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UNITATEA/BANK BRANCH _____________________

ORDIN DE SCHIMB VALUTAR/ORDER OF EXCHANGE

CLIENT/Customer ________________________________________________________________________________

CUI Unique Identity Code / CNP Personal Number Code ______________________________________________

Act de identitate/Identity card ________________ Seria/Series __________________ Nr/No __________________

Suma va fi preluat` din contul curent cu nr. ____________________________________________________________


The amount will be taken from the current account no

[i virat` \n contul curent cu nr. _____________________________________________________________________


and will be deposed in to the current account no

Clientul cump`r`: Valuta/Suma Clientul vinde: Valuta/Suma


The customer buys : foreign currency/amount The customer sells: foreign currency/amount

_______________________________________ ________________________________________

Cursul de schimb/Rate of exchange: _____________________________________

Data valutei/Foreign currency date: _____________________________________

Data tranzac]iei/Transaction date : _____________________________________


Cod: 405A; Data BT: 02/05/2007

Semn`tur` Banc` Semn`tur` Client


Bank signature, Customer signature,

BRD - Groupe Société Générale S.A.


Turn BRD - Bdul Ion Mihalache nr. 1-7, 011171 Bucure[ti, România,
Tel: + 4021.301.61.00; Fax: + 4021.301.66.36
http://www.brd.ro

CAPITAL SOCIAL IN RON: 696.901.518 lei; R.C. J40/608/19.12.1991; RB - PJR - 40 - 007 /18.02.1999; C.U.I. 361579/10.12.1992

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