Beruflich Dokumente
Kultur Dokumente
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
MUHAMMAD YASIN
Country of Birth
PAKISTAN
(If country of birth United States, please provide documents as mentioned overleaf.)
Yes
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
MUHAMMAD YASIN
PAKISTAN
ned overleaf.)
No
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 )
4 Acre
Family Owned
Po
Rented
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)
he following Category
Fisheries
Poultry
ed agribusiness is
ustafabad Kasur
_____________________
ure verified By CSOM/BM
MUHAMMAD SALEEM
489647
The Manager
United Bank Ltd
Lullyani 0422
Annexure B
Date:
Account Title:
Fields to be amended / update (tick mark
Mailing
Country Residence
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
Processed by Name
Authorized by Name
SHAHID MANZOOR
Signature
.
.
Annexure B
15-Dec-15
ENT REQUEST
5555
kat Exemption
artital Status
N Number
ntract Person
siness Registration No
rtfolio Sector
ace of Birth
obal ID Resident
Contact Number
to Migration
.
.
15-Dec-15
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.
House Wife
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
20
INDIVIDUAL-PROPERTY DEALED
MUHAMMAD YASIN
Self Employed
Proprietor
Type
Code
Description
Sole
Proprietor
Business
31
Sole
Proprietor
Branch Name
Account Number
Customer Category
Source of Fund
Tigger
AOF/CIF Field
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
Date :
226193599
15-Dec-15
ranch Manager
UHAMMAD YASIN
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
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
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
Stock Broker
Customer Category
Self Employed
Non-Resident
House Wife
Nationality
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
EDD Reviewed By
BM/PB/RM
Name
Designation
Branch Name
Lallyani Branch
Account Title
Occupation
Mode of Transactions
Question to ask
Does customer hold a CDC investor / CDC sub account with a stock broker :
Name & Designation of the organization to which the PEP belongs to:
Question to ask
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
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 customers 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
Response
YES
NO
YES
Positive
Satisfactory
NO
Negative
Unsatisfactory
Response