PPB.

CB-2
The Manager,
Bank
Branch Dated:

APPLICATION FOR PURCHASE OF PREMIUM pRrZE BONpS (REGTSTEREp)

(rNDrvrDUALS ONLy)

Personal lnformation - Applicant - 1 Bonds Required

Narne Denom. (PKR) Pieces Amount (PKR)

CNIC No.

Personal lnformation - Applicant - 2

Name:

CNIC No. Total

lnstnrmelrt Chequc Nurnber Chcque Arnount (PKRJ

Details Cheqrre date Aurount in Words
TEIIMS & CONDITIONS
1. Tlris Schemc is governed under Premiutn Prize Bonds (RcAlsrered) Rules 201?.
2. Allpoymentsr.vithregardstoPrizelloney,Profitonill:ocevolue(asthecosemaybe)willbecrcditedtothelBANprovidedbytheopplicant
in this ctpplicotion form. Any chatge in the occount nwnbet', che opplicant sholl immediacely inform the Bank
3. lBtlN provided by the applicont ntust be in his/her own name ond connot be ol any other person whotsoevcr.
4. Theinforntutionprovirledinthisapplicatiunlormbytheapplicontshalldeemedtobetrue&completebytheBankandunyntislnformation
or incorrcct details or conceolment offocts of any noture whotsoever, the opplicant shall be held responsible.
5. Tlre sigrtutut e of opplicant(s) must be ns pcr the CNIC/SNIC provided.
6. Translcr of Bonrls shatl onty be ovoilablc to in(tividual lnvestor(s). Transferor of bonds belorc tlrc completion ol six nonths pcrlod eitlter
lrom dote ol issuance or doce oflost proJit paid will not be paid ony profit|or the broken period. T'ransfer of prlze winning ltonds front one
person to onother will only be ollowetl subsequent lo scltlentenc of ouutanding prize money in the registered investor's occounL Alter
transfer of tltte, the Transleror sholl relinquish oll his claims in cerms of principol, profit ond prize money (if any).
7. Tlrc Currency Tronsoction Report (CTR) / Suspicious Transoction Report (STR) sholl be applicable os per relevont laws.
B. Any attting/ovenvriring/mutilation must be authenticote(l by the applicant with lull signatures as per CNIC / SNIC. Further, oppllcation
fonn(s) with tnore than ivo cuttings/ovenvriting will not be occepted.
9, ly've lnve t ectd & understootl the terms & conditions os ntentioned above and sholl comply with the relevant rules antl regulotions ln letter
&

Anplicant l Signature Applicant 2 Sign{ttlre

[OR OFIICE USE ONLY
The lrpplication form is in order and following prcmium prize honds have been isstred to thc investor
Bond Series & Serial
Denom. (PKR) Pi eces Value (PI(R)
From To

'l'otal

Au orized ank Officer Authorized Banl< Offi ccr

'l'he aforementioned bonds issuccl to the investor reported to SBP BSC / Main Branch on

Authorizecl Uaulr Oflicer

INVESTOR ACKNOWLEDGMENT
Receit,cdfollowingnunlberofPremiumPrizcBondsfrom-branch banl<

Sipnahrre Signanlre _