Professional Documents
Culture Documents
User Name
Account Number
Name
: ...............................................................................................................................................
Address
: ...............................................................................................................................................
...............................................................................................................................................
: ...............................................................................................................................................
I confirmed having changed the Sampath Vishwa password for the above User Name.
Further I agree that this acknowledgement form an integral part of my original Sampath Vishwa terms, conditions &
indemnity.
Signature of User :
Instructions
Please complete the acknowledgment form and return to the Manager - Electronic Banking, Sampath Bank PLC, No. 110, Sir James Peiris
Mawatha, Colombo - 02, Sri Lanka.
: ................................................................
: ................................................................