Name: Mr. / Mrs. / Ms. As stated in your National Identity Card (N.I.C.) N.I.C. No. (new) N.I.C. No. (old)



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Citibank Car Financing APPLICATION INFORMATION Dear Customer, This section is designed to provide you with the relevant information about the Citibank Car Financing Program and to enable you to understand the process and applicable charges. 1. Citibank's role in the transaction is limited to providing financing for purchase of the vehicle only. 2. You shall be responsible for selecting the vehicle to be financed. 3. You will be responsible for the condition of the vehicle and accessories being financed. Citibank will not be responsible for any defects detected in the vehicle after you have accepted delivery and have signed the Delivery Acceptance Form. 4. Citibank will only finance a specified portion of the vehicle's price. Registration Costs, Capital Value Tax and any other related expenses are entirely your responsibility. 5. You will bear all external agency fees. 6. You will put in all your contribution (equity) before approval of financing. 7. You will not, fully or partially, prepay the Balance Sale Price (as defined in the Mark-up Agreement), without the prior written consent of Citibank. In case Citibank permits you to prepay any remaining portion of the Balance Sale Price, Citibank shall have the right and power to impose a charge on you in return for giving such consent, as it may in its sole discretion determine. 8. Citibank reserves the right to increase the mark-up rate at any time during the tenure of financing. 9. Bank Processing Charges, and Car Appraisal Charges are non-refundable. 10. Please do not pay cash to any sales representative for any charges or services. All payments must be made via crossed cheques to Citibank N.A. 11. Citibank reserves the right to reject any financing application without assigning any reason. 12. In case your Total Cash Outlay (TCO) cheque bounces, Citibank reserves the right to reject your loan application. 13. Citibank will not pay any mark-up on your equity amount. 14. For processing cases, you will be required to pay the following upfront: a) Application Processing & Documentation Fee b) First Total Monthly Payment (TMP) c) Equity, if applicable. The processing of your loan application will start when all the relevant documents are provided along with the cheque for TCO (Total Cash Outlay) to Citibank. 15. Please attach a copy of your latest Income Tax/Wealth Tax form with this application. 16. Please attach details of payment schedule for term loan requested. Please Tell Us About Yourself Name: Mr. / Mrs. / Ms. As stated in your National Identity Card (N.I.C.) Male Female N.I.C. No. (new) N.I.C. No. (old) Married: Single: Date of Birth: Day Month Year No. of Children: Other Dependents: Educational Qualifications: Father s / Husband s Name: N.I.C. No. (new) N.I.C. No. (old)

Current Residential Address: (No P.O. Box Number please) Telephone (Res.): Telephone (Off): Mobile: Fax: E-mail: Emergency No. How long have you been living at the current address? Years How long have you been living in this city? Years Are you living in: Your own house Parent s house Wife s / Husband s house Rented house Company s house Rent: Rs. per month Permanent Residential Address: (Please fill in only if different from the current residential address) Telephone (Res.): Emergency Telephone No.: Please Tell Us About Your Income Monthly Income From Salary (Rs.) Monthly Income From Business / Investments (Rs.) Other Monthly Income (Rs.) Total Monthly Income (Rs.) With Which Bank(s) Do You Hold Your Account(s)? Bank Branch/City Account No. Currency National Tax No. Last Assessment Year: Please Tell Us About Your Employment / Occupation Please fill in all applicable sections. (Please mark where applicable) a. Salaried Persons Company s Name: Proprietorship Partnership Private Limited Public Limited Government Other: (Please Specify) Designation: Department: Experience with present employer: Years Experience with previous employer: Years Name of previous employer, if any: b. Self-Employed Professionals Company s Name: Profession: Architect Chartered Accountant Doctor Engineer

Professional Qualifications: c. Business Persons Company s Name: Sector: Finance & Insurance Auto & Engineering Textile Leather Food Construction Fuel / Transport Paper Manufacturing Sugar Tobacco Chemicals Electronics Cement Other (Please Specify): Nature of Business (please specify your nature of business as per the sectors, e.g. for textile sector, sub-sector can be ginning, dyeing, spining etc.): Years in Business: Type of Business: Manufacturing Retail / Wholesale Commercial Service Trading Industrial Other (Please Specify): Agricultural Office Address: (No P.O. Box Number please) Telephone No (s) : Status: Proprietorship Partnership Private Ltd. Public Ltd. Other (Please Specify): Loan(s) with other bank(s)? AMOUNT EXPIRY DATE REGULAR STATUS AMOUNT OVERDUE (If Any) AMOUNT RESCHEDULED/ RESTRUCTURED (If Any) LOANS Desired Financing New Used Leasing Car Plus 0% Down Payment Desired Make: Model: Year of Manufacture: Do you own a car? Yes No Does your wife / husband own a car? Yes No If Yes, existing name, model & registration No. Do you want to replace your present car? Yes No Do you want an additional car? Yes No Desired Amount of Financing I wish to apply for financing of Rs (minimum Rs. 100,000) My equity would be: % or Rs

Desired Tenure of Financing (Please mark where applicable) 1 year 2 years 3 years 4 years 5 years 6 years 7 years 6 or 7 years financing is not available for 0% down payment product. Insurance EFU AIG Other *Deductible (Rs.) Basic Premium as a % of car price A choice of comprehensive insurance is available from selected insurance companies. *Deductible is the level of expense you would undertake on your own without lodging a claim with the insurance company. In the event of the claim being in excess of the Deductible, the insurance company will only pay the excess amount. References References are required from at least two acquaintances residing in the same city. Reference No. 1 Name: National Identity Card No. (new) Relationship: National Identity Card No. (old) NTN Residential Address: (No P.O. Box Number please) Telephone (Res.): (Off. ) Fax: E-mail: Reference No. 2 Name: National Identity Card No. (new) Relationship: National Identity Card No. (old) NTN Residential Address: (No P.O. Box Number please) Telephone (Res.): (Off.) Fax: E-mail: Reference No. 3 (optional) Name: National Identity Card No. (new) Relationship: National Identity Card No. (old) TN Residential Address: (No P.O. Box Number please) Telephone (Res.): (Off.) Fax: E-mail:

Reference No. 4 (optional) Name: Relationship: National Identity Card No. (new) National Identity Card No. (old) NTN Residential Address: (No P.O. Box Number please) Telephone (Res.): (Off.) Fax: E-mail: Please Tell Us About Your Existing Car Details of the existing car for No Part Payment Product. Car Model: Car Make: Car Color: Engine No.: Chassis No.: Registration No.: Registered Owner s Name: Insurance Company: Insurance Policy No.: Insurance Maturity Date: Car (Year of Manufacture): Appendix A P.O. in the name of Manufacturer P.O. in the name of Dealer Insurance Type: Comprehensive Collateral Vehicle Bought: Used New If used 1st Owner 2nd Owner Other Registered on the same tags since beginning Yes No (Tick the appropriate choice. In case of No, please explain) Application To Open Car Financing Account I/We wish to apply for an Account for the purpose of a Car Financing agreement which I/We have applied to enter into with you. Account to be opened in Pak Rupees with the Citibank N.A. Branch situated at Karachi / Lahore / Islamabad / Rawalpindi / Faislabad in Pakistan (Citibank Pakistan). I/We agree to provide any document which you may request pursuant to my/our application to open the Account. By signing this Application Form, I/We confirm that I/We shall read and be subject to the Terms and Conditions governing the Account, a copy of which will be supplied to me/us if you accept my/our application to open the Account and I/We agree to be bound by the same in so far as they are applicable to the Account (for instance without limitation no cheque books or other bank cards will be issued and no PLS will be paid) which Account shall only be utilized by me/us with you for the purposes of repaying my obligations under the Car Financing Agreement and any amendments or changes which Citibank Pakistan may unilaterally deem fit in respect thereto or in respect of any features and services under the Account. Please provide me/us with the CitiPhone Banking facility for the purposes only of making enquiries in connection with the Account. I/We agree that you may at anytime, and from time to time, at your absolute discretion without assigning reasons and without notice to me/us, consolidate all Accounts in which I am/we are beneficially entitled and set off the amounts available in any such Account against the liability of a corresponding amount in any other Account. I/We agree that you may decline my/our application to open the Account in your absolute discretion without assigning reasons.

Repayment (Please tick in the appropriate box) a. Payment through automatic deduction from my / our Car Financing Account with you. i. To deduct forthwith as an initial one off payment from my/our Car Financing Account an amount constituting the up front payment for Processing Charges and the Total Monthly Payment (TMP). This deduction shall take priority over any other deduction(s). ii. To deduct thereafter every month regularly one TMP as set out in my/our Car Financing Agreement from my/our Car Financing Account and pay the same to you. This deduction shall take priority over any other deduction(s). iii. On my/our death to deduct any amount due from me/us under the Car Financing Agreement, from any of my/our accounts held by you and pay the same to you unless the entire amount payable by me/us under the Car Financing Agreement has been liquidated. iv To deduct every month any increased amount that you may determine in your absolute discretion in connection with the Car Financing Agreement. Irrevocable Standing Instructions In the event that you accept my/our application to open an Account in my/our names (the Car Financing Account) for the purpose of repaying a Car Financing Agreement which I/We have entered into with you (the Car Financing Agreement) I/We hereby instruct you to comply with the following Irrevocable Standing Instructions which shall not be revoked by any subsequent instructions unless either you consent to carry out such subsequent instructions or the entire amount of my/our Car Financing has been repaid to you in full. I/We irrevocably instruct and authorize you as follows: OR b. Payment through Cheques i. I/We hereby undertake to forthwith issue as an initial one off payment a cheque payable in favour of you with current date for an amount indicated by you which shall constitute the up front payment for Processing Charges and the First TMP. ii. I/We hereby undertake to further issue the number of Post-dated Cheques as indicated by you for the number of months of the tenure of the Car Financing Agreement in favour of you, each for the TMP as set out in the Car Financing Agreement. iii. I/We hereby undertake to issue additional Cheques to cover payments of any increased amount that you may determine in your absolute discretion in connection with the Car Financing Agreement. Applicant s Certification DECLARATION: I warrant that all information stated herein and in my attachment hereto or otherwise provided to you by me or at your request is true and accurate in all material respects. I confirm that in the event my signature herein below differs materially from the signature on my National Identity Card, you are authorized and instructed to rely on the legal agreement which I may enter into with you for my car loan and/or other communications signed or proposed to be signed by me in the manner specified herein below. Dear Sir/Madam, From time to time we mail our customers information about companies which are interested in offering you discount on their products. If you do not wish to receive these offers, please tick the box below, and we will make sure that you don t receive any promotional material from us. Please do not include my name in your Promotional Material Mailing List. The Customer/Applicant agrees that any information provided in this Application may be used by the Bank in order to update its record concerning the customer in relation to any other product or account which the customer/applicant may have utilized with the Bank. Loan Applicant s Signature Date Remember to attach a photocopy of your National Identity Card. N.B. Citibank reserves the right to reject a financing application without assigning any reason.

APPLICANT'S CERTIFICATION I / We wish to apply for financing under the Morabaha / Mark-up Mode of Financing and hereby undertake to issue a Total Cash Outlay Cheque constituting the up front payment, with regard to the following: Equity (as applicable) Documentation Charges (as applicable) Insurance Premium for the first year First Total Monthly Payment (TMP) I / We agree and undertake that Citibank reserves the right to increase the rate of Mark-up at any time during the tenure of financing. I / We also undertake either to issue Post-dated Cheques against Total Monthly Payments, payable during the tenure of the financing and issue additional cheques to cover payment of any increased amounts that Citibank may determine, in its absolute discretion or make payment through automatic deduction from my/our Car Financing Account. I / We certify that I / We have carefully read the paras (1) to (14) of the Application Information Section and have clearly understood the same and agree to abide by the same. I / We understand and undertake to pay all charges in advance. I / We also understand that Application Processing Charges are non-refundable and all other charges relate to payment to external agencies for services rendered. In case the external agencies have initiated the assignment, related charges will not be refundable, even if my / our application is rejected at any stage. I / We also understand that this financing is only offered to Pakistani nationals and do hereby declare that I am a / We are Pakistani national(s). I / We certify that I / We have received a copy of the Application Information. I / We declare, that all the information presented above is correct and complete to the best of my / our knowledge. I / We also authorize Citibank or its duly appointed agents to contact my / our place of residence, work and / or references to verify any of the information provided by me / us in this application. I / We will inform Citibank in writing at least 15 days in advance in case of change of any of my/our addresses provided in the application: a) Current residential address. b) Permanent residential address. c) Office address. I / We will also inform Citibank in writing in case there is a change in any of my / our telephone numbers. I / We also declare that I am / we are current on all loans that are outstanding in my / our name either with Citibank or any other bank / financial institution. I / We accept that in all cases of No Part Payment Product for Car Financing the release of my / our first car will be as per Citibank policy ( Citibank reserves the right to change its policy at any time without assigning any reason). d) Please do not pay cash to any sales representative for any charges or services. All payments must be made via crossed cheques to Citibank N.A. Applicant's Signature Co-Borrower's Signature Applicant's Signature (Identical to N.I.C) Place: Co-Borrower's Signature (Identical to N.I.C) Date: N.B. Citibank reserves the right to reject a financing application without assigning any reason. FOR CITIBANK USE ONLY RETAIL SEP CELP BBB OTHER Distribution Code: Dealership Name: Application Source: CSE / DSF / DSA Sales Officer s Name Cops Officer s Name Sales Officer s Signature Cops Officer s Signature S. E. Name S. E. Code

FOR NON-TAX PAYEES ONLY To Citibank N.A. I, Mr. / Mrs. / Ms. resident of have applied for financing from Citibank N.A. I am Self-employed as / Salaried Employee in / Owner of / Partner in / Share Holder in and hereby declare that I do not have a National Income Tax Number as I am not an Income Tax Payee. Name : Signature: Date: Apply now 111 333 333 or click www.citibank.com/pakistan