Electronic Credit Mandate Form

To,
Share Registrar Department – Dolmen City REIT
Central Depository Company of Pakistan Limited
CDC-House, 99-B, Block-B,
S.M.C.H.S., Main Shahra-e-Faisal, Karachi

Dear Sir / Madam

I/We/Messrs.,__________________________________________________________________, being a/the

unit-holder(s) of Dolmen City REIT [the “Scheme”], hereby, authorize the REIT Management Company M/s Arif
Habib Dolmen REIT Management Limited, to directly credit cash dividends declared by it, in my/our bank
account as detailed below:

Details of Shareholder
Name of shareholder
Folio / CDS Account No.
CNIC No. (attach the valid legible copy)
Cell number of shareholder
Landline number of shareholder, if any
Details of Bank Account
Title of Bank Account

International Bank Account Number P K (24 digits)

(IBAN) “Mandatory” (Kindly provide your accurate IBAN number after consulting with your
respective bank branch since in case of any error or omission in given
IBAN, the Scheme will not be held responsible in any manner for any
loss or delay in your cash dividend payment).
Bank’s name
Branch Name
Branch Address
It is stated that the above-mentioned information is correct and in case of any change therein, I / we will
immediately intimate Participant / Share Registrar accordingly.

_____________________
Signature of unitholder
(Please affix company stamp in case of corporate entity)

Note:
1. Please fill in this form and it must be sent to the Scheme’s Share Registrar, M/s Central Depository
Company of Pakistan Limited, CDC House, 99-B, Block-B, S.M.C.H.S, Main Shahrah-e-Faisal,
2. Attach the legible photocopy of valid CNIC/NICOP/Passport (in case of foreign national)