Account Opening
Content
Customer Informaton
Date
Clien No
Account No
Name
S/O
Supporting
Fund Provided Souce
Name Fund Provided
Mother Name
Address
Occupation
Nature
No. of Acres
CNIC
Customer Informaton
15-Dec-15
5555
226193599
MUHAMMAD YASIN
MUHAMMAD ABDULLAH
Son Support
Son Support(Private Job)
Yaseen Ali
Near Masjid Ahl-Hadees Main Bazaar Mustafabad Kasur
Mobile Shop owner
Business income
4 Acre
35102-0619943-9
Proved By
MUHAMMAD SALEEM
BM
489647
roved By
MUHAMMAD SALEEM
Foreign Account Tax Compliance Act (FATCA) Form
- This form must be filled by an individual and submitted with Account Opening Form
- Separate form must be filled for each individual i.e. each holder of an account in case of joint account.
Mandate holder or Beneficial Owner if ultimate beneficiary is other than the customer
Name(as mentioned on the Account Opening Form)
MUHAMMAD YASIN
:
Country of Birth
PAKISTAN
(If country of birth United States, please provide documents as mentioned overleaf.)
Yes
ý
1. Are you a U.S National / Citizen ?
2. Are you a U.S Resident ?
ý
3. Do you hold a U.S Permanent Resident Card (Green Card) ?
ý
4. Do you hold a U.S Contact Number ?
(if yes, please provide on CIF)
ý
5. Do you hold a U.S Address ?
(if yes, please provide on CIF)
ý
I hereby confirm the information provided above is true, accurate and complete.
I hereby expressly and unconditionally allow United Bank Limited ("Bank") to give the necessary
information as deemed fit to any regulatory authority allowed assess to such information under Pakistan
statutes,rules,regulations or any other applicable law or to the US Treasury Internal Revenue Service of
the United States of America (or its representatives or agents), and do hereby consent, agree and confirm
that the Bank shall have the right to the disclose my personal information with respect to any of my accoun
with the Bank directly or Indirectly to the U.S Treasury Internal Revenue Service of the United States of
America (or its representatives or agents ) when requested and as deemed necessary by the Bank, of
whatsoever nature.
I acknowledge and accept that the Bank reserves the right to close or suspend without notice, any
account for which required document/information is not submitted within stipulated time
I undertake to notify the Bank within 30 days if there is a change in any information which I have provided
to the Bank
Signature
Date
Account No.
ct (FATCA) Form
unt in case of joint account.
e customer
MUHAMMAD YASIN
PAKISTAN
ned overleaf.)
No
þ
þ
þ
þ
þ
("Bank") to give the necessary
h information under Pakistan
Internal Revenue Service of
by consent, agree and confirm
with respect to any of my accounts
vice of the United States of
necessary by the Bank, of
e or suspend without notice, any
ipulated time
ormation which I have provided
15-Dec-15
226193599
Declaration Form
(Where Occupation or Source of fund is marked as Agriculture)
Date
This is refers to my request to United Bank Limited
Lulliani Branch Kasur
Branch Code
0422 for opening of following account
UBL Business Partner (Current A/C)
UBL BBA (Current A/C)
Asaan Account ( Current )
UBL Business Partner Plus(Current A/C)
E-Transaction (Current)
Unisaver (PLS A/C)
Unisaver Plus (PLS A/C)
UBL Rupee Transactional Account (PLS A/C)
UBL Uniflex (PLS A/C)
UBL First Minor (PLS A/C)
Asaan Account(Savings)
Other
(USD,GBP,EURO,UAE DARHAM,SAUDI RIYAL UBL FCY)
I here disclose & Confirm that I engaged in the profession of agriculture under the following Category
Crop Cultivation
Livestock & Dairy
Horticulture & Orchards Fisheries
Other (PLZ Specially)
Fertilizer & Pesticides
4 Acre
being used for the above mentioned agribusiness is
The land measuring
Self-Owned
and is situated at
Family Owned
Po
Rented
Near Masjid Ahl-Hadees Main Bazaar Mustafabad Kasur
I undertake to abide all the rules & regulations for maintenance of account at the bank and
to provide any /all information thereof in respect of my profession if required by the bank now or at
any later stage.
Also I wish to certify that information/undertaking provided above is all respects and I shall
be full responsible for any/all consequences is case any information provided by me the bank prove
to false at any later stage in which case the bank shall be fully entitled to close the account without
any prior intimation to me
________________________
Signature of Applicant
Name
CNIC #
MUHAMMAD YASIN
35102-0619943-9
________________________
Signature verified By CSOM/B
Name
MUHAMMAD SALE
Employee NO :-
ulture)
15-Dec-15
er Plus(Current A/C)
UDI RIYAL UBL FCY)
he following Category
Fisheries
Poultry
Other (PLZ Specially)
ed agribusiness is
ustafabad Kasur
ccount at the bank and
y the bank now or at
all respects and I shall
y me the bank prove
the account without
_____________________
ure verified By CSOM/BM
MUHAMMAD SALEEM
489647
The Manager
United Bank Ltd
Lullyani 0422
Annexure B
Date:
CUSTOMER INFORMATION AMENDMENT REQUEST
I here request you update / amend my detail for the following:
Account Number(s)
226193599
Account Title:
Fields to be amended / update (tick mark
Mailing
Land Line / Mobile / Fax No.
Country Residence
Father / Husband Name
CINC / Passort No.
Directors Information
CIF Creation
Customer Category
Economic
Other
Client Number(s)
MUHAMMAD YASIN
the appropriate box(es):
Permanent Address
Zakat Exemption
E-Mail
Nationality
Date of Brith
Martital Status
Occupation
NTN Number
CINC/Passport Expiry
Contract Person
Gender
Business Registration No
Tax Details
Portfolio Sector
Mother Maiden Name
Place of Birth
Suspend Mail Code
Global ID Resident
Updated Details
S. NO
1
2
3
Authorized Signatory
Contact Numb
All Authorized Signatories Signatures are required
Mandatory Field Should be Check Uploading the request at CIF Amendment Portal
Customer Name / Father Name & Gender will be changed error occurred due to Migration
FOR BRANCH USE ONLY
Signature verified by (CSR) Name
Authorized By (BM/CSOM) Name
Processed by Name
Authorized by Name
ZUNAIR HUSSAIN HASHMI Signature
SHAHID MANZOOR
Signature
FOR CPU USE ONLY
Signature
Signature
.
.
Annexure B
15-Dec-15
ENT REQUEST
5555
N
kat Exemption
artital Status
N Number
ntract Person
siness Registration No
rtfolio Sector
ace of Birth
obal ID Resident
Contact Number
to Migration
.
.
Declaration Form House Wife Account
Date:
15-Dec-15
The Barnch Manager
UBL 0422
Lulliani Branch Kasur
In terms of directives issued by State Bank of Pakistan. I
MUHAMMAD YASIN
S/O
MUHAMMAD ABDULLAH
the accountholder of UBL at 0422 Lulliani Kasur
Account No #
226193599
holding CNIC #
35102-0619943-9
1.
The sources of funds / proceed deposited or to be deposited in my above mentioned
account alongwith name of the funds provider/relationship with me are follows:
Source of Funds
a.
b.
c.
d.
Funds Provided by (Name & Relationship)
House Wife
Yaseen Ali
Son Support(Private Job)
Yaseen Ali
2.
If the funds/amounts are recevied / deposited in my above mentioned account from
a source other than the sources mentioned above. I undertake to inform / declare in writing
to you forthwith to update the Bank`s record.
3.
The ultimate beneficiary of my above said account is
Relationship with Customer
having CINC NO.
___________________
Customer`s Signature
CSR/CSM/BM Signature
AMMAD YASIN
422 Lulliani Kasur
02-0619943-9
e mentioned
me & Relationship)
(Private Job)
en Ali
account from
re in writing
M Signature
Physical Verification
15-Dec-15
Date
226193599 titled as
MUHAMMAD Y
This refers to account no
and categorized under the category code" _____" (Please refer to the list below)
In order to comply to AML guidelines conveyed vide Compliance No.Date March 27,
2013, I confirm having verified the physical existence of business situated at:
Near Masjid Ahl-Hadees Main Bazaar Mustafabad Kasur
and bring run by the customer as
Individual/ Professional.
Name:
Sole Proprietor
MUHAMMAD SALEEM
Designation:
Branch Manager
Employee No:
489647
Signature:____________________________
Code
Description
2
19
IND-SELF EMPLOYED PROFESSIONAL
INDIVIDUAL-STOCK BOKER
3
IND-SELF EMPLOYED BUSINESS
20
INDIVIDUAL-PROPERTY DEALED
MUHAMMAD YASIN
e refer to the list below)
liance No.Date March 27,
usiness situated at:
Self Employed
Proprietor
Type
Code
Description
Sole
Proprietor
Business
31
Sole
Proprietor
Enhanced Due Diligence (EDD) for High Risk Customers
Please see the trigger that categorized refer Compliance Circular No.295 Dated 30-Oct-2014 the Customer as High risk and recorded to and those which are arable
Branch Name
Account Number
Customer Category
Source of Fund
Tigger
AOF/CIF Field
Lullyani Branch Kasur
226193599
Branch Code
Account Title
Occupation
Mode of Transactions
Information Provided
by the Customer
Name of the mandate holder
Is Mandate holder a customer of UBL?
Re
o422
Cash,Clearing,Collection,Remittance
To
Branch Manager
United Bank Ltd.
Mustafabad Kasur 0422
Subject :- Request For New Bank Account
Respected Sir,
It is State That I am
Resident of
I am a
MUHAMMAD YASIN
Near Masjid Ahl-Hadees Main Bazaar Mustafabad Kasur
Mobile Shop owner
I want to save my Income for
personal use, so please open my new bank account in your bank.
Thanks
Your's Truly,
MUHAMMAD YASIN
Account #
Date :
226193599
15-Dec-15
ranch Manager
nited Bank Ltd.
ustafabad Kasur 0422
UHAMMAD YASIN
aar Mustafabad Kasur
t to save my Income for
UHAMMAD YASIN
To
Branch Manager
United Bank Ltd.
Mustafabad Kasur 0422
Subject :- Request For New Cheque Book
Respected Sir,
It is State That I am
I have finished my cheque book and my cheque book requestion has lost and I am
unable to find it.
So, kindly issue me a new cheque book, I will be very thankful to you.
Thanks
Name
Account #
Date :
Singature
Enhanced Due Dili
Please see the trigger that categorized (refer Compliance Circular No. 295 Dated 30-Oct-2014) the customer as High risk and respond to only those which are applicable.
Branch Code
O422
Account Number
Customer Category
Source of Fund
Trigger
AOF/CIFField
Information provided by the customer
Signing Authority
Mandate
Source of Fund
Stock Investment
Family Business
Agriculture Rented/Property
PEP
Yes
Customer Category
NGO/NPO/Club /Societies
Trigger
AOF/CIF Field
Information provided by the customer
Stock Broker
Customer Category
Self Employed
Non-Resident
House Wife
Nationality
Other than Pakistan
Hold Mail
Yes
Mode of Transaction
Cash Only
Confirms that the Conduct of transaction and expected aggregate credit is in line with customer profile? In case of No, refer the account to Compliance
Confirm that CDD questionnaire is filled after direct interaction with customer:
Branch Declaration
Other observations (if any)?
Pl attach additional sheets, if required
EDD Reviewed By
BM/PB/RM
Name
Designation
Enhanced Due Diligence (EDD) for High Risk Customers
spond to only those which are applicable.
Branch Name
Lallyani Branch
Account Title
Occupation
Mode of Transactions
Question to ask
Name of the mandate holder
Is Mandate holder a customer of UBL?
Relationship of the customer with mandate holder
Expiry date of Mandate, if any
No of Changes (if any) in Mandates since inception along with reason
The customer is a Principal or agent or investor
Does customer hold a CDC investor / CDC sub account with a stock broker :
Specific nature of Family Business
Does the customer hold a significant position in Family Business
Confirm that the branch hold a valid (i.e. less than one year old) declaration of the customer?
Name & Designation of the organization to which the PEP belongs to:
Reputation of PEP in general:
Confirm that the branch hold a valid (i.e. less than one year old) declaration of the customer?
The funds received by the NGO are utilized for:
Name of the major Foreign/Local donors
Geographical Area of Operation of the NGO
Reputation of the NGO/ NPO
Question to ask
Is the customer a Principal or an agent?
Name of Principal/Agent
Does customer hold a CDC / CDC sub account
Customer confirm that physical verification of the business place of the customer is still valid
Exact nature of Business of the customer
Counterparties of the customer
Geographical Area of Operation of the Customer
International Contact Number & International address
Customer's Foreign Bank account No
Confirm that the branch hold a valid (i.e. less than one year old) declaration of the customer?
Purpose of Customer's stay in Pakistan
Validity of Visa
Specific reason for selection of Hold mail option
Justification for selection of cash as only mode of transaction
credit is in line with customer profile? In case of No, refer the account to Compliance through line management
Via
Personal visit of the customer to the branch
Visit of branch officials to the customer’s place
Phone(#_____________________)
Date & Time of Contact: _________________
Signature with Date (It is hereby confirmed that the above EDD form has been filled out as per the best of my knowledge and is
based on the updated inform
Response
YES
NO
If Yes, please give below mentioned information
In his own name
In the name of other individual: _____________________
YES
Positive
Satisfactory
NO
Negative
Unsatisfactory
Response
In his own name
In the name of other individual: _____________________
Date of Physical verification
NO (EDD form filled based on already available information)
rmation as per record and interaction with the customer)
Date
Clien No
Account No
Name
S/O
Supporting
Fund Provided Souce
Name Fund Provided
Mother Name
Address
Occupation
Nature
No. of Acres
CNIC
Customer Informaton
15-Dec-15
5555
226193599
MUHAMMAD YASIN
MUHAMMAD ABDULLAH
Son Support
Son Support(Private Job)
Yaseen Ali
Near Masjid Ahl-Hadees Main Bazaar Mustafabad Kasur
Mobile Shop owner
Business income
4 Acre
35102-0619943-9
Proved By
MUHAMMAD SALEEM
BM
489647
roved By
MUHAMMAD SALEEM
Foreign Account Tax Compliance Act (FATCA) Form
- This form must be filled by an individual and submitted with Account Opening Form
- Separate form must be filled for each individual i.e. each holder of an account in case of joint account.
Mandate holder or Beneficial Owner if ultimate beneficiary is other than the customer
Name(as mentioned on the Account Opening Form)
MUHAMMAD YASIN
:
Country of Birth
PAKISTAN
(If country of birth United States, please provide documents as mentioned overleaf.)
Yes
ý
1. Are you a U.S National / Citizen ?
2. Are you a U.S Resident ?
ý
3. Do you hold a U.S Permanent Resident Card (Green Card) ?
ý
4. Do you hold a U.S Contact Number ?
(if yes, please provide on CIF)
ý
5. Do you hold a U.S Address ?
(if yes, please provide on CIF)
ý
I hereby confirm the information provided above is true, accurate and complete.
I hereby expressly and unconditionally allow United Bank Limited ("Bank") to give the necessary
information as deemed fit to any regulatory authority allowed assess to such information under Pakistan
statutes,rules,regulations or any other applicable law or to the US Treasury Internal Revenue Service of
the United States of America (or its representatives or agents), and do hereby consent, agree and confirm
that the Bank shall have the right to the disclose my personal information with respect to any of my accoun
with the Bank directly or Indirectly to the U.S Treasury Internal Revenue Service of the United States of
America (or its representatives or agents ) when requested and as deemed necessary by the Bank, of
whatsoever nature.
I acknowledge and accept that the Bank reserves the right to close or suspend without notice, any
account for which required document/information is not submitted within stipulated time
I undertake to notify the Bank within 30 days if there is a change in any information which I have provided
to the Bank
Signature
Date
Account No.
ct (FATCA) Form
unt in case of joint account.
e customer
MUHAMMAD YASIN
PAKISTAN
ned overleaf.)
No
þ
þ
þ
þ
þ
("Bank") to give the necessary
h information under Pakistan
Internal Revenue Service of
by consent, agree and confirm
with respect to any of my accounts
vice of the United States of
necessary by the Bank, of
e or suspend without notice, any
ipulated time
ormation which I have provided
15-Dec-15
226193599
Declaration Form
(Where Occupation or Source of fund is marked as Agriculture)
Date
This is refers to my request to United Bank Limited
Lulliani Branch Kasur
Branch Code
0422 for opening of following account
UBL Business Partner (Current A/C)
UBL BBA (Current A/C)
Asaan Account ( Current )
UBL Business Partner Plus(Current A/C)
E-Transaction (Current)
Unisaver (PLS A/C)
Unisaver Plus (PLS A/C)
UBL Rupee Transactional Account (PLS A/C)
UBL Uniflex (PLS A/C)
UBL First Minor (PLS A/C)
Asaan Account(Savings)
Other
(USD,GBP,EURO,UAE DARHAM,SAUDI RIYAL UBL FCY)
I here disclose & Confirm that I engaged in the profession of agriculture under the following Category
Crop Cultivation
Livestock & Dairy
Horticulture & Orchards Fisheries
Other (PLZ Specially)
Fertilizer & Pesticides
4 Acre
being used for the above mentioned agribusiness is
The land measuring
Self-Owned
and is situated at
Family Owned
Po
Rented
Near Masjid Ahl-Hadees Main Bazaar Mustafabad Kasur
I undertake to abide all the rules & regulations for maintenance of account at the bank and
to provide any /all information thereof in respect of my profession if required by the bank now or at
any later stage.
Also I wish to certify that information/undertaking provided above is all respects and I shall
be full responsible for any/all consequences is case any information provided by me the bank prove
to false at any later stage in which case the bank shall be fully entitled to close the account without
any prior intimation to me
________________________
Signature of Applicant
Name
CNIC #
MUHAMMAD YASIN
35102-0619943-9
________________________
Signature verified By CSOM/B
Name
MUHAMMAD SALE
Employee NO :-
ulture)
15-Dec-15
er Plus(Current A/C)
UDI RIYAL UBL FCY)
he following Category
Fisheries
Poultry
Other (PLZ Specially)
ed agribusiness is
ustafabad Kasur
ccount at the bank and
y the bank now or at
all respects and I shall
y me the bank prove
the account without
_____________________
ure verified By CSOM/BM
MUHAMMAD SALEEM
489647
The Manager
United Bank Ltd
Lullyani 0422
Annexure B
Date:
CUSTOMER INFORMATION AMENDMENT REQUEST
I here request you update / amend my detail for the following:
Account Number(s)
226193599
Account Title:
Fields to be amended / update (tick mark
Mailing
Land Line / Mobile / Fax No.
Country Residence
Father / Husband Name
CINC / Passort No.
Directors Information
CIF Creation
Customer Category
Economic
Other
Client Number(s)
MUHAMMAD YASIN
the appropriate box(es):
Permanent Address
Zakat Exemption
Nationality
Date of Brith
Martital Status
Occupation
NTN Number
CINC/Passport Expiry
Contract Person
Gender
Business Registration No
Tax Details
Portfolio Sector
Mother Maiden Name
Place of Birth
Suspend Mail Code
Global ID Resident
Updated Details
S. NO
1
2
3
Authorized Signatory
Contact Numb
All Authorized Signatories Signatures are required
Mandatory Field Should be Check Uploading the request at CIF Amendment Portal
Customer Name / Father Name & Gender will be changed error occurred due to Migration
FOR BRANCH USE ONLY
Signature verified by (CSR) Name
Authorized By (BM/CSOM) Name
Processed by Name
Authorized by Name
ZUNAIR HUSSAIN HASHMI Signature
SHAHID MANZOOR
Signature
FOR CPU USE ONLY
Signature
Signature
.
.
Annexure B
15-Dec-15
ENT REQUEST
5555
N
kat Exemption
artital Status
N Number
ntract Person
siness Registration No
rtfolio Sector
ace of Birth
obal ID Resident
Contact Number
to Migration
.
.
Declaration Form House Wife Account
Date:
15-Dec-15
The Barnch Manager
UBL 0422
Lulliani Branch Kasur
In terms of directives issued by State Bank of Pakistan. I
MUHAMMAD YASIN
S/O
MUHAMMAD ABDULLAH
the accountholder of UBL at 0422 Lulliani Kasur
Account No #
226193599
holding CNIC #
35102-0619943-9
1.
The sources of funds / proceed deposited or to be deposited in my above mentioned
account alongwith name of the funds provider/relationship with me are follows:
Source of Funds
a.
b.
c.
d.
Funds Provided by (Name & Relationship)
House Wife
Yaseen Ali
Son Support(Private Job)
Yaseen Ali
2.
If the funds/amounts are recevied / deposited in my above mentioned account from
a source other than the sources mentioned above. I undertake to inform / declare in writing
to you forthwith to update the Bank`s record.
3.
The ultimate beneficiary of my above said account is
Relationship with Customer
having CINC NO.
___________________
Customer`s Signature
CSR/CSM/BM Signature
AMMAD YASIN
422 Lulliani Kasur
02-0619943-9
e mentioned
me & Relationship)
(Private Job)
en Ali
account from
re in writing
M Signature
Physical Verification
15-Dec-15
Date
226193599 titled as
MUHAMMAD Y
This refers to account no
and categorized under the category code" _____" (Please refer to the list below)
In order to comply to AML guidelines conveyed vide Compliance No.Date March 27,
2013, I confirm having verified the physical existence of business situated at:
Near Masjid Ahl-Hadees Main Bazaar Mustafabad Kasur
and bring run by the customer as
Individual/ Professional.
Name:
Sole Proprietor
MUHAMMAD SALEEM
Designation:
Branch Manager
Employee No:
489647
Signature:____________________________
Code
Description
2
19
IND-SELF EMPLOYED PROFESSIONAL
INDIVIDUAL-STOCK BOKER
3
IND-SELF EMPLOYED BUSINESS
20
INDIVIDUAL-PROPERTY DEALED
MUHAMMAD YASIN
e refer to the list below)
liance No.Date March 27,
usiness situated at:
Self Employed
Proprietor
Type
Code
Description
Sole
Proprietor
Business
31
Sole
Proprietor
Enhanced Due Diligence (EDD) for High Risk Customers
Please see the trigger that categorized refer Compliance Circular No.295 Dated 30-Oct-2014 the Customer as High risk and recorded to and those which are arable
Branch Name
Account Number
Customer Category
Source of Fund
Tigger
AOF/CIF Field
Lullyani Branch Kasur
226193599
Branch Code
Account Title
Occupation
Mode of Transactions
Information Provided
by the Customer
Name of the mandate holder
Is Mandate holder a customer of UBL?
Re
o422
Cash,Clearing,Collection,Remittance
To
Branch Manager
United Bank Ltd.
Mustafabad Kasur 0422
Subject :- Request For New Bank Account
Respected Sir,
It is State That I am
Resident of
I am a
MUHAMMAD YASIN
Near Masjid Ahl-Hadees Main Bazaar Mustafabad Kasur
Mobile Shop owner
I want to save my Income for
personal use, so please open my new bank account in your bank.
Thanks
Your's Truly,
MUHAMMAD YASIN
Account #
Date :
226193599
15-Dec-15
ranch Manager
nited Bank Ltd.
ustafabad Kasur 0422
UHAMMAD YASIN
aar Mustafabad Kasur
t to save my Income for
UHAMMAD YASIN
To
Branch Manager
United Bank Ltd.
Mustafabad Kasur 0422
Subject :- Request For New Cheque Book
Respected Sir,
It is State That I am
I have finished my cheque book and my cheque book requestion has lost and I am
unable to find it.
So, kindly issue me a new cheque book, I will be very thankful to you.
Thanks
Name
Account #
Date :
Singature
Enhanced Due Dili
Please see the trigger that categorized (refer Compliance Circular No. 295 Dated 30-Oct-2014) the customer as High risk and respond to only those which are applicable.
Branch Code
O422
Account Number
Customer Category
Source of Fund
Trigger
AOF/CIFField
Information provided by the customer
Signing Authority
Mandate
Source of Fund
Stock Investment
Family Business
Agriculture Rented/Property
PEP
Yes
Customer Category
NGO/NPO/Club /Societies
Trigger
AOF/CIF Field
Information provided by the customer
Stock Broker
Customer Category
Self Employed
Non-Resident
House Wife
Nationality
Other than Pakistan
Hold Mail
Yes
Mode of Transaction
Cash Only
Confirms that the Conduct of transaction and expected aggregate credit is in line with customer profile? In case of No, refer the account to Compliance
Confirm that CDD questionnaire is filled after direct interaction with customer:
Branch Declaration
Other observations (if any)?
Pl attach additional sheets, if required
EDD Reviewed By
BM/PB/RM
Name
Designation
Enhanced Due Diligence (EDD) for High Risk Customers
spond to only those which are applicable.
Branch Name
Lallyani Branch
Account Title
Occupation
Mode of Transactions
Question to ask
Name of the mandate holder
Is Mandate holder a customer of UBL?
Relationship of the customer with mandate holder
Expiry date of Mandate, if any
No of Changes (if any) in Mandates since inception along with reason
The customer is a Principal or agent or investor
Does customer hold a CDC investor / CDC sub account with a stock broker :
Specific nature of Family Business
Does the customer hold a significant position in Family Business
Confirm that the branch hold a valid (i.e. less than one year old) declaration of the customer?
Name & Designation of the organization to which the PEP belongs to:
Reputation of PEP in general:
Confirm that the branch hold a valid (i.e. less than one year old) declaration of the customer?
The funds received by the NGO are utilized for:
Name of the major Foreign/Local donors
Geographical Area of Operation of the NGO
Reputation of the NGO/ NPO
Question to ask
Is the customer a Principal or an agent?
Name of Principal/Agent
Does customer hold a CDC / CDC sub account
Customer confirm that physical verification of the business place of the customer is still valid
Exact nature of Business of the customer
Counterparties of the customer
Geographical Area of Operation of the Customer
International Contact Number & International address
Customer's Foreign Bank account No
Confirm that the branch hold a valid (i.e. less than one year old) declaration of the customer?
Purpose of Customer's stay in Pakistan
Validity of Visa
Specific reason for selection of Hold mail option
Justification for selection of cash as only mode of transaction
credit is in line with customer profile? In case of No, refer the account to Compliance through line management
Via
Personal visit of the customer to the branch
Visit of branch officials to the customer’s place
Phone(#_____________________)
Date & Time of Contact: _________________
Signature with Date (It is hereby confirmed that the above EDD form has been filled out as per the best of my knowledge and is
based on the updated inform
Response
YES
NO
If Yes, please give below mentioned information
In his own name
In the name of other individual: _____________________
YES
Positive
Satisfactory
NO
Negative
Unsatisfactory
Response
In his own name
In the name of other individual: _____________________
Date of Physical verification
NO (EDD form filled based on already available information)
rmation as per record and interaction with the customer)
