State Bank of Pakistan

Annexure A Banking Services Corporation Date:_____________

___________________ Office
APPLICATION FOR ENCASHMENT / CONVERSION OF WITHDRAWN
NATIONAL PRIZE BONDS

PARTICULARS OF PRIZE BONDS HOLDER

Name
CNIC No. - -
Mobile No.
Account Title Bank Name
IBAN (in case of
bank credit option)
PARTICULARS OF NATIONAL PRIZE BONDS REPLACEMENT OPTIONS (please  one)
Denomination Special / Defence Savings Certificate
Total Pieces Encashment through Bank Account
Total Value of Bonds (Rs.)
Premium Prize Bonds (Registered)*
Differential Amount (Rs.)*
Grand Total Amount (Rs.)
*Differential amount should only be accepted for conversion to PPBs.
UNDERTAKING BY THE HOLDER
I hereby declare and accept that:
1. The National Prize Bond(s) presented by me for encashment is/are “Genuine”. In case the bond(s) is/are found
forged/tampered, SBP BSC (Bank) reserves the right to take legal action against me as per the relevant laws.
2. The information provided above shall be deemed to be true & complete and any misinformation/incorrect details of any
nature whatsoever by me, I, solely will be responsible for the losses.

Prize Bond Holder’s Signature (as per CNIC)

FOR OFFICE USE ONLY
Prize Bonds have been verified and found genuine. Accordingly, the application has been processed
as per the request of the holder (Please mention T-24 system reference number):
Replacement Option T-24 Encashment ID Cash Receipt ID
Encashment through Bank Account
Special / Defence Savings Certificate
Premium Prize Bonds (Registered)

Counter Official Counter Official Counter Official

(Encashment) (PBU/SSCDSC) (PPB/SSC/DSC)