H v tn: Sinh ngy: ...................................................... S CMND: . Ngy cp: .. Ni cp: ....................................... in thoi: .. Email: ......................................................................... S ti khon: . Ngn hng: .................................................................. H tn ngi gii thiu: ..M s gii thiu: .......................................... H tn ngi ch nh: . M s ch nh: ............................................ , Ngy .. thng . Nm 2015 Khch hng (K & ghi r h tn)
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THNG TIN KHCH HNG:
H v tn: Sinh ngy: ...................................................... S CMND: . Ngy cp: .. Ni cp: ....................................... in thoi: .. Email: ......................................................................... S ti khon: . Ngn hng: .................................................................. H tn ngi gii thiu: ..M s gii thiu: .......................................... H tn ngi ch nh: . M s ch nh: ............................................ , Ngy .. thng . Nm 2015 Khch hng (K & ghi r h tn)