GIY NP TIN S:

Lin 1: Ngn hng

Original Bank
Payment Order No S bt ton:
Sep No
Chi Nhnh 9-Tp.H Ch Minh Ngy: 17/5/2017 Loi tin: VND
Date Currency

Khch hng np tin: |:Lu c Ln Dnh cho ngn hng (For bank use only)
Applicant

S ti khon: in thoi: Ti khon ghi n:

Account No Tel Debit account
Ti ngn hng:
At bank

Khch hng nhn tin: Trng i Hc Khoa Hc T Nhin

Beneficiary Ti khon ghi c:
CMT/H chiu: Ngy cp: Credit account
ID/Passport No Date of issue
Ni cp: in thoi:
Place of issue Tel
S ti khon: 6380201013624 ----- S tin bng s:
Account No Amount in figures
Ti ngn hng: Agribank Chi nhnh Bnh Thnh-TP.H Ch Minh
At bank 5.600.000
S tin bng ch: Nm triu su trm ngn ng
Amount in words

Ni dung: M H:9980573,Thanh ton H ca Trng i hc Khoa hc T nhin cho khch hng: Lu c Ln

Ha n c thanh ton: [CPTNTH(2) 2016 1000][HP(2) 2016 5600000]. Thng tin khch hng: 1420067-Hc ph

n v tr tin Th qu Giao dch vin Kim sot

Customer Cashier Teller Supervisor
K v ghi r h tn

|: LU C LN