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Annex 2

FINANCIAL IDENTIFICATION FORM


Issued by Finance Division - Administrative Instruction

SECTION A – Account Holder Information

Full Name: Igor Lazarevski


Address: Zil Vern 2
Postal Code: 1000
City: Skopje
Country: Macedonia
E-mail: i_lazarevski@yahoo.com
Telephone: +38978202206

SECTION B – Bank Information

Bank Name: Procredit


Bank Address: Manapo
Routing/Sort/BLZ Code:
SWIFT Code: PRBUMK22XXX
Bank account number: 380176993615178
IBAN: MK07380176993615178
Account holder: Lazarevski Igor

Signature of the Account Holder: Lazarevski Igor

Date:26/03/2020

Signature of the Bank:

Date:

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