BeP = Par ie qaawa Branch Name Branch Code Please Check w the Box for service required. Please Cross Out section for Services not required Date: dammyyyy Change in Adress e-anking [J statement of Account / certificate [XT stow Payment / Release of cheque * SMs Alerts Re-acivaton of Dormant / Inactive Account statement Account closure Account # [Account Title ‘my/our Maling /Residence / Office address. and/or Contact number(s) has been changed as per below mentioned details. We hereby authorize the Bank to Update the same accordingly for future correspondence. New address ity country New Contact (Res) {orfice) Mobile # emai Kindly provide me/us with a Statement of Account / Account Certifcate/Balance Certificate /Tax Certificate for the period From ddmmyywy To ddmmyww ‘The Statement of Account /cetste may be delvered to me/us “The Statement of account /Cereieate may be delivered to Mr, me. holding S/CNICH, signature is appended below whose ‘Specimen Signature of Mr Signature & Nome of Recipient we request SMS alert Faciity for Account Debit and Credit Transaction s/enice Debit Card # (if Available ) Mobile# Note: SMS Banking will not be operational on some MNP Email (Mobile Number Ported) Numbers Ye Request you to kindly send me/us statement on specified e-mail address glven below for my / our account with you. EmailID Mobile # \Vwe request E-Banking Services in my/our above mentioned Account maintained with you sfenic Email Mobile # Pagel?‘Cheque Number(s), Reason _ From ro “Time of instructions Recelved “Time of instructions Marked (Cheque Number(s) ee cece poe Tee of ravucon eceteed rps ot arsctore Marte ‘You are requested to re-activate my / our account maintained with you that has been classified as DORMANT as it was not ‘operated by me/us for more than 3 year Reason srenice ‘(attach copy of valid CNIC/SNIC/NICOP ) Note : Update KYC & other relevant Account information/decuments "You af@ requested to close my/our account maintained with you Account nol Reason ‘Cheque book surrendered /lost/ misplaced/exhausted Cheque Book Chq Leaves From. 1. Debit/ATM card surrendered /lost/misplaced/NA Card # Locker and Key Surrendered Locker # Key Ife have reag, undersigod ane apree fo the farms and eonaons contained in account opening form ana various products /servicesneking SM Ive hereby accept gree and abide bythe Terms & Conditions as dlplaved on wwwwibop.com.pk to the aforementioned Banking services and I/we undertae that would be my / our sole responsibilty to keep the mentioned email address active, valid and secretin al respect Yee nave rend anc understoos the terms and condons and gree #9 keep the Sank indemnified! against ibis, claims proceesings action= and damages in relation oor arking out ofthe Bank accepting my/our aforementioned benking request) I/We authorie the bank o recover applicable charges trom my/our account|) maintained with the Bank for above service, wherever applicable uae & Sinatre ofthe Account Holder Strate ofthe Account Hote ‘Application Received on = Application Processedon Application Authorized for processing by BON OBOMTEN charges Clearance for A/c Closure ‘Ae Galancs Ni Sterner oad TOF rd tind ned i cause aaearennseneranee “sowyosomyem Page2/2