ZAMZAM BANK S.

ዘምዘም ባንክ አ.ማ

የሂሳቡ ስም

Account Number----------------------------------------

የደንበኛው ሰም /

Account Holder Name ; ----------------------------

ሰም --------------- የአባት ሰም ---------------------የአያት ሰም -----------------------

First Name =---------------------- Second Name ------------------------ Last Name -------------------

Region -------------------

ክልል Recent passport size photo

City -----------------------

ከተማ

Sub-city/Zone ---------

Woreda /Kebele ----------

House No ---------------------

Email;---------------------------

Sample Signature ; 1.----------------- 2.-------------------3.--------------------4-----------------------

First Name ;------------------------- Second Name --------------------------Last Name --------------------

Region ------------------ iD/passport No .----------------------------

City ------------------------ Issued By ---------------------------------- Recent Passport size

Photo
Sub-City /Zone -------------- Mobile -------------------------------------

Woreda /Kebele -------------- Telephone ------------------------

House No.--------------------- p.o.BOX ---------------------------

Sample Signature ; 1.--------------- 2.----------------3.-------------------- 4.--------------------

First Name ;----------------------- Second Name ----------------------- Last Name -------------------------

Region ------------------------ ID/Passport No-------------------

City ---------------------------- Issued By -----------------

Sub-city /zone ---------------- Mobile ------------------------- Recent Passport size

Photo
Woreda /kebele --------------- Telephone ---------------------

House No.---------------------- p.o. BOX---------------------------

Email;-----------------------------------------------------------------

Sample Signature 1.----------------2 .-------------------- 3.------------------------ 4.--------------------