spl_application_form (1).pdf

7/30/2019 SPL_Application_Form (1).pdf

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1. EDUCATIONAL PROGRAM MBA Regular Executive MBA

2. PERSONAL INFORMATION

Mr. Mrs. Ms. Nationality

Student/Applicant Name

CNIC/NICOP No. Old NIC No.__________________________

Father's/Husband's Name

ate of Birth

arital Status Single Married Divorced Widowed

ependents

Number of children

ther Dependents

ast Educational Qualification

ualification / Degree / Certification

age marks equivalence ( Ex cluding a dm is sionte sts) ( Plea se cons ultLUMS Off ice before fil ling this f ie ld)

Educational Institution

Contact Details

urrent Residence Address (with nearestland mark)

ity

el (Res) Mobile No.

obile No. (Home) Email

esidence Type Owned Rented Company Provided

Parents Mortgaged Other

ccomodation Type House ppartment Portion Room

Monthly Rent (if rented) Installment Amount (if mortgaged)

ermanent Residence Address (withnearest landmark)

ity

el (Res) Mobile No.

our Car Owned Company Provided Parents Financed/Leased

ake & Model

Please provide other assets details, if any

Application Form for LUMS Student Personal Finance

MM YYYYDD


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3. CURRENT / LAST EMPLOYEMENT/OCCUPATION

our Occupation (tick one) Salaried elf Empolyed Student

f Salaried Government Semi-Government Armed Forces Private

mployment Status Permanent Contractual Student Sabbatical

ature of Business of Employer Manufacturing Trading Agriculture Service

Other (Please specify)

mployer's Name

Designation(Grade/Rank)

epartment

Employment Length with Above Employer (Months & Years)

uration Months Years

ffice (Tel:1) Office (Tel:2)

ffice Fax No. Email

ffice Address (with nearest land mark)

f Self-Employed Sole Proprietor Partner Director

esignation Shareholding %age___________

ype of Business Manufacturing Trading Agriculture Service

Other (Please specify)

ame of Company/Firm

ate of Business Establishment

mployment Length in Business Establishment (Months & Years)

Office (Tel:1) Office (Tel:2)

ffice Fax No. Email

ffice Address (with nearest land mark)

Total Work Experience Months Years

. CURRENT HOUSEHOLD INCOME DETAILS

onthly Gross Income (PKR) Self Guardian

(Please tick & fill all check boxes to the extent applicable)

Parents Spouse

Do you have any other source of Income? Yes No

f yes, Monthly Income (PKR)

ource of Other Income

DD MM YY

DD MM YY


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5. BANKING DETAILS

o you maintain an account with MCB? Yes No

If yes, specify your account number

ranch Name

hich other Banks do you maintain an account with?

ank Name:1ranch Name

Account Title

Account No.

ank Name:2

ranch Name

Account Title

Account No.

6. REFERENCES

eference Name: 1

Reference Address

ity

elephone Res. Off:

Mobile No. CNIC No.

eference Name: 2

eference Address

ity

Telephone Res. Off:

Mobile No. CNIC No.

. YOUR DESIRED FINANCEPlease consult the concerned LUMS Office before filling these fields

Program Costs and Financing Schedule (PKR)

(a)

Estimated expenses for the academic program as

per LUMS (exclusive of any amounts refundable by

LUMS to the student later on)

(b)Requested financing from MCB (maximum 80% of

[a] above corresponding to each column) *

c)Funds to be arranged by the student (minimum

20% of [a] above corresponding to each column)

* Maximum total financing for the entire program shall not exceed PKR one million

Requested Financing Tenure after the Loan

becomes Repayable (maximum 5 years) Years

. MAILING PREFERENCE Home Add re ss Off ice/Bu sine ss Ad dr es s Through Concerned LUMS Office

Semester-1 /

Tranche-1

Semester-2 /

Tranche-2

Semester-3 /

Tranche-3

Semester-4 /

Tranche-4Total

Complete loan tenure (including period from first disbursement till first due date) and other repayment terms will be applicable

as per legal agreement / documentation)

Please provide complete address if different from

above current / permanent address


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. OTHER LOAN INFORMATION

Details of Credit Cards (clean) limits being availing from other banks/DFIs:

Sr.#

Details of Credit Cards (Secured) limits being availing from other banks/DFIs:

r.#

Details of Personal Loan (clean) limits being availing from other banks/DFIs:

Sr.#

Details of Personal Loan (Secured) limits being availing from other banks/DFIs:

Sr.#

Details of other facilities if any (clean & secured) being availed from other banks/DFIs:

r.# ame of the Bank/DFI Approved Limit

Applied Limits (Including the application in Process):

Sr.#

Signature:_________________________________

Name of Applicant__________________________

CNIC#_____________________________________

Facility Under

Process

Nature of Facility

(Clean/Secured)

Name of the Bank/DFI


I.I. CHUNDRIGAR ROAD

BANKING POLICY & REGULATIONS DEPARTMENT

STATE BANK OF PAKISTAN

I_______________________ S/O, D/O, W/O ___________________________ holder of CNIC__________________________


Nature (Clean/Secured)


Approved

Limit

Amount

Outstanding On

Applicatin Date


Current Outstanding

Amount

Outstanding On

Applicatin Date

Approved Limit

Approved

Limit

ANNEXURE-CF-1

Approved Limit

U N D E R T A K I N G

Attachment to BPRD Circular No.4 dated February 11, 2009

KARACHI

undertake that the detail of my existing exposure from the "Entire Banking Sector" as on__________is as under.


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10. APPLICATION FOR STUDENT PERSONAL FINANCE

I hereby apply for the Student personal finance facility being offered by MCB Bank Limited ( MCB), on the basis of markup, as

per terms and conditions set forth herein and in the attached term sheet (which I have read and understood) as well as in the

Finance Documentation, including but not limited to Agreement for Financing, which I hereby undertake to sign with MCB.

11. APPLICATION TO OPEN ACCOUNT

I wish to apply for an account to be opened in Pak Rupees and maintained at a designated branch of MCB, in relation to the

Financing Documentation to be entered into between myself and MCB, subject to approval of my application by MCB. I agree

to provide any document which you may request pursuant to my application to open the account. I confirm that I have

carefully read and understood, in advance, the terms and conditions of student personal finance account, and further

undertake that I will be bound by the same in so far as they are applicable to the account (for instance no cheque book will be

issued and no profit will be paid) and such account shall only be utilized by me for the purpose of payment of outstanding

liabilities, in terms of the Finance Documentation, and any amendments which MCB may unilaterally deem fit in respect

thereto or in respect of any features and services under the account.

I hereby agree that the Account shall be subject to the General Terms and Conditions (except as specified here) governingliability/banking account in addition to the terms and conditions hereof.

I agree that you may at any time and from time to time at your absolute discretion without assigning any reasons (any

requirement whereof I hereby waive) and without notice to me, consolidate all accounts in which I am beneficially entitled and

set off the amounts available in any such account against any outstanding amount under financing facility agreement.

I agree that you may decline my application to open the account in your absolute discretion without assigning any reasons

whatsoever and that documents submitted with application or otherwise shall not be returned regardless of approval or

rejection. However, in case of rejection of my application, I shall be conveyed of it, in writing.

12. REPAYMENT OF FINANCING FACILITY

I hereby agree that repayment of the subject Financing Facility sanctioned to me, along with payment of mark-up and all otheramounts/charges, detailed in the finance agreement, shall be by way of monthly installments, described in the Schedule to the

Finance Agreement.

13. IRREVOCABLE STANDING INSTRUCTIONS

In the event you accept my application to open an account in my name (the Account), I 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 the finance facility, along with mark-up and all other

amounts/charges, as stated above, has been paid / repaid to you in full.

The above instructions and authority shall be binding on my legal heirs, executors and administrators until MCB has certified

that there is no amount outstanding under the finance facility agreement.

I irrevocably, instruct and authorize you as follows:

i) Repayment through irrevocable standing instructions (ISI)/BBA/DDI

In case of sanction of the subject finance facility to me, I hereby authorize you to deduct on the due date (as defined in

finance agreement) any of my monthly installment(s) outstanding in terms of the Financing Documentation from my

Account to be maintained with you for the subject purpose.


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ii) Repayment through irrevocable standing instructions DDA/ST

In case of sanction of the subject finance facility to me, I hereby authorize you to deduct on the due date, (as defined in

Finance Agreement) any of my monthly installment(s) outstanding in terms of the financing facility documents from my

account maintained with you, the details whereof appear in the form.

14. REPRESENTATIONS / WARRANTIES

I hereby warrant that no bankruptcy or insolvency proceedings have been commenced against me, that all the information

furnished by me in this application is true, complete and accurate and that I have not withheld any material fact.

15. AUTHORIZATION

I hereby authorize MCB to exchange / share any and all of my information which comes into its knowledge including the above

said information, with third parties, including my bankers for the purpose of, including but not limited to, processing of my

application and to know the conduct of any of my accounts with MCB or other banks and with LUMS (whenever so requested

by LUMS), so long as I remain a Customer of MCB.

Current Signature:___________________________________

Signature (as in CNIC)________________________________

Date:_____________________________________________

16. LETTER OF UNDERSTANDING

I confirm of having read and understood the following clauses carefully, as they are applicable to Student personal loan

application.

1. The sanctioning of personal loan is at the sole discretion of MCB.

2. The Student personal loan application may only be processed once the processing fee (and applicable government taxes /

levies) of loan amount is paid. MCB may take the processing fee by way of a crossed cheque in the name of MCB or cash

deposited in the designated MCB Student Personal Loan Account. MCB will not return the processing fee if my application

is rejected.

3. The repayments will be made through my standing instructions regarding the account which will be maintained with MCB

for said purpose.

4. The monthly installment will be made on its due date (as defined in finance agreement).

5. I may pre-pay the loan/financing subject to the terms and conditions as laid down in the agreement for financing referred

hereinabove.

6. I can be sued/put to trial in a court, in case of deliberate concealment of facts.7. I will not pay cash to any Bank representative for any charges or services. All payments must be made via crossed cheque

or Pay Order in favour of MCB.

8. The rate of Markup on the financing will be six months Kibor+2%. The spread of 2% will remain fixed over the tenor of the

loan while Kibor will be reset on six monthly basis.

9. These terms shall be in addition to the terms of the Finance Agreement and the standard terms & conditions provided to

me by concerned LUMS Office, which I have already read and understood, before execution.


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10. I shall not apply for any sort of loan from any financial institution / bank, without seeking prior permission from MCB until

the first installment under the loan/financing has been paid by me to MCB in accordance with the Financing

Documentation.

17. DECLARATION

I hereby declare and undertake that all information stated in this application and attachment hereto or otherwise provided to

you by me or at my request is true/correct and accurate in all respects. I understand that monthly installments are equated for

convenience only and deferred payment charges are calculated on reducing balance basis. I confirm that in the event my

signature herein below differs materially from my signature on my National Identity Card, you are authorized and instructed to

rely on the signatures appended on the finance agreement which I may enter into with you for my financing facility and/or

other communications signed or proposed to be signed by me in the manner specified herein below. I acknowledge the fact

that the loan facility requested by me in this application will be made available to me at the absolute discretion of the Bank.

Current Signature: ___________________________________ LUMS MBA Admission Year: ________________

Signature (As in CNIC):________________________________

Date: _____________________________________________

19. GUARANTOR DETAILS

(Please tick one of the following)

GUARANTOR-1 Father Mother Guardian Other than Parents / Guardian

Guarantors Name (Mr./Mrs./Ms.) _________________________________________________

Guarantors CNIC/NICOP No. ___________________________________ Old NIC No. ________________________

Current Residence Address (with nearest landmark) ________________________________________________________

__________________________________________________________ City ________________________________

Tel. (Res.)_____________ Mobile-1 _______________ Mobile-2 ________________ E-mail___________________

Name of employer / Company / Firm _________________________________________________________

Current employment / office address (with nearest landmark) ________________________________________________

__________________________________________________________ City ________________________________

Tel. (Off.) _____________ Fax No. __________________________ E-mail ________________________________

Declaration by the Guarantor

I hereby declare and undertake that the information provided by me in this application, any attachment hereto or otherwise

provided to MCB by me is true/correct and accurate in all respects. I confirm that in the event my signature herein below differs


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materially from my signature on my CNIC, MCB is authorized and instructed to rely on the signatures appended on the loan

documentation which I may execute (along with the aforementioned borrower/applicant) with MCB for the purpose of the

student financing facility for the aforementioned borrower/applicant and/or other communications signed or proposed to be

signed be me.

Guarantors Current Signature: __________________________________

Signature as per guarantors CNIC: ________________________________

Date: _____________________

(Please tick one of the following)

GUARANTOR-2 Father Mother Guardian Other than Parents / Guardian

Guarantors Name (Mr./Mrs./Ms.) _________________________________________________

Guarantors CNIC/NICOP No. ___________________________________ Old NIC No. ________________________

Current Residence Address (with nearest landmark) ________________________________________________________

__________________________________________________________ City ________________________________

Tel. (Res.)_____________ Mobile-1 _______________ Mobile-2 ________________ E-mail___________________

Name of employer / Company / Firm _________________________________________________________

Current employment / office address (with nearest landmark) ________________________________________________

__________________________________________________________ City ________________________________

Tel. (Off.) _____________ Fax No. __________________________ E-mail ________________________________

Declaration by the Guarantor

I hereby declare and undertake that the information provided by me in this application, any attachment hereto or otherwise

provided to MCB by me is true/correct and accurate in all respects. I confirm that in the event my signature herein below differs

materially from my signature on my CNIC, MCB is authorized and instructed to rely on the signatures appended on the loan

documentation which I may execute (along with the aforementioned borrower/applicant) with MCB for the purpose of the

student financing facility for the aforementioned borrower/applicant and/or other communications signed or proposed to be

signed be me.

Guarantors Current Signature: __________________________________

Signature as per guarantors CNIC: ________________________________

Date: _____________________


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VALIDATION OF INFORMATION BY THE STUDENTS INSTITUTION (FOR LUMS USE ONLY)

We hereby confirm that the aforementioned applicant has valid admission offer in LUMS in the aforementioned educational

program, which he/she has accepted. We hereby also validate the information in this loan application form, to the extent that

the subject matter of the information corresponds with the information already available in our records. We also confirm thatthe aforementioned estimated costs, requested financing amounts and funds to be arranged by the student for the entire

educational program and the relevant semester are correct. We further confirm that the aforementioned percentage marks

equivalence scored by the applicant / student in his last educational qualification is also correct as per our records. We also

confirm that, to the best of our knowledge, the applicant has not been involved in any act of moral turpitude, crime,

misrepresentation and/or concealment of facts. Moreover, currently there is no disciplinary action taken / pending / under

consideration by LUMS against the aforesaid applicant.

_________________________

For and on behalf of LUMS

Name:

Designation:

FOR BANKS USE ONLY

Bank Officials Signature ______________________________________

Bank OfficialsName ______________________________________

Date: ______________________________________________________

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