Installment Scheme Application Form - AD

Ref. # Date:
Mode: Cash Installment Advance:

Name: Department:
Employee #: Grade: Date of Joining:

For Office Use only

Product Model Quantity Actual Product Special Price Special Price Monthly
Price on Installment on Cash Installment

References
Name Address CNIC # Phone #

Terms & Conditions:

By signing this agreement I agree to pay my outstanding payment according to the following terms and conditions:
1. That certain Percentage of Provident Fund will be marked lien by HR department till all the installments have been paid.
2. That all payments are to be made payable to Pak Elektron Limited through paying cash or monthly salary deduction of the installment
amount.
3. That I may make additional payments beyond the agreed monthly payment at any time.
4. That in case I leave my employment with Pak Elektron Limited before the full payment; the outstanding amount will be deducted from
my Provident Fund.
*Delivery & transportation will be responsibility of applicant.
*Product will be provided within 96 hours after submission of application.

Employee Signature

For Office Use Only

Provident Fund: Salary:

Starting Date: Completion Date:

Head HR Manager CC