IISBCCollect - CASH /CHEQUES COLLECTION

CUSTOMER INFORMATION FORM

Date: 1 0108120 1 4

tz,.Juill
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Customer Name: 131'itiS1i

(SOUIleil E ypt

Monthly Charges per Location: EGP

EGP
(If more than one location, please fill out separate
forms for each location)

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Start Date for IISBCCollect Service 16/08/20 14

Daily timing of Cash and Cheques collection
(IISBCCollect service is provided between 9:00:4M and 4.00PM.
Cash collected will he credited to customer's account on the same
working (la))
l'i Preference: 09.00

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4.00 i

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PM

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Days that service is required :

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All the week

Maximum Cash Amount per Collection: ( L.E

Average Cash Amount per Collection :

Average Number of Cheques per Collection : (

Details of Collection Point: Man

15,000.00 )

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8,000.00 )
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Full Address: 06th October City ,Inhaynal) Spnare

Cairo Egypt

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Location: in riont or Vii,Lon;tote' hel\\ L'o'll plc 21.22

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Details of Company Representative at location:

Full Name:

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: jAtill

Changeable Every Week

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ID No.

Debit Account No.: 00 1.

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-2001 12-00 1

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Credit Account No.:

For Bank t se Only

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Customer's Signature

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1) 001-200112-001

:VPROVED BY:
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Signature Verified
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Authorised Signature
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