Bunna International Bank S.

C
Debit card personalization request
MAIN BRANCH
No Name of Applicant (Including surname) Date of Bir Place of
Gender Account Number
(DD/MM/Y Birth
1 AMANUEL KASSAHUN TEFERA 1019501000167
2 EPHREM TEKLE ARARSO 1019501002713
3 SURAFEL TILAHUN TULU 1019501011277
4 TEWODROS ABATE ASFAW 1019501002199
5 ZELALEM YILMA TEFERA 1019501002785
6 NERSIS KRIKOR BILMJIAN 1019501008200
7 MULUGETA ABRHA GEBRWAHID 1019501011265
8 WUBALEM MENGISTIE AYENEW 1019501011287
9 TAMIRAT TADESSE CHENCHENO 1019501010036
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DELIVERED BY
NAME________________________________
DATE_________________________________
SIGNATURE___________________________
nternational Bank S.C
personalization request
MAIN BRANCH
Type of Applicant Address
Marital StatusID. No.
Account City/TownSub City Woreda Mobile E-mail
SBA AA ARADA 10 0911101223
SBA AA KK 4 0913233620
SBA AA LIDETA 1 0911963232
SBA AA GULELE 8 0911239388
SBA AA KK 4 0911652302
SBA AA ARADA +251(911)899168
SBA AA BOLE +251(973)147002
SBA AA BOLE 14 +251(911)838382
SBA AA +251(925)016952
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RECEIVED BY
NAME_______________________________
DATE________________________________
SIGNATURE___________________________