة اﻟﺘﻤﻮﻳﻞ‬ ‫اﻟﺪﻓﻌﺎت اﻟﺸﻬﺮﻳﺔ‬ ‫اﻟﻤﺒﻠﻎ اﻟﻤﺘﺒﻘﻲ‬
Type of finance ‫ﻧﻮع اﻟﺘﻤﻮﻳﻞ‬
Name of bank Finance amount Finance tenor Monthly payment Outstanding

Credit card ‫اﻟﺒﻄﺎﻗﺔ اﻻﺋﺘﻤﺎﻧﻴﺔ‬

Personal finance ‫اﻟﺘﻤﻮﻳﻞ اﻟﺸﺨﺼﻲ‬

Auto finance ‫ﺗﻤﻮﻳﻞ ﻣﺮﻛﺒﺔ‬

Home finance ‫اﻟﺘﻤﻮﻳﻞ اﻟﻌﻘﺎري‬

Others ‫أﺧﺮى‬

File Opening/Processing and Documentation Fee ‫رﺳﻮم إﺟﺮاءات وإﻋﺪاد اﻟﻤﺴﺘﻨﺪات اﻟﻤﺘﻌﻠﻘﺔ‬

In lieu of the Finance facility application applied by myself/ ‫ﻃﺮﻓﻨــﺎ إﻟــﻰ ﻣﺼــﺮف‬/‫ﺑﺎﻹﺷــﺎرة إﻟــﻰ ﻃﻠــﺐ اﻟﺘﻤﻮﻳــﻞ اﻟﻤﻘــﺪم ﻣــﻦ ﻃﺮﻓﻲ‬
ourselves, I/we hereby authorize the bank to recover an ‫ واﻟــﺬي ﻳﻤﺜــﻞ‬،%1.05 ‫ﻧﻔــﻮض اﻟﻤﺼــﺮف ﺑﺘﺤﺼﻴــﻞ ﻣﺒﻠــﻎ‬/‫ أﻓﻮض‬،‫اﻟﻬــﻼل‬
amount equal to 1.05% of the finance amount payable as
‫ ﺣﺴــﺐ ﺟــﺪول اﻟﺮﺳــﻮم اﻟﻤﻌﺘﻤــﺪ‬،‫رﺳــﻮم إﺟــﺮاءات وإﻋــﺪاد اﻟﻤﺴــﺘﻨﺪات‬
tariff for file opening/processing and documentation by
debiting any of my accounts maintained by me with the .(www.alhilal.abudhabi) ‫اﻟﻤﺘﺎح ﻋﻠﻰ اﻟﻤﻮﻗﻊ اﻹﻟﻜﺘﺮوﻧﻲ ﻟﻤﺼﺮف اﻟﻬﻼ‬
bank. As per the bank schedule of charges available on the
AHB website (www.alhilal.abudhabi).

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‫اﺳﺘﻤﺎرة ﻃﻠﺐ اﻟﺘﻤﻮﻳﻞ‬
‫‪Finance Application Form‬‬

‫)‪Life Takaful Contribution (Insurance‬‬ ‫اﺷﺘﺮاك اﻟﺘﻜﺎﻓﻞ ﻋﻠﻰ اﻟﺤﻴﺎة )اﻟﺘﺄﻣﻴﻦ(‬

‫‪Home Finance:‬‬ ‫ﺗﻤﻮﻳﻞ ﻋﻘﺎري‪:‬‬

‫‪I/We would like Al Hilal Bank to arrange for Life Takaful (life‬‬ ‫أرﺟﻮ‪/‬ﻧﺮﺟــﻮ ﻣــﻦ ﻣﺼــﺮف اﻟﻬــﻼل ﺗﺰوﻳﺪﻧــﺎ ﺑﻮﺛﻴﻘــﺔ اﻟﺘﻜﺎﻓــﻞ ﻟــﺪى‬
‫‪insurance) from an Islamic Takaful Company. I/We agree to‬‬ ‫ﺷــﺮﻛﺔ ﺗﻜﺎﻓــﻞ إﺳــﻼﻣﻴﺔ ﻛﻤــﺎ أواﻓﻖ‪/‬ﻧﻮاﻓــﻖ ﻋﻠــﻰ اﻟﺸــﺮوط‬
‫‪the Terms and Conditions of the Takaful Insurance Policy.‬‬ ‫واﻷﺣﻜﺎم اﻟﻮاردة ﻓﻲ وﺛﻴﻘﺔ اﻟﺘﺄﻣﻴﻦ اﻟﺘﻜﺎﻓﻠﻲ‪.‬‬

‫‪Personal Finance:‬‬ ‫ﺗﻤﻮﻳﻞ ﺷﺨﺼﻲ‪:‬‬

‫‪In lieu of the Personal Finance facility application applied by‬‬ ‫ﺑﺎﻹﺷــﺎرة إﻟــﻰ ﻃﻠــﺐ اﻟﺘﻤﻮﻳــﻞ اﻟﺸــﺨﺼﻲ اﻟﻤﻘــﺪم ﻣــﻦ ﻃﺮﻓﻲ‪/‬ﻃﺮﻓﻨــﺎ‬
‫‪myself/ourselves, I/We hereby authorize the bank to recover‬‬ ‫إﻟــﻰ ﻣﺼــﺮف اﻟﻬــﻼل‪ ،‬أﻓﻮض‪/‬ﻧﻔــﻮض اﻟﻤﺼــﺮف ﺑﺘﺤﺼﻴــﻞ اﺷــﺘﺮاك‬
‫‪the Takaful contribution by debiting any of my accounts‬‬ ‫اﻟﺘﻜﺎﻓــﻞ ﻟﺴــﺪاد ﻣﺒﻠــﻎ اﺷــﺘﺮاك اﻟﺘﻜﺎﻓــﻞ ﺑﺎﻟﺨﺼــﻢ ﻣــﻦ أي ﺣﺴــﺎب ﻟــﻲ‬
‫‪maintained by me with the bank.‬‬ ‫ﻓﻲ اﻟﻤﺼﺮف‪.‬‬

‫‪The bank shall start recovering the Takaful contribution from‬‬

‫‪the date of signing the Murabaha contract. As per the bank‬‬ ‫ﻋﻠﻤـ ًـﺎ ﺑــﺄن اﻟﻤﺼــﺮف ﺳــﻮف ﻳﺒــﺪأ ﺑﺨﺼــﻢ اﺷــﺘﺮاك اﻟﺘﻜﺎﻓــﻞ ﻣــﻦ ﺑﺪاﻳــﺔ‬
‫‪schedule of charges available on the AHB website‬‬ ‫ً‬
‫ﻃﺒﻘــﺎ ﻟﺠــﺪول اﻟﺮﺳــﻮم اﻟﻤﻌﺘﻤــﺪ اﻟﻤﺘــﺎح‬ ‫ﺗﻮﻗﻴــﻊ ﻋﻘــﺪ اﻟﻤﺮاﺑﺤــﺔ‪.‬‬
‫‪(www.alhilal.abudhabi).‬‬ ‫ﻋﻠﻰ اﻟﻤﻮﻗﻊ اﻹﻟﻜﺘﺮوﻧﻲ ﻟﻠﻤﺼﺮف )‪.(www.alhilal.abudhabi‬‬

‫‪Customer Declaration and Consent‬‬ ‫ﻣﻮاﻓﻘﺔ وإﻗﺮار اﻟﻤﺘﻌﺎﻣﻞ‬

‫‪I/We hereby apply for the Finance set out in this application.‬‬ ‫أﺗﻘﺪم‪/‬ﻧﺘﻘــﺪم‪ ،‬ﺑﻄﻠــﺐ اﻟﺤﺼــﻮل ﻋﻠــﻰ اﻟﺘﻤﻮﻳــﻞ اﻟﻤﻮﺿــﺢ ﻓــﻲ ﻫــﺬا‬
‫‪I/We hereby irrevocably and unconditionally declare that all‬‬ ‫اﻟﻄﻠــﺐ‪ ،‬ﻛﻤــﺎ أﻋﻠﻦ‪/‬ﻧﻌﻠــﻦ‪ ،‬ﺑﻤﻮﺟﺒــﻪ ﺑﺼــﻮرة ﻧﻬﺎﺋﻴــﺔ ﻻ رﺟﻌــﺔ ﻋﻨﻬــﺎ دون‬
‫‪information provided herein is true and accurate and author-‬‬ ‫ﻗﻴــﺪ أو ﺷــﺮط‪ ،‬أن ﻛﻞ اﻟﻤﻌﻠﻮﻣــﺎت اﻟــﻮاردة ﺻﺤﻴﺤــﺔ ودﻗﻴﻘــﺔ‪ ،‬وأﻓــﻮّ ض‬
‫‪ize Al Hilal Bank (AHB) to verify all or any of such information,‬‬ ‫ﻣﺼــﺮف اﻟﻬــﻼل اﻟﺘﺄﻛــﺪ ﻣــﻦ ﻛﻞ أو أي ﻣــﻦ ﻫــﺬه اﻟﻤﻌﻠﻮﻣــﺎت‪ ،‬ﻣــﻦ ﺧــﻼل‬
‫‪from whatever sources it considers appropriate, and I am/we‬‬ ‫ً‬
‫ﻣﻨﺎﺳــﺒﺎ‪ ،‬ﻛﻤــﺎ‬ ‫أي ﻣﺼــﺎدر ﺑﺼــﺮف اﻟﻨﻈــﺮ ﻋــﻦ ﻃﺒﻴﻌﺘﻬــﺎ‪ ،‬ﺑﻤــﺎ ﻳــﺮاه‬
‫‪are aware of, and agree to be bound by the terms and condi-‬‬ ‫أدرك‪/‬ﻧــﺪرك‪ ،‬وأواﻓﻖ‪/‬ﻧﻮاﻓــﻖ‪ ،‬ﻋﻠــﻰ اﻻﻟﺘــﺰام ﺑﺎﻷﺣــﻜﺎم واﻟﺸــﺮوط‬
‫‪tions set out herein or attached hereto together with the‬‬
‫اﻟﻤﻮﺿﺤــﺔ ﻓــﻲ إﺧــﻼء اﻟﻤﺴــﺆوﻟﻴﺔ وﻣــﻊ اﻷﺣــﻜﺎم واﻟﺸــﺮوط اﻟﻤﺮﻓﻘــﺔ‬
‫‪terms and conditions in the AHB Banking Terms and Condi-‬‬
‫وﻣــﻊ أﺣــﻜﺎم وﺷــﺮوط اﻟﺨﺪﻣــﺎت اﻟﻤﺼﺮﻓﻴــﺔ ﻟﻸﻓــﺮاد اﻟﻤﺘﺎﺣــﺔ ﻋﻠــﻰ‬
‫‪tions available on the AHB website (www.alhilal.abudhabi).‬‬
‫اﻟﻤﻮﻗــﻊ اﻹﻟﻜﺘﺮوﻧــﻲ ﻟﻤﺼــﺮف اﻟﻬــﻼل )‪.(www.alhilal.abudhabi‬‬
‫‪I/We agree to provide AHB with updated contact, passport‬‬
‫أواﻓﻖ‪/‬ﻧﻮاﻓــﻖ ﻋﻠــﻰ ﺗﺰوﻳــﺪ ﻣﺼــﺮف اﻟﻬــﻼل ﺑﺮﻗــﻢ ﻫﺎﺗﻔــﻲ‪ ،‬ورﻗــﻢ ﺟــﻮاز‬
‫‪and other details relevant to the Finance, the Applicant and‬‬
‫‪the Joint Applicant within a reasonable time in the event that‬‬ ‫ﺳــﻔﺮي‪ ،‬وﻏﻴــﺮ ذﻟــﻚ ﻣــﻦ اﻟﺒﻴﺎﻧــﺎت اﻟﻤﺘﻌﻠﻘــﺔ ﺑﺎﻟﺘﻤﻮﻳــﻞ‪ ،‬وﺑﻤﻘــﺪم اﻟﻄﻠــﺐ‬
‫‪any of the information I provided to AHB changes. I/We‬‬ ‫اﻟﻤﺸــﺘﺮك ﻛﺬﻟــﻚ‪ ،‬ﺧــﻼل ﻓﺘــﺮة زﻣﻨﻴــﺔ ﻣﻌﻘﻮﻟــﺔ‪ ،‬ﻓــﻲ ﺣــﺎل وﺟــﻮد أي‬
‫‪acknowledge and agree that AHB reserves the right to reject‬‬ ‫ﺗﻐﻴﻴــﺮ ﻓــﻲ اﻟﻤﻌﻠﻮﻣــﺎت اﻟﺘــﻲ ﻗﺪﻣﺘﻬــﺎ إﻟــﻰ ﻣﺼــﺮف اﻟﻬــﻼل‪ ،‬ﻛﻤــﺎ أﻗﺮ‪/‬ﻧﻘــﺮ‪،‬‬
‫‪this application in its absolute discretion and AHB is not‬‬ ‫أواﻓﻖ‪/‬ﻧﻮاﻓــﻖ ﻋﻠــﻰ أن ﻣﺼــﺮف اﻟﻬــﻼل ﻳﺤﺘﻔــﻆ ﺑﺎﻟﺤــﻖ ﻓــﻲ رﻓــﺾ ﻫــﺬا‬
‫‪required to provide reasons for its rejection of this application.‬‬ ‫اﻟﻄﻠــﺐ وﻓــﻖ اﻟــﺮأي اﻟﻤﻄﻠــﻖ اﻟــﺬي ﻳــﺮاه ﻣﺼــﺮف اﻟﻬــﻼل‪ ،‬وﻻ ﻳﺠــﺐ ﻋﻠــﻰ‬
‫‪I permit AHB to (at any time) request any credit references,‬‬ ‫ﻣﺼــﺮف اﻟﻬــﻼل ﺗﻘﺪﻳــﻢ أي أﺳــﺒﺎب ﻟﺮﻓــﺾ ﻫــﺬا اﻟﻄﻠــﺐ‪ .‬أﺻــﺮح ﻟﻤﺼــﺮف‬
‫‪account statements or other relevant information from my‬‬ ‫اﻟﻬــﻼل ﺑﻄﻠــﺐ ﻓــﻲ أي وﻗــﺖ أي ﻣﺮاﺟــﻊ اﺋﺘﻤﺎﻧﻴــﺔ أو ﻛﺸــﻮف ﺣﺴــﺎﺑﺎت‬
‫‪employer, any financial institution, regulatory body, any credit‬‬ ‫أو ﻣﻌﻠﻮﻣــﺎت أﺧــﺮى ذات ﺻﻠــﺔ ﻣــﻦ ﺟﻬــﺔ ﻋﻤﻠــﻲ و‪/‬أو أي ﻣﺆﺳﺴــﺔ ﻣﺎﻟﻴــﺔ‬
‫‪reference agency/bureau (including Al Etihad Credit Bureau‬‬ ‫و‪/‬أو ﺟﻬــﺔ ﺗﻨﻈﻴﻤﻴــﺔ و‪/‬أو أي وﻛﺎﻟﺔ‪/‬ﻣﻜﺘــﺐ ﻣﻌﻠﻮﻣــﺎت اﺋﺘﻤﺎﻧﻴــﺔ ﻣــﻦ‬
‫‪and the Central Bank) and/or any other source AHB selects‬‬ ‫ﺿﻤــﻦ ذﻟــﻚ اﻻﺗﺤــﺎد ﻟﻠﻤﻌﻠﻮﻣــﺎت اﻻﺋﺘﻤﺎﻧﻴــﺔ واﻟﻤﺼــﺮف اﻟﻤﺮﻛــﺰي و‪/‬أو أي‬
‫‪(each a Verification Authority) to assess my credit profile and‬‬ ‫ﻣﺼــﺪر آﺧــﺮ ﻳﺨﺘــﺎره ﻣﺼــﺮف اﻟﻬــﻼل وﻳﻄﻠــﻖ ﻋﻠــﻰ ﻛﻞ ﻣﻨﻬــﺎ ﺟﻬــﺔ‬
‫‪history and my ability to meet my financial commitments, and‬‬ ‫اﻟﺘﺤﻘــﻖ ﻷﻏــﺮاض اﻟﺘﻘﻴﻴــﻢ اﻻﺋﺘﻤﺎﻧــﻲ‪/‬واﻷداء اﻟﺴــﺎﺑﻖ ﻣــﻦ ﻗﺒﻠــﻲ‬ ‫ّ‬
‫‪I acknowledge that AHB may rely on such information and‬‬ ‫وﻗﺪرﺗــﻲ ﻋﻠــﻰ اﻟﻮﻓــﺎء ﺑﺎﻟﺘﺰاﻣﺎﺗــﻲ اﻟﻤﺎﻟﻴــﺔ‪ ،‬وأﻗﺮ‪/‬ﻧﻘــﺮ ﺑﺄﻧــﻪ ﻳﺠــﻮز ﻟﻤﺼــﺮف‬
‫‪shall not be held liable if any such information is incorrect,‬‬
‫اﻟﻬــﻼل اﻻﻋﺘﻤــﺎد ﻋﻠــﻰ ﺗﻠــﻚ اﻟﻤﻌﻠﻮﻣــﺎت وﻋــﺪم ﺗﺤﻤﻴــﻞ ﻣﺼــﺮف اﻟﻬــﻼل‬
‫‪incomplete or inaccurate. In addition to the aforesaid‬‬
‫أي ﻣﺴــﺆوﻟﻴﺔ ﻓــﻲ ﺣﺎﻟــﺔ ﻋــﺪم ﺻﺤــﺔ أو اﻛﺘﻤــﺎل أو دﻗــﺔ ﺗﻠــﻚ‬
‫‪acknowledgment, for accessing my account statements, I‬‬
‫اﻟﻤﻌﻠﻮﻣــﺎت‪ ،‬وﻷﻏــﺮاض اﻟﻮﺻــﻮل واﻻﻃــﻼع ﻋﻠــﻰ ﻛﺸــﻮف ﺣﺴــﺎﺑﺎﺗﻲ‪،‬‬
‫‪also irrevocably agree to execute any Form, provided by AHB,‬‬
‫‪either attached as annexure to this application Form or other-‬‬ ‫ﻓﺈﻧــﻲ أواﻓــﻖ ﺑﺼﻔــﺔ ﻧﻬﺎﺋﻴــﺔ ﻻ رﺟﻌــﺔ ﻋﻨﻬــﺎ ﻋﻠــﻰ ﺗﻮﻗﻴــﻊ أي ﻧﻤــﻮذج‬
‫‪wise. I permit AHB to (at any time) share such information with‬‬ ‫ﻣﻘــﺪم ﻟــﻲ ﻣــﻦ ﻗﺒــﻞ ﻣﺼــﺮف اﻟﻬــﻼل ﺳــﻮاء ﻛﺎن ﻣﺮﻓﻘـ ًـﺎ ﺑﻬــﺬا اﻟﻄﻠــﺐ‬
‫‪its affiliates, subsidiaries, branches and service providers, and‬‬ ‫ﺑﺼــﻮرة ﻣﻠﺤــﻖ أو ﺑــﺄي ﻃﺮﻳﻘــﺔ أﺧــﺮى‪ ،‬ﻛﻤــﺎ أﺻــﺮّح ﻟﻤﺼــﺮف اﻟﻬــﻼل‬
‫‪may use all such information and/or materials in the course of‬‬ ‫ﺑﻤﺸــﺎرﻛﺔ ﺗﻠــﻚ اﻟﻤﻌﻠﻮﻣــﺎت ﻓــﻲ أي وﻗــﺖ ﻣــﻊ ﺷــﺮﻛﺎﺗﻪ اﻟﻔﺮﻋﻴــﺔ اﻟﺘﺎﺑﻌــﺔ‬
‫‪any legal proceedings. I also permit AHB (at any time) to share‬‬ ‫ً‬
‫وﻓﻘــﺎ‬ ‫واﻟﺸــﺮﻛﺎت اﻟﻤﺮﺗﺒﻄــﺔ واﻟﺤﻠﻴﻔــﺔ واﻟﻔــﺮوع وﻣــﺰودي اﻟﺨﺪﻣــﺎت‬
‫‪my information in accordance with AHB Banking Terms and‬‬ ‫ﻷﺣــﻜﺎم وﺷــﺮوط اﻟﺨﺪﻣــﺎت اﻟﻤﺼﺮﻓﻴــﺔ ﻟﻸﻓــﺮاد ﻣــﻦ ﻣﺼــﺮف اﻟﻬــﻼل‬
‫‪Conditions available on AHB website (www.alhilalbank.ae),‬‬ ‫اﻟﻤﺘﺎﺣــﺔ ﻋﻠــﻰ ﻣﻮﻗــﻊ اﻟﻤﺼــﺮف اﻹﻟﻜﺘﺮوﻧــﻲ ‪ www.alhilalbank.ae‬ﺑﻤــﺎ‬
‫‪including (without limitation) to a Verification Authority. I‬‬ ‫ّ‬
‫ﺗﺤﻘــﻖ‪ ،‬وأﻗــﺮ ﺑﻌــﺪم‬ ‫ﻓــﻲ ذﻟــﻚ ﻋﻠــﻰ ﺳــﺒﻴﻞ اﻟﻤﺜــﺎل ﻻ اﻟﺤﺼــﺮ أي ﺟﻬــﺔ‬
‫‪acknowledge that neither AHB nor its Affiliates shall be‬‬ ‫ﺗﺤﻤّ ــﻞ اﻟﻤﺼــﺮف أو أي ﻣــﻦ ﺷــﺮﻛﺎﺗﻪ اﻟﻔﺮﻋﻴــﺔ أو اﻟﻤﺮﺗﺒﻄــﺔ أي ﻣﺴــﺆوﻟﻴﺔ‬
‫‪responsible for any liability in relation to any such disclosure.‬‬ ‫ﻓﻴﻤﺎ ﻳﺘﻌﻠﻖ ﺑﺎﻹﻓﺼﺎح ﻋﻦ ﺗﻠﻚ اﻟﻤﻌﻠﻮﻣﺎت‪.‬‬

‫‪15‬‬
‫اﺳﺘﻤﺎرة ﻃﻠﺐ اﻟﺘﻤﻮﻳﻞ‬
‫‪Finance Application Form‬‬

‫‪Customer Consent Form for Release of Statement of Account‬‬ ‫ﻧﻤﻮذج ﻣﻮاﻓﻘﺔ اﻟﻤﺘﻌﺎﻣﻞ ﻋﻠﻰ اﻹﻓﺼﺎح ﻋﻦ ﻛﺸﻒ اﻟﺤﺴﺎب‬

‫)‪CONSENT (Permission upon signing this consent form‬‬ ‫ً‬

‫‪By signing this form, you consent (give permission) to Al Hilal‬‬
‫‪Bank to request for your Statement of Account through the‬‬
‫‪Central Bank of the United Arab Emirates, from your Bank (as‬‬
‫‪can be identified by the account number IBAN) and also for your‬‬
‫‪Bank to provide this information through the Central Bank of‬‬
‫‪the United Arab Emirates, without taking additional consent.‬‬
‫ﺗﺼﺮﻳﺤﺎ ﻟﻠﻤﺼﺮف(‬ ‫اﻟﻤﻮاﻓﻘﺔ )ﺑﺘﻮﻗﻴﻊ ﻧﻤﻮذج اﻟﻤﻮاﻓﻘﺔ ﻫﺬا ﻳﻤﻨﺢ اﻟﻤﺘﻌﺎﻣﻞ‬
‫ﺑﺘﻮﻗﻴــﻊ ﻫــﺬا اﻟﻨﻤــﻮذج‪ ،‬أﻧــﺖ ﺗﻮاﻓــﻖ ﺗﺼــﺮح ﻟﻤﺼــﺮف اﻟﻬــﻼل أن ﻳﻄﻠــﺐ ﻛﺸــﻒ‬
‫ﺣﺴــﺎﺑﻚ ﻣــﻦ ﺧــﻼل ﻣﺼــﺮف دوﻟــﺔ اﻹﻣــﺎرات اﻟﻌﺮﺑﻴــﺔ اﻟﻤﺘﺤــﺪة اﻟﻤﺮﻛــﺰي ﻣــﻦ اﻟﺒﻨــﻚ اﻟــﺬي‬
‫ﺗﺘﻌﺎﻣــﻞ ﻣﻌــﻪ ﺣﺴــﺒﻤﺎ ﻳﻤﻜــﻦ اﻟﺘﻌــﺮف ﻋﻠﻴــﻪ ﺑﺮﻗــﻢ اﻟﺤﺴــﺎب اﻟﻤﺼﺮﻓــﻲ اﻟﺪوﻟــﻲ "آﻳﺒــﺎن"‬
‫وﻛﺬﻟــﻚ أن ﻳﻘــﻮم اﻟﺒﻨــﻚ اﻟــﺬي ﺗﺘﻌﺎﻣــﻞ ﻣﻌــﻪ ﺑﺘﻘﺪﻳــﻢ ﺗﻠــﻚ اﻟﻤﻌﻠﻮﻣــﺎت ﻣــﻦ ﺧــﻼل‬
‫ﻣﺼــﺮف دوﻟــﺔ اﻹﻣــﺎرات اﻟﻌﺮﺑﻴــﺔ اﻟﻤﺘﺤــﺪة اﻟﻤﺮﻛــﺰي‪ ،‬دون اﻟﺤﺎﺟــﺔ إﻟــﻰ اﻟﺤﺼــﻮل ﻋﻠــﻰ أي‬
‫ﻣﻮاﻓﻘﺎت إﺿﺎﻓﻴﺔ‪.‬‬

‫‪Identity document used:‬‬ ‫اﻟﻤﺴﺘﻨﺪ اﻟﻤﺴﺘﺨﺪم ﻹﺛﺒﺎت اﻟﻬﻮﻳﺔ‪:‬‬

‫‪Name as per document:‬‬ ‫ً‬

‫ﻃﺒﻘﺎ ﻟﻠﻤﺴﺘﻨﺪ‪:‬‬ ‫اﻻﺳﻢ‬

‫‪Number of identity document:‬‬ ‫رﻗﻢ اﻟﻤﺴﺘﻨﺪ اﻟﻤﺴﺘﺨﺪم ﻹﺛﺒﺎت اﻟﻬﻮﻳﺔ‪:‬‬

‫‪IBAN‬‬ ‫رﻗﻢ اﻟﺤﺴﺎب اﻟﻤﺼﺮﻓﻲ اﻟﺪوﻟﻲ "آﻳﺒﺎن"‪:‬‬

‫‪From:‬‬ ‫ﻣﻦ‪:‬‬
‫‪Statement period:‬‬ ‫ﻓﺘﺮة ﻛﺸﻒ اﻟﺤﺴﺎب‪:‬‬
‫‪To:‬‬ ‫إﻟﻰ‪:‬‬

‫‪By signing the below, I consent to the (one-time) release of my Account‬‬ ‫ﺑﺎﻟﺘﻮﻗﻴﻊ أدﻧﺎه‪ ،‬أواﻓﻖ ﻋﻠﻰ اﻹﻓﺼﺎح )ﻣﺮة واﺣﺪة( ﻋﻦ ﻛﺸﻒ ﺣﺴﺎﺑﻲ اﻟﻤﺼﺮﻓﻲ‬
‫‪Statement exclusively for the purpose stipulated in this Consent Form.‬‬ ‫ً‬
‫ﺣﺼﺮﻳﺎ ﻟﻸﻏﺮاض اﻟﻤﺬﻛﻮرة ﻓﻲ ﻧﻤﻮذج اﻟﻤﻮاﻓﻘﺔ ﻫﺬا‪.‬‬

‫‪Signature:‬‬ ‫اﻟﺘﻮﻗﻴﻊ‪:‬‬

‫?‪Why consent is needed and how the information will be used‬‬
‫‪Your consent (permission) for us to obtain and share your‬‬
‫‪account information, including the transaction details for the‬‬
‫‪identified period, is needed for the purposes listed and‬‬
‫ﻃﺒﻘــﺎ ﻟﻠﻘﺎﻧــﻮن‬
‫‪explained below. The information provided will be shared and‬‬
‫‪retained in accordance with applicable laws concerning data‬‬
‫‪security and privacy protections. The information you authorize‬‬
‫‪us to obtain and share will be used to determine your eligibility‬‬
‫‪for the product. You understand that some services may not be‬‬
‫‪available to you unless you consent to share/release information‬‬
‫‪as stated in this Authorization Form.‬‬
‫ﻣﺎ اﻟﺤﺎﺟﺔ إﻟﻰ ﻫﺬه اﻟﻤﻮاﻓﻘﺔ وﻛﻴﻒ ﻳﺘﻢ اﺳﺘﺨﺪام اﻟﻤﻌﻠﻮﻣﺎت؟‬
‫ﻧﺤﺘــﺎج ﻟﻤﻮاﻓﻘﺘــﻚ ﺗﺼﺮﻳﺤــﻚ ﻋﻠــﻰ ﺣﺼﻮﻟﻨــﺎ ﻋﻠــﻰ ﻣﻌﻠﻮﻣــﺎت ﺣﺴــﺎﺑﻚ ﺑﻤــﺎ ﻓﻴﻬــﺎ‬
‫ﺑﻴﺎﻧــﺎت اﻟﻤﻌﺎﻣــﻼت ﻋــﻦ اﻟﻔﺘــﺮة اﻟﻤﺤــﺪدة أﻋــﻼه وﻣﺸــﺎرﻛﺔ ﺗﻠــﻚ اﻟﻤﻌﻠﻮﻣــﺎت واﻟﺒﻴﺎﻧــﺎت‬
‫ً‬
‫ﻟﻠﺴــﺒﺐ اﻵﺗــﻲ‪ :‬ﺳــﻮف ﺗﺘــﻢ ﻣﺸــﺎرﻛﺔ ﻣﻌﻠﻮﻣﺎﺗــﻚ واﻻﺣﺘﻔــﺎظ ﺑﻬــﺎ‬
‫اﻟﻤﻄﺒــﻖ ﺑﺸــﺄن أﻣــﻦ اﻟﺒﻴﺎﻧــﺎت وﺣﻤﺎﻳــﺔ اﻟﺨﺼﻮﺻﻴــﺔ‪ ،‬وﺳــﻮف ﻳﺘــﻢ اﺳــﺘﺨﺪام اﻟﻤﻌﻠﻮﻣــﺎت‬
‫اﻟﺘــﻲ ﺻﺮﺣــﺖ ﻟﻨــﺎ ﺑﺎﻟﺤﺼــﻮل ﻋﻠﻴﻬــﺎ وﻣﺸــﺎرﻛﺘﻬﺎ ﻟﺘﺤﺪﻳــﺪ ﻣــﺎ إذا ﻛﻨــﺖ ﻣﺆﻫــﻼً ﻟﻠﺤﺼــﻮل‬
‫ﻋﻠــﻰ اﻟﻤﻨﺘــﺞ‪ ،‬وأﻧــﺖ ﺗــﺪرك أن ﺑﻌــﺾ اﻟﺨﺪﻣــﺎت ﻗــﺪ ﻻ ﻳﺘــﺎح ﻟــﻚ اﻟﺤﺼــﻮل ﻋﻠﻴﻬــﺎ ﻣــﺎ ﻟــﻢ‬
‫ﺗﻮاﻓــﻖ ﻋﻠــﻰ ﻣﺸــﺎرﻛﺔ اﻟﻤﻌﻠﻮﻣــﺎت أو اﻹﻓﺼــﺎح ﻋﻨﻬــﺎ ﻋﻠــﻰ اﻟﻨﺤــﻮ اﻟﻤﺬﻛــﻮر ﻓــﻲ ﻫــﺬا‬
‫اﻟﺘﺼﺮﻳﺢ‪.‬‬

‫‪For Bank use only‬‬ ‫ﻻﺳﺘﺨﺪام اﻟﻤﺼﺮف ﻓﻘﻂ‬

‫‪Customer CIF:‬‬ ‫‪Product Applied For:‬‬

‫)‪Payment Method (Choose one‬‬ ‫ﻃﺮﻳﻘﺔ اﻟﺴﺪاد )اﺧﺘﺮ واﺣﺪة(‬

‫أواﻣﺮ ﺗﺤﻮﻳﻞ دورﻳﺔ‬ ‫رﻗﻢ اﻟﺤﺴﺎب ﻟﺪى اﻟﻬﻼل‬ ‫ﻧﻮع اﻟﺤﺴﺎب‬ ‫ﺟﺎري‬ ‫ﺗﻮﻓﻴﺮ‬
‫‪‬‬ ‫‪‬‬ ‫‪‬‬
‫‪Standing instructions‬‬ ‫‪Account No. with Al Hilal‬‬ ‫‪Account type‬‬ ‫‪Current‬‬ ‫‪Savings‬‬

‫‪OR‬‬ ‫أو‬

‫ﺗﻔﻮﻳﺾ اﻟﺨﺼﻢ اﻟﻤﺒﺎﺷﺮ‬

‫‪‬‬ ‫اﻟﺒﻨﻚ اﻟﻤﺴﺤﻮب ﻋﻠﻴﻪ‬
‫‪DDA‬‬
‫‪Drawee Bank name‬‬
‫‪Direct Debit Authority‬‬

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‫اﺳﺘﻤﺎرة ﻃﻠﺐ اﻟﺘﻤﻮﻳﻞ‬
Finance Application Form

References ‫اﻟﻤﺮاﺟﻊ‬

1 ‫اﻟﻤﺮﺟﻊ‬ 2 ‫اﻟﻤﺮﺟﻊ‬
Reference 1 Reference 2

Name ‫اﻻﺳﻢ‬ Name ‫اﻻﺳﻢ‬

Relation ‫اﻟﻌﻼﻗﺔ‬ Relation ‫اﻟﻌﻼﻗﺔ‬

Mobile No. :‫رﻗﻢ اﻟﻬﺎﺗﻒ اﻟﻤﺘﺤﺮك‬ Mobile No. :‫رﻗﻢ اﻟﻬﺎﺗﻒ اﻟﻤﺘﺤﺮك‬

Emirate ‫اﻹﻣﺎرة‬ Emirate ‫اﻹﻣﺎرة‬

Office telephone No. :‫رﻗﻢ ﻫﺎﺗﻒ اﻟﻌﻤﻞ أو اﻟﻤﻜﺘﺐ‬ Office telephone No. :‫رﻗﻢ ﻫﺎﺗﻒ اﻟﻌﻤﻞ أو اﻟﻤﻜﺘﺐ‬

E-mail :‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬ E-mail :‫اﻟﺒﺮﻳﺪ اﻹﻟﻜﺘﺮوﻧﻲ‬

If this is a joint account, the reference must be known to both parties. ً

.‫ﻣﻌﺮوﻓﺎ ﻟﺪى اﻟﻄﺮﻓﻴﻦ‬ ‫ ﻳﺠﺐ أن ﻳﻜﻮن اﻟﻤﺮﺟﻊ‬،‫إذا ﻛﺎن ﻫﺬا ﺣﺴﺎب ﻣﺸﺘﺮك‬

1 ‫ﻣﻘﺪم اﻟﻄﻠﺐ‬ 2 ‫ﻣﻘﺪم اﻟﻄﻠﺐ‬

Applicant 1 Applicant 2

Applicant ‫اﺳﻢ‬ Applicant ‫اﺳﻢ‬

name ‫اﻟﻤﺘﻌﺎﻣﻞ‬ name ‫اﻟﻤﺘﻌﺎﻣﻞ‬

Date Day Month Year ‫اﻟﺘﺎرﻳﺦ‬ Date Day Month Year ‫اﻟﺘﺎرﻳﺦ‬

Signature ‫اﻟﺘﻮﻗﻴﻊ‬ Signature ‫اﻟﺘﻮﻗﻴﻊ‬

Signature(s) ‫ﺗﻢ اﻟﺘﻮﻗﻴﻊ ﺑﺤﻀﻮري‬ Signature(s) ‫ﺗﻢ اﻟﺘﻮﻗﻴﻊ ﺑﺤﻀﻮري‬

witnessed/ verified by ‫)اﺳﻢ اﻟﻤﻮﻇﻒ‬ witnessed/ verified by ‫)اﺳﻢ اﻟﻤﻮﻇﻒ‬
(staff name and ID No.) (‫ورﻗﻤﻪ اﻟﻮﻇﻴﻔﻲ‬ (staff name and ID No.) (‫ورﻗﻤﻪ اﻟﻮﻇﻴﻔﻲ‬

Staff name ‫اﺳﻢ اﻟﻤﻮﻇﻒ‬ Staff name ‫اﺳﻢ اﻟﻤﻮﻇﻒ‬

Staff signature ‫ﺗﻮﻗﻴﻊ اﻟﻤﻮﻇﻒ‬ Staff signature ‫ﺗﻮﻗﻴﻊ اﻟﻤﻮﻇﻒ‬

For bank use only ‫ﻻﺳﺘﻌﻤﺎل اﻟﻤﺼﺮف ﻓﻘﻂ‬

Branch ‫اﻟﻔﺮع‬ CIF No. :‫رﻗﻢ ﻣﻠﻒ اﻟﻤﺘﻌﺎﻣﻞ‬

Staff name ‫اﺳﻢ اﻟﻤﻮﻇﻒ‬ Staff ID :‫اﻟﺮﻗﻢ اﻟﻮﻇﻴﻔﻲ‬

Processed by ‫ﺗﻢ اﻟﺘﻨﻔﻴﺬ ﺑﻮاﺳﻄﺔ‬ Approved by ‫ﺗﻤﺖ اﻟﻤﻮاﻓﻘﺔ ﺑﻮاﺳﻄﺔ‬

Signature ‫اﻟﺘﻮﻗﻴﻊ‬ Signature ‫اﻟﺘﻮﻗﻴﻊ‬

Name ‫اﻻﺳﻢ‬ Name ‫اﻻﺳﻢ‬

Date Day Month Year ‫اﻟﺘﺎرﻳﺦ‬ Date Day Month Year ‫اﻟﺘﺎرﻳﺦ‬

.‫ ﻣﺮﺧﺺ وﻣﻨﻈﻢ ﻣﻦ ﻗﺒﻞ اﻟﻤﺼﺮف اﻟﻤﺮﻛﺰي ﻟﺪوﻟﺔ اﻹﻣﺎرات اﻟﻌﺮﺑﻴﺔ اﻟﻤﺘﺤﺪة‬.‫ع‬.‫م‬.‫ﻣﺼﺮف اﻟﻬﻼل ش‬
Al Hilal Bank PJSC is licensed and regulated by the Central Bank of the United Arab Emirates.

17