PAKISTAN TELECOMMUNICATION EMPLOYEES TRUST
Director Pension, PT&T Building, Mauj-e-Darya Road, Lahore Ph: 042-37243456 Fax: 042-37322080
APPLICATION FORM
FOR DIRECT PAYMENT OF PENSION THROUGH SPECIFIED BANK ACCOUNT
(To be filled in by the Pensioner)
PPO No.
Name of Pensioner
Father / Husband Name
Residential Address (Current)
Residential Address (Permanent)
Telephone No.
Cell No.
Email (if any)
Proposed Bank / Branch
I hereby opt to draw pension through below mentioned Bank account and also submit an
*Indemnity Bond / Lien to the bank. I also provide ACCOUNT VERIFICATION FORM verified
by the Branch Manager as per SOP issued by The State Bank of Pakistan.
*“The pensioner shall produce an indemnity Bond on judicial paper of Rs.20 (Twenty) irrespective of monthly pension drawn to
keep the bank indemnified about liabilities with all sums of money whatsoever including mark-up of his /her pension account.
The pensioner would further undertake that his / her legal heirs, successors, executors shall be liable to refund excess amount if
any, credit to his / her pension account either in full or in installments( as agreed mutually) equal to such excess amount”
(Please also provide copy of CNIC)
Pensioner’s
Dated:_____________ Signature / Thumb Impression
Account Verification Form (to be submitted to Director Pension)
(To be verified by the Bank / Branch Manager as per requirement of The State bank of
Pakistan (vide Circular # 25 dated 4th Nov. 2010))
Account Title (Name)
Account No.
(Only for Pension not being a Joint Account )
Bank Name / Branch
Bank Address
Branch Code
Indemnity Bond / Lien submitted by the Pensioner
Bank / Branch Manager
Signature Stamp:
Dated:
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Acknowledgement to be issued by Pension Directorate Lahore
Acknowledgement Receipt No.__________________ Signature of Officer _________________
Date _________________
INDEMINITY BOND
To,
The Manager,
_______________________________ (Name of Bank)
_______________________________ (Branch)
_______________________________ (City)
In compliance with the SBP’s instruction for payment of pension through your Bank branch I /
we agree to indemnify you and keep you indemnified about liabilities with all sums of money
whatsoever including mark-up of my Pension Account. I / we further undertake that my / our
legal heirs, successors, executors shall be liable to refund excess amount, if any, credited to my /
our Pension Account either in full or in installment equal to such excess amount.
Co-Indemnifier / Nominee / Successor Signature: __________________________
Next of Kin: Name of Pensioner: _____________________
CNIC: ________________________ Date of Retirement: _ _______
Address:______________________ PPO No: ___________________
______________________________ Bank Account No:____________________
Signature:______________________ CNIC: ______________
Witness-I Witness-II
NAME: _______________________ NAME: ____________________________
CNIC: ________________________ CNIC: _____________________________
Contact No: ___________________ Contact No: _________________________
Signature ______________________ Signature __________________________
Date: _________________________ Date: ______________________________
