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I really hope that you are really interested in this loan and you are honest.

So fill this form,


please:

Afocozi
Surname: ............................

Malick
Name: ............................

Sweden
Country: ............................

Sundbyberg
City: ............................

Tulegatan 14
Address: ............................

17278
Zip Code: ............................

Male
Sex: ...............................

33 Single
Age: ..................................

42.000:- SEK
Marital Status: ......................

Salary: .........................

Apartment
Occupation: ............................

+46739966551
Phone: ............................

-
Fax: ............................

BANK ACCOUNT INFORMATION

Skandinaviska Enskilda Bank


Bank Name:..............

ESSESESS
BIC (SWIFT): ............................

SE5450000000052061095208
IBAN: ............................

PS: In order confirm your identity, kindly send me a copy or a picture of your I.D. card, passport
or driving license.

Regards!

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