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China Petroleum Pipeline Engineering Co., Ltd.

Representative Office in Indonesia

PAYMENT REQUEST FORM

PAYEE INFORMATION
Employee Name :

Position :

Date Join :

Description :

Amount :

BANK INFORMATION
Recipient Name :

Bank Name :

Bank Account Number :

Remittance Method :

Jakarta,

Prepared by, Approved by,

Michelle Nayoan Qiu An Deng Deng


GA Department Finance Controller Chief Representative

Add.: TRINITY TOWER, 151st Floor, 5101 – 5105 Suite Jl. H.R. Rasuna Said Kav. C-22 Kuningan, Jakarta Selatan 12940
Tel: +62 21 2598 2101(Hunting) Fax: +62 21 25982235

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