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UBL Wallet VISA Internet Activation Form

Title of Account: _________________________________ Date: ___________



Account Number


CNIC Number:


Supplementary Card Holder CNIC (If applicable):


Primary UBL Wallet card No:

Supplementary UBL Wallet card No (If applicable):

I the primary account holder, ___________________________________ hereby authorize UBL (United
Bank Limited) to activate the Internet facility on my UBL Wallet card (supplementary or primary as
applicable), whereby I/ the supplementary cardholder) will be able to use the Card/supplementary card on
the Internet to pay for goods/services within the time period sessions stipulated by me. Also in
consideration of the Bank providing this facility I fully acknowledge, understand and accept the
following:

1. I, the Cardholder agree to indemnify and keep the Bank indemnified from and against all actions, claims,
demands, proceedings losses, damages, personal inquiry, costs, charges and expenses whatsoever which the
Bank may at any time incur, sustain, suffer as a consequence of providing the cardholder/supplementary
cardholder the facility of the Card/supplementary card or by any reason of the Bank acting in good faith and
taking or refusing to take any action on the Cardholders instructions or otherwise by providing the Services or
if the Card is lost, misused/mislaid or stolen in the event of a breach of these Terms and Conditions by the
Cardholder.

2. The Bank shall not be liable for any loss or damage resulting from any misuse of the Card/supplementary card
and/or from the refusal of any Merchants Service Outlet (s) or to accept the card/supplementary card.

These terms and conditions herein shall be without prejudice to and supplemental to the terms and
conditions governing the issue of and use of the card/supplementary card and shall be applicable to all the
internet transactions undertake through such card/supplementary card. If at any time, dispute arises in
connection with any of the internet transactions or above mentioned terms and conditions, the Banks
decision in connection with the same shall be final and binding





__________________________ ________________________________
Primary Cardholders Signature Supplementary Cardholders Signature (If Applicable)





Note: Please fill this form and email us the signed scanned copy at: wallet.internet@ubl.com.pk OR Fax to 021-
99201632 OR mail by post at the Customer Services 2nd Floor, UBL Warehouse Building, Plot # 1 & 2 C
Group, Mai Kolachi Road, Karachi Pakistan

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