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  • DEBIT AUTHORITY - ATM and PIN

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    Julius Rimas
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    This document is a debit authority form from the Development Bank of the Philippines Manila Branch. It requests that Php 185 be debited from the specified account to cover the shipping fee for an EMV chip card and PIN form. The customer signed the form to authorize the debit from their account.

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    DEBIT AUTHORITY_ATM and PIN

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    This document is a debit authority form from the Development Bank of the Philippines Manila Branch. It requests that Php 185 be debited from the specified account to cover the shipping fee for an EMV chip card and PIN form. The customer signed the form to authorize the debit from their account.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    6 views1 page

    DEBIT AUTHORITY - ATM and PIN

    Uploaded by

    Julius Rimas
    This document is a debit authority form from the Development Bank of the Philippines Manila Branch. It requests that Php 185 be debited from the specified account to cover the shipping fee for an EMV chip card and PIN form. The customer signed the form to authorize the debit from their account.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Development Bank of the Philippines Development Bank of the Philippines

    Manila Branch Manila Branch

    Date Date

    DEBIT AUTHORITY DEBIT AUTHORITY

    Please debit my account 5-16194-410-3 Please debit my account 5-16194-410-3 representing cost
    representing cost of shipping fee for my EMV chip card of shipping fee for my PIN Form amounting to Php 185.00
    amounting to Php 185.00

    ________________________ _______________________
    ________________________ _______________________

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