Apni Bike Form

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Application Form

Reference No. Date:

PERSONAL DETAILS
(To be filled in by Principal Applicant)
Name (as per CNIC) Mr./Mrs./Ms.
Father’s Name/Husband’s Name
Mother’s Name
CNIC # Date of Birth

Old NIC # Gender: Male Female

Marital Status: Single Married Other No. of Dependents

Education: Below Matric Matric/Inter Graduation Masters/Above Other


Your Last Educational Institution
Current Residential Address
Nearest Landmark (If any)

City Tel No. (Res.) Mobile No.


Residence Status: Owned Rented Parent’s Other (Please Specify)
Monthly Rent Amount (If rented) Residing For: Years Months

Permanent Residential Address (If different from current address)


City Preference for Mailing: Home Office
EMPLOYMENT/BUSINESS DETAILS
For Salaried Individual Only
Occupation/Profession Type of Industry
Employer/Company Name
Employer: Govt. Semi Govt. Private Ltd. Public Ltd. Proprietorship/Partnership Other
Designation Date of Joining
Office Address
City Country Office Tel. (Direct)
PABX Ext. E-mail Address
Previous Employer Name Designation
For Business Persons/Self-Employed Professionals Only:
Occupation/Profession Type of Industry
Company/Business Name Designation
Establishment Date
Business Status: Private Ltd. Public Ltd. Proprietorship/Partnership Other (Please Specify)
Office/Business Address
City Country Office Tel. (Direct) PABX
Ext. Office E-mail Address
Office Premises: Owned Rented Other (Please Specify)

MONTHLY INCOME DETAILS (IN RUPEES)


Salary/Monthly Income Details (Amount in PKR)

Gross Income Other Income (Attach proof)


Tax Total Net Monthly Income
Other Deduction
Financing Deduction

Net Monthly Income


Application Form

EXISTING BANKING DETAILS


Account Type Bank Branch Operating Since

REFERENCE DETAILS
1- Immediate Relative (not residing with you)
Name CNIC #
Residential Address
City Mobile No. Res. Tel. Office Tel.
Relationship
2- Office Colleague
Name CNIC #
Residential Address
City Mobile No. Res. Tel. Office Tel.
Office Name How long have you known the referee
ASSETS & FINANCING DETAILS
Required Financing
S.No Asset Description Quantity Installment Tenure
Asset Name
Model
Asset Color
Engine Size
FOR BANK USE ONLY
Case Referred by Branch Sales Other (Please Specify)
Branch Name & Code City Name
Officer Name Mobile No. Employee ID
Designation
Branch Manager Signature & Branch Stamp
LIST OF DOCUMENTS
Salaried Businessmen
 Copy of Applicant’s CNIC  Copy of Applicant’s CNIC
 Applicant’s recent photograph  Applicant’s recent photograph
 Last one month Salary Slip (Stamped/Verified)  Last 12 months Bank Statement (Original/Stamped and Verified)

Employment Letter, (With Tenure Designation and Salary) 
2 years proof of Business (e.g. NTN Certificate/Tax/Return/
 Last 6 months Bank Statement (Original/Stamped and Verified)  Bank Proprietorship Letter/Partnership Deed etc.)

Declaration of Financing 
Declaration of Financing
 Signature Verification Form  Signature Verification Form
TERMS & CONDITIONS: :
 I hereby request to purchase from Meezan Bank Ltd, a specific Asset selected by me from the available models of a
mutually agreed price on installment basis.
 I declare that all the information presented above is correct and complete to the best of my knowledge. I also hereby
authorize Meezan Bank or its duly appointed agents to contact my place of residence, work, and/or reference to
verify any information provided by me in this application.
 I hereby undertake to furnish all documents required by the bank.
 I hereby authorize MBL to obtain and verify my personal financials from any credit bureau, agents, banks, financial
institutions, companies and market for the purpose of credit comfort during the application process.
 The Bank would reserve the absolute right to accept/reject the request.
 Delivery of the product will be subject to availability of stock and prices are subject to change without notice till the
sale of those Assets.
 The Warranty Terms would be as mentioned in the warranty card.
 Product colors are subject to availability. Incase, if desired color is not available, then the customer will have to
choose from the available color options.
 The customer’s CNIC copy will be required as an identification proof at the time of delivery.
 The customer can, at any point in time terminate the facility by paying the remaining installments.
 Any complaint about quality of Asset purchased or services rendered by the supplier shall not affect customer’s
obligation to continue paying the monthly installments to the Bank.
 The Sale is strictly on an “as is where and is basis” without any responsibility on the part of the Bank for any defect
therein and without any warranty relating to the condition or suitability or efficacy of the Assets whether such
warranty be expressed or implied by law or recognized by custom.
 Non-refundable processing fee of rupee PKR _______ will be charged, whereas legal documentation charges will
be charged at actual.
 I hereby undertake that, as of today, none of my immediate relative or family member is employed/associated with
Meezan Bank Limited. I would provide details to the bank incase any of my family member/relative is associated
with Meezan Bank Ltd.
 The Bank reserves the right to review the Customer’s credit risk profile during the financing period. Moreover, the bank also
reserves the right to obtain the customer’s bureau data at any time during the life of financing as and when required.
 Utilization of total financing limit is subject to the condition that the minimum tenure of the transaction is not less
than 12 months.
 For payment of the facility, the customer will mandatorily maintain an account in Meezan Bank.
 The Bank has every right to temporarily or permanently block this facility without disclosing any reason.
 Down payment and processing cheques will be in favor of Meezan Bank Limited a/c Customer’s name.
 I hereby agree that I clearly understand the above terms & conditions and agree with the same as well.
 In line with State Bank of Pakistan's regulatory requirement, negative history (i.e. overdue/ late payment/ write-off/
waiver) of consumer/individual customers will be reflected in eCIB reports for two years after settlement.
 “I shall immediately purchase the Assets from the Bank at spot payment (unless otherwise mutually agreed) within
a reasonable time after your acquisition and possession of the Assets by entering into a Musawamah Contract, failing
which i undertake to compensate the Bank for any actual loss (being the difference between the Cost Price and the
actual selling price recovered and not being the opportunity costs) suffered by selling the Assets to a third party”.

Applicant’s Signature
(As per CNIC)

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