PSO PRIVILEGE LOYALTY CARD REPLACEMENT CARD/ PIN FORM *Replacement required for Card PIN Date *PPLC No. *Name. *Reason: Damaged Stolen Misplaced Payment Instrument Details *Pay Order/ Demand Draft No. Bank name Pay Order/ Demand Draft date *Applicant’s Signature Terms & Conditions 1) All fields marked with asterisk (*) are mandatory. 2) Incomplete forms are not mandatory. 3) PSO Cards Division reserves the right to accept or reject any application on its sole discretion. 4) Please ensure to submit a payment instrument (pay order/demand draft) of Rs. 200/- in favor of Pakistan State Oil Company Ltd along with this form 5) Should you have any query, please fee free to contact our helpline Ta’aluq at 0800-03000 or write us at customer.services@psopk.com th 6) Kindly send this Form along with payment instrument at 8 Floor, Cards Division, PSO House, Khayaban-e-Iqbal, Clifton, Karachi FOR OFFICE USE ONLY Serial No: Data Entry officer : Approval 1: Approval 2: Date: