Scribd
Upload
24 views2 pages

CPV Template - CZB

This document is a customer information verification report for a credit card application. It contains details about reference and contact point verification for the applicant's residence and office including addresses, contact information, and property details. Signatures and endorsements are also included.

Uploaded by

Upgrade Store
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
24 views2 pages

CPV Template - CZB

This document is a customer information verification report for a credit card application. It contains details about reference and contact point verification for the applicant's residence and office including addresses, contact information, and property details. Signatures and endorsements are also included.

Uploaded by

Upgrade Store
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 2

CUSTOMER INFORMATION VERIFICATION REPORT _ CZB Credit Card Application

Applicant Name: Date: DD MM YYYY


File Type: Salaried Business Professional Others File ID:
REFERENCE VERIFICATION DETAILS (ANALYST PART)
Reference: 1 Verified Reference: 2 Verified
Relative: Yes No Well-known Yes No
Mobile No: Mobile No:
Relation With applicant. Relation With applicant.
Comment: Comment:
Date & Time: Date & Time:
CONTACT POINT VERIFICATION DETAILS
RESIDENCE OFFICE
Road/Village/House Name: Office Address:

Post office: Post Code: Post office: Post Code:


Block & Flat No: Thana/PS: Block & Flat No: Thana/PS:
District: District:
Nearest Landmark: Nearest Landmark:
Person Contacted: Person Contacted:
Mobile No: Mobile No:
Relation with Applicant: Designation:
Years at current address. Nature of Business.
Residence Status: Own Rent Other Applicant’s Designation.
Residence Size. Small Medium Large Years at the current organization.
Residence Type. Flat House Other Company Existence Since.
Residence. Excellen Good Fair Poor No. of Employee.
t
Date & Time : Office Size: Small Medium Large Very Large
Remarks: Company Profile Excellen Good Fair Poor
t
Customer Customer Regular
Signature Signature:
as per NID:
I do hereby declare that the information provided in this report is correct and I have physically visited the location.

Additional Comment (if any):

Endorsement Signature from


Signature:
Line Manager/BM/Division
CPV Officer’s Name: Head:
Designation& ID: Comment (if any):
Mobile No:
Additional Documents Verified:
i) Bank Statement. Yes No
ii) LOI/Salary Certificate/Pay slip. Yes No
iii) E-Tin Copy & Tax Acknowledgement Receipt Copy. Yes No
iv) Others (if any): Yes No

You might also like