1) The document is an application form for an employee salary advance from National Bank of Pakistan. 2) It requests personal information, employment details, salary information, and details of the loan amount and purpose. 3) The applicant must provide documents like their last salary slip, CNIC copy, and three postdated cheques covering the loan amount and authorizes the bank to debit their salary account for monthly repayments.

1. Forr yourr Conveniience!!
Fo you Conven ence
APPLICATION FORM
Application Form No. ___________________ Date: ____________________
1. PERSONAL DATA:
Name: ___________________________________________ C.N.I.C Number::__________________________________________
Father/husband’s Name with CNIC #: ____________________________________________________________________________
Current Address: _____________________________________________________________________________________________
_________________________________________ Phone No: _______________Email: __________________Fax_____________
Permanent Address: ___________________________________________________________________________________________
________________________________________ Phone No: _______________________________________________________
Date of Birth: _____________ Age: __________ N.T.N Number: ___________________________________________________
Nationality: _________________ Next of Kin with address: ___________________________________________________________
2. EMPLOYMENT DATA
Occupation: _____________________________________ Name of Employer: _________________________________________
Address & Contact # of Employer:__________________________________________________Office Contact No: ______________
Designation / Job Title: _____________________________ Department: _______________________________________________
Monthly Gross Salary: ________________________ Monthly Take Home Salary: __________________________________
Mode of Salary Receipt: 1) Direct 2) via DDO 3) consolidated cheque issued by DDO 4) Other(if any, please mention)
Length of Service: _________ Remaining Service: _________ Salary disbursing Officer’s Name & Contact #. __________________
3. FINANCE REQUEST DATA:
Request for: 1) Fresh Case 2) Rollover Case
Running Finance Limit requested: Rs.__________ equal to ___ month(s) of advance net take home salary.
Purpose of Finance: NBP Salary Account No: __________________
Name of the Branch & Region: __________________________
The customer agrees to furnish a customer request for roll over of facility and confirms that the terms, conditions and
employer undertaking of this application shall be binding and valid in relation to the roll over as well.
4. PLEASE ATTACH THE FOLLOWING WITH YOUR APPLICATION:
- Last Salary Slip/Certificate. - Copy of CNIC (duly attested by concerned NBP branch)
- Customer Roll Over Request (in case of roll over) - Employee ID Copy (attested by NBP branch) where applicable.
- 3 undated cross cheques covering the whole finance amount.
5. TWO REFERENCES OF WORK COLLEAGUES (ONE OF THE SAME OR HIGHER GRADE AND ONE OF THE
OFFICER / EXECUTIVE CADRE, WHO BANK WITH THE SAME NBP BRANCH OR ANY NBP BRANCH OR ANY OTHER BANK
SUBJECT TO THE VERIFICATION BY THE BRANCH MANAGER.)
i. Name: ____________________________________ Signature:_________________________(Verification Stamp)_______
A/c No: ___________________________Phone (Off.)_______________(Res.): ____________________ Fax___________________
Email: ________________________CNIC Number: ________________________National Tax No: __________________________
ii. Name: ____________________________________ Signature:_________________________(Verification Stamp)_______
A/c No: _________________________Phone (Off.)_______________ (Res.): ____________________ Fax_____________________
Email: ________________________ CNIC Number: _______________________National Tax No: _____________________
6. OTHER FINANCE FACILITIES ALREADY AVAILED FROM NBP / OTHER BANKS (Attach sheet
Fund Based (facilities obtained from NBP):
Amount Sanction Expiry Installment Current Status
Sanction Date Date Amount Regular Amount Over- due (if any) Amount Rescheduled/
Restructured (if any)
Product 1
Product 2
Fund Based (facilities obtained from OTHER BANKS):
Amount Sanction Expiry Installment Current Status
Sanction Date Date Amount Regular Amount Amount Rescheduled/
Over- due (if any) Restructured (if any)
Name of Bank & Product Type
Name of Bank & Product Type

2. Non Fund Based (facilities obtained from OHER BANKS & NBP):
Amount Sanction Expiry Current Status
Sanction Date Date
Regular Amount Amount Rescheduled/
Over- due Restructured (if any)
(if any)
Name of Bank & Product Type
7. AUTHORIZATION / DECLARATION:
I, ________________________________ (S/o), (W/o), (D/o) ________________________ hereby confirm as follows:
(i) That National Bank of Pakistan (“NBP”) may at its discretion extend to me a finance facility up to the aggregate amount stated in items 3 of the Application
Form (“Finance Facility”).
(ii) That the decision to extend the Finance Facility to me and the amount of the Finance Facility to be extended to me shall lie solely with NBP and I shall
abide by NBP’s decision in this respect.
(iii) That NBP has the right to reject any financing application without assigning any reason and to cancel the finance facility extended to me or any portion
thereof and to seek immediate repayment of all amounts outstanding and payable by me in respect of the Finance Facility, or to convert such facility
into any other facility without assigning any reason.
(iv) That I will be responsible for any stamp duties or taxes that are payable arising out of the loan agreement.
(v) That I shall provide all such further information and documents as may be requested by NBP, prior to extending the Finance Facility to me and or at
any other time thereafter.
(vi) That I shall not transfer my salary and employment benefits whatsoever to any other account, including any other branch of NBP, at any time after the
submission of the Application Form, without the prior written approval of NBP.
(vii) I hereby give irrevocable standing instructions to NBP to directly debit my salary account for monthly repayment or at NBP’s discretion of the above
requested limit. I also understand and undertake to draw my finance limit from the NBP cash counter once a month only. This restriction does not
apply on cheques presented in clearing, ATMs etc.
(viii) That all information provided by me in the Application Form is true and correct and I hereby indemnify NBP and hold NBP harmless against any
damage that may be suffered as a result of NBP’s reliance on the information provided herein
(ix) That NBP shall consider allowing top up / roll over of the Finance Facility at any time during the tenure of the loan provided that the maximum amount
outstanding under the Finance Facility subsequent to such top up / roll over will not exceed the approved limit.
(x) I hereby confirm that I will inform NBP whenever I get transferred from my present place of posting.
(xi) The Bank reserves the right to alter the pricing at any time without assigning any reason.
(xii) I hereby authorize the bank and third parties including my bankers to exchange any of my information or make enquiries for the purpose of considering
my application and for the conduct of any of my accounts. I confirm that in the event my signature herein below differs materially from the signature
on my NIC, NBP is authorized and instructed to rely on the documents which I am to execute for this loan/or other communications signed or required
to be signed by me in the manner specified herein below.
(xiii) That I have read and understood the Application Form and whatever has been stated hereinabove, and I have kept a copy of the same duly filled in for
my record.
Signature of Applicant
8. EMPLOYER UNDERTAKING (EMPLOYER UNDERTAKING CAN BE ON LETTERHEAD ALSO)
This is to confirm that Mr./Ms.____________________(S/o),(D/o),(W/o)____________________ is a confirmed
employee since _________________ and his/her tentative retirement age is _______________________. He/She
maintains salary account number _________________________ with National Bank of Pakistan
________________________branch____________ city/area. We undertake that this salary account and employment
related payments would not be transferred to any other bank/branch and these will only be paid through this above salary
account and no other mode of payment / method will be allowed by us unless prior N.O.C is obtained from NBP branch
manager/authorized signatory at the above branch of National Bank of Pakistan. We also confirm that the estimated end of
service benefits of the subject employee as of date less any liabilities thereon exceed the amount of limit requested.
__________________________________
I give my unconditional consent to the above Salary Disbursing Officer/Authorized Signatory
(Signature of employee with date &. Place) Official stamp
N.B: -NBP will verify above undertaking directly from the salary disbursement / authorized signatory.
-Reference Person(s) signature(s) will be duly verified by branch as per NBP’s policy and procedure.
-All permanent Provincial Govt. employees in BPS-16 & above will get the undertaking signed from their concerned
Accounts Offices, i.e. the offices of the concerned D.A.O or concerned offices of the A.G. in the province. For the Federal
Govt. employees, the concerned offices of the Accountant General Pakistan will sign the undertaking.
(For Official Use Only)
Finance: Approved / Disapproved Amount : Rs._________________ Period: __________________
Other Conditions: _________________________________________________________________________________
Signatures with stamp: Recommending Officer Sanctioning Authority
Received attested copy as Sanction / Approval :
Accepted by customer Customer Signature & Date