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Premier Bank Application Form - Download as PDF

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Premier Bank Application Form - Download as PDF Powered By Docstoc
					                                                                                              Application for
                                                                                              P remier              S anc haya S c heme                     (P S S )
T he P remier B ank Limited                                                                   P S S a/c No                              Opened on


Premier B ank
S     E    R   V     I   C    E         F     I   R   S    T


P leas e allow me a loan for T k.                              (T aka)                       to purchas e (in number)                           (in words
                                                                               unit of                                                       under this s cheme.

 P leas e furnis h all information in C apital L etters
 F irs t Applicant's name
 F ather's Name                                         Hus band's name (if applicable)
 Date of B irth                                         Nationality
 Mailing Addres s
 P ermanent Addres s
 T elephone No.                                         B anking reference
 E mployment Details :
 Occupation
 S ervice                Y es       No
 E mployer's name
 Des ignation
 No of Y ear in s ervice           Y ears                   No of Y ears Left in s ervice                                         years
 S elf E mployed           Y es          No
 Nature of s elf-employment

 P leas e furnis h all information in C apital L etters for joint ac c ount holder
 J oint Applicant's name
 F ather's Name                                        Hus band's name (if applicable)
 Date of B irth                                        Nationality                     Occupation
 Mailing Addres s
 P ermanent Addres s
 T elephone No.                                        B anking reference
 E mployment Details :
 Occupation
 S ervice                Y es          No
 E mployer's name
 Des ignation
 No of Y ear in s ervice           Y ears                  No of Y ears Left in s ervice                                           years
 S elf E mployed         Y es             No
 Nature of s elf-employment

 F inanc ial Details :
 Monthly take home pay T k.             (T aka)                             Average monthly living expens es . T k.           (T aka)
 C ommitted Monthly ins talment (E xcept this loan) T k.                      (T aka)          Other expens es T k.           (T aka)
 Number of units required                                                  Monthly ins talment T k.                 (T aka)
 Loan to be repaid in 36/60 ins talments T k.                                (T aka)                    C ommencing from (date)
S ec urity :
Lien over ........................................................................................ (S anchayapatra) purchas ed under this s cheme.

Nomination :
I hereby nominate the following pers on(s ) (not more than two) to receive the amount of depos it and interes t, in cas e of my
death, in the manner s hown agains t their name(s ). Details to be furnis hed in the B ank's pres cribed form :
       Name and addres s of nominee(s )                   R elations hip with depos itor(s ) Age of the nominee(s )                           % payable




S pec ial ins truc tion (if any) :
Dec laration
I/We hereby authoris e the B ank to debit my/our account No..................................... with..................................
(B ranch) for the purchas e of ................................................. and for the monthly ins talment mentioned above
I/we declare that my/our holding of S anchayapatra (including the unit purchas ed for the purpos e of the plan) does not exceed
the limit pres cribed by B anglades h B ank.
I have read, unders tood and agreed to comply with and to be bound by the rules and conditions of P S S of T he P remier B ank
Limited as noted overleaf and any amendments thereto for the conduct of s uch s cheme.



F irs t Applicant's S ignature                                                                                     J oint Applicant's S ignature
    F or B ank's us e only
    P S S Account No.                       Loan Amount T k.                     (T aka)                             Ins talment T k.
    R ecommendation:

    Athoris ed S ignature                                                                Approved by                date :
SCM - 8

				
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Description: Premier Bank Application Form document sample