Funds Transfer Application
Account Title Date
D D M M Y Y Y Y
Account No.
Debit IBAN
P K H A B B
RTGS - Local Inter-Bank Funds Transfer
Pay Order
Amount in Figures
Amount in Words
Beneficiary Details (Complete as applicable)
Name
Address
Contact No. Email Address
CNIC/SNIC/NICOP/POC/Passport/any other ID No.
Bank Name
Branch Name Branch Code City
IBAN
Applicant Details (Mandatory)
Name
Address
Contact No. Email Address
CNIC/SNIC/NICOP/POC/Passport/any other ID No. Expiry Date
Source of Funds (Please provide evidence)
(Please specify clearly)
Purpose of Remittance
Education (Admission/Term Fees) Medical Treatment
Miscellaneous Others (Please specify)
Date of Birth
D D M M Y Y Y Y
Relationship to Beneficiary
Applicant's Signature
I confirm that the information provided by me on this form is true and correct. The Bank reserves the right to ask for any transaction related documents from the applicant whenever required.
I authorise the Bank to disclose any information stated above, should it be required by Bank's Branches/Correspondents for effective payment. I have read, understood and accept the terms
and conditions printed overleaf.