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rc Standing Order Mandate To Bank Limited Date, Address, Please pay Bank ‘Branch Town Name Address _| Customer Code Number ‘Beneficiary ‘Account Number mi] Forthe creditof ‘Amountin figure “Amountin words Thesumof | BP ‘Date and amount of first payment Date of payment Commencing | *New Rp End paymentevery ‘Date and amount of ast payment : 5 Rp © Until you receive further notice which we sendin Valid waits Quoting the © Direct debit card/by account acceptance reference This instruction cancels any previous order in favor of the beneficiary named above, under this reference. ‘Delete as appropriate If the amount of period payment vary they should be incorporated in a schediuled overdue. Special instruction ‘Signature/s ‘Type of account and account number to be debited Note: The Bank will notundertaketo a) make any reference to Value Added or paya started sum plus VAT. b) advise remiter’s addressto beneficiary. > ©) advise beneficiary of inability to pay. 4) request beneficiary's Bank to advise beneficiary ofreceipt. Below is the information student B should keep in mind: The TV shop, Prabu and Son Limited, also banks with the BGA Bank in Bandung. Their account number is 000456823. Standing orders and direct debiting are just two of the services available when we have a current account. With a standing order. you tell him/her about regular bills of a fixed amount like rent, rates, and H.P. payment, and you remember to pay them out of his/her money. She/he just signs a form like the one shown above. Dipindai dengan CamS« REGISTRATION FORM Room No. PRABU Surname HOTEL Forename (please print) Home address Please indicate how you intend to settle your account Cash Credit card Cheque _ prior arrangement | Other Signature .. Card Registration No. No Have you stayed before?’ Yes Nationality. OVERSEAS VISITORS ONLY Passport no. Issued at FOR OFFICE USE Date of Rate Departure No. of Nights . Date of arrival vipinaal aengan CamS«

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