EM-A GROUP OF COMPANIES

REQUEST TO RETURN ATM CARD

TO : MANAGEMENT CENTER CONTROL NO. ATMRR LOP 0150

FROM:LOPEZ BRANCH DATE : 17-Sep-18
A T M C A R D I N F O R M A T I O N O I C I N P U T S C L U S T E R I N P U T S For COLLECTION DEPARTMENT's USE
REASON FOR
LOG BOOK DATE DATE OF ATM DATE OF RETURN TO DATE NONE REMARKS (IF
CLIENT REASON WHY IT IS BEING PAYMENT DETAILS for CASH
RELEASED, DATE OF MC IF RENEWAL OR COLLECTED/ AMOUNT APPROVED OR
ITEM NO. NAME CLIENT BRANCH GROUP BANK-BR CARD NUMBER WD LOAN DUE DATE REQUESTED FOR RETURN PAYMENT REF#/CODE COLLECTED ATM BALANCE COLLECTION DISAPPROVED FOR
REQUESTED ACOP SCHEDULE ACOP TARGETED (IF
UNCOLLECTED) RETURN)

1 CALAOR MILAGROS LOP SB LOP GSIS UMID 1095-7337-5380 8 10/12/2019 9/17/2018 FOR PERA HUB LOAN
Customer Card checked thru POS system by:
Prepared by: Checked by: Noted by: Checked/Audited by:

ROSELYN R. OLANDA
TCOS ROH/RCH CD Staf CD Head National Audit