Form 'SAP-I'

NATIONAL FINANCIAL LITERACY PROGRAM - STUDENT AMBASSADOR PLAN

Claim Reimbursement Form Submitted to (Name of SBP BSC Office)

Lead Bank MCB ISLAMIC Name of Student Field Trainer 1 SAMEER KHALID
University UNIVERSITY OF TURBAT Student Field Trainer 1 Code 13
Partner Institutes (if any) - Name of Student Field Trainer 2 -
Venue Address SHAHI TUMP TURBAT Student Field Trainer 2 Code -
District of Session KECH Session Beginning Time 5:00
Date of Session 30-05-2019 Session Ending Time 6:00

Branc
Account Account Type h code
Already an
Gender Opened in (Asaan Name of Bank where
Account holder Account
Sr. Participant’s Name ( F/M/ Age Profession CNIC of Participant Contact Number Address of Participant Current Account / where account accou
in any bank? Number
Other ) Session? Branchless opened nt
(Y/N)
(Y/N) etc) opene
d

A B C D E F G H I J K L M N
1 Nusrat f 20 - 52203-3015523-8 - TURBAT N - - - - -
2 Gul bibi f 22 - 52203-0966224-8 - TURBAT N - - - - -
3 Salima f 34 - 52203-72291502-8 - TURBAT N - - - - -
4 Zumzum f 24 - 52203-0958055-8 - TURBAT N - - - - -
5 Saima f 26 - 52203-6913213-2 - TURBAT N - - - - -
6 Karima f 25 - 52203-6479548-0 - TURBAT N - - - - -
7 Nazala f 28 - 52203-5803386-6 - TURBAT N - - - - -
8 Shama f 26 - 52203-0795332-6 - TURBAT N - - - - -
9 Fozia f 27 - 52203-0395764-8 - TURBAT N - - - - -
10 Zara f 25 - 52203-6197443-3 - TURBAT N - - - - -
11 Farzana f 23 - 52203-0964491-4 - TURBAT N - - - - -
12 Saeeda f 25 - 52203-0744755-6 - TURBAT N - - - - -
13 Maram f 24 - 52203-6240189-4 - TURBAT N - - - - -
14 Maram f 26 - 52203-2618603-8 - TURBAT N - - - - -
15 Farazana f 27 - 52203-0953734-4 - TURBAT N - - - - -
16 Lucky f 24 - 52203-5977302-8 - TURBAT N - - - - -
17 Soriha f 24 - 52203-7567575-2 - TURBAT N - - - - -
18 Sania f 26 - 52203-9023045-4 - TURBAT N - - - - -
19 Shanaaaz f 25 - 52203-6551550-2 - TURBAT N - - - - -
20 sabreena f 23 - 52203-3015523-8 TURBAT N - - - - -

Sheet 1 of 2
 Form 'SAP-I'
NATIONAL FINANCIAL LITERACY PROGRAM - STUDENT AMBASSADOR PLAN
Claim Reimbursement Form Submitted to (Name of SBP BSC Office)

Branc
Account Account Type h code
Already an
Gender Opened in (Asaan Name of Bank where
Account holder Account
Sr. Participant’s Name ( F/M/ Age Profession CNIC of Participant Contact Number Address of Participant Current Account / where account accou
in any bank? Number
Other ) Session? Branchless opened nt
(Y/N)
(Y/N) etc) opene
d

A B C D E F G H I J K L M N

Total number of participants 20 1. Participant mobilization incentive* 4600

Total number of accounts opened 0 2. Account opening incentive (for bank)* 0
Payment to University 1 9100 3. Account opening incentive (for students)* 0
Payment to University 2* 0 4. Student travelling allowance* 2500
Payment to Lead Bank 0 5. Student classroom session incentive* 2000
Payment to Partner Institute 0 Grand Total 9100

Signature of Student Field Trainer 1 Signature of Student Field Trainer 2 Signature and Stamp of Focal Person

1 Participant mobilization incentive (@ Rs. 230 per participant for bank / PI)
2 Account opening incentive for bank (@ Rs. 30 per account opened)
3 Account opening incentive for students (@ Rs. 25 per account opened per student)
4 Student travelling allowance (@ Rs. 2,500 per student)
5 Student classroom session incentive (@ Rs. 2,000 per student)
* In case of cross university pairs

Sheet 2 of 2