Quartely Half Yearly

Contact Nos.

Mob No.

Name:Mr./ Ms./Mrs./ M/s

Address

ZakatDeduction

Yes No Declaration Attached Yes No

Name: Mr./ Ms./ Mrs. 1 2

Address

Share % Share %

Fractional

10

50

100

500

Dividend Payment Transfer to my Bank Account Reinvest dividend amount into Units at Ex-dividend repurchase price

Post Dividend warrents at registered address Encash Bonus Units at ex bonus price & send amount to Bank Account

FOR DISTRIBUTORDistributor Distributor Code. Form Received On Transaction No. Authorised Signature & Stamp

FOR REGISTRAR USE

Authorised Signature & Stamp

Habib Asset Managment

Habib Asset Management Limited

Res/ Off No. Date

For office Use Only:

Folio No.

Physical Unitsagainst payment

Registered address

Remarks:

Bank NameBank Account No.

JumboStatement of Accounts No

INFORMATION ABOUT THE ACCOUNT HOLDER (PLEASE USE BLOCK LETTERS)

CNIC No./CRC OR 'B' Form.

ACCOUNT OPENING FORM

OTHER INSTRUCTIONS

Occupation

FACILITATOR INFORMATIONName Facilitator Code. Signature

I hereby acknowledge

2. That means of my income are legitimate.

Father’s/Husband’sName

Form Received on Data Input Date Data & Attachments Verified

NoYes

Father's/ Husband's Name

Relationship with Holder

INVESTOR STATUS

Branch & address

INFORMATION ABOUT NOMINEE

FULL DETAILS OF BANK ACCOUNT OF THE ACCOUNT HOLDER

(Sahulat Sarmayakari Account)

(HAML-01-SSA)

Signature of Applicant FOR OFFICE USE ONLY

Sources of Income

1. That I have read and understood the relevant Trust Deed and Offering Document that govern this transaction and further acknowledge having understood the risk involved.

Marital Status Single Married Nationality CNIC No.

Gender Male Female Date of Birth E-mail