Daily Card ATM Limit

Amendment Form
Through
TO : To Card Centre Manager
Branch Name : ________________________________________
IBS Bank
Mogadishu, Somalia
Date : _______/________/_______________
Customer Information

Customer Name

Account No

Card Number

X X X X X X
ID /Passport No Phone No Email

Transaction Information

Currency of TXN : local USD Other

Frequency of TXN : Once Off Recurrent

Current Limit (tick as appropriate ) : USD 1,000 USD 500 USD 200 Other

Temporary Limit requested (tick as appropriate ) : USD 1,000 USD 500 USD 200 Other

Customer Signature : ________________________________________________ Date : _______/________/_______________

OFFICE USE ONLY

Checked and Verified by

Name Signature Date

Authorized By

Name Signature Date

Branch Stamp