Credit Information Consent Form

To Dubai Islamic Bank,

Date: 20 / 09 / 2017 . / / :
From,
Name: Munthasir Jafarullahkhan :
Address:
:
P O Box 87214, 504, Bin Shougat bldg,

Salahaldeen road, Deira,Dubai, UAE.
.

I,Munthasir Jafarullahkhando hereby declare ............................... /

that I/we authorize Dubai Islamic Bank (Bank) as it ") (" / /
considers necessary, to use its approved verification
agencies or make references/inquiries from any source /
of information, or any person or entity nominated /
herein and authorize the Bank to use and verify the

credit information or any other financial information
received by the Bank itself or Such contacted
references, financial institutions, banks, debt collection
agencies, credit bureaus, or any other person or entity
discloses to the Bank with any information are . /
requested about me/us in its possession.

Emirates
ID No: 7 8 4 - 1 9 8 0 - 9 0 7 9 1 4 0 - 5 :

I understand, accept and agree that any facility that / / /

Dubai Islamic Bank may offer me/us will be approved /
only on the basis of this information and such approval
shall be under the sole discretion and decision of the
Bank.

I confirm that my signature is matching with my .

Emirate ID.
Customer Name
Munthasir Jafarullahkhan
Signature

Date Place: Emirate of Dubai/ 20-09-2017 . .......... .: