COMPANY LETTERHEAD

STATEMENT LETTER

I am the undersigned

Name :
Company :
Address :
Position :

hereby declare the following Bank Account details is authorized and truly owned by …………. and to be
used as main Bank Account for any transaction(s) with PT …………….

BANK :
BRANCH :
A/C NO :
SWIFT CODE :
BENEFICIARY :
ACCOUNT HOLDER :

Hereby this statement is made truthfully and to be used accordingly.

…………, ……………… 2018

(company chop and duty stamp)

Name:………………………………..
Position:………………………………