‫ﻧﻤﻮﺫﺝ ﺭﻗﻢ ﺍﻟﺤﺴﺎﺏ ‪ /‬ﺍﻵﻳﺒﺎﻥ ﻟﻠﻌﻤﻴﻞ‬

‫‪Customer Account No./IBAN Form‬‬

‫‪Date:‬‬ ‫‪6/27/2023‬‬ ‫‪٢٠٢٣/٠٦/٢٧‬‬ ‫ﺍﻟﺘﺎﺭﻳﺦ‪:‬‬

‫‪To Whom it May Concern,‬‬ ‫ﺑﻌﺪ ﺍﻟﺘﺤﻴﺔ‪،‬‬
‫‪We would like to inform you that Mr./Mrs./Ms.‬‬ ‫ﻧﻔﻴﺪﻛﻢ ﺃﻥ ﺍﻟﺴﻴﺪ ‪ /‬ﺍﻟﺴﻴﺪﺓ ‪ /‬ﺍﻵﻧﺴﺔ‪:‬‬
‫ﻣﻴﺲ ﻋﺒﺪﺍﻟﻠﻪ ﻗﺎﺳﻢ ﺍﻟﺒﻠﻮﻱ‬ ‫ﻣﻴﺲ ﻋﺒﺪﺍﻟﻠﻪ ﻗﺎﺳﻢ ﺍﻟﺒﻠﻮﻱ‬
‫‪is one of Riyad Bank customers‬‬ ‫ﺃﺣﺪ ﻋﻤﻼء ﺑﻨﻚ ﺍﻟﺮﻳﺎﺽ‬
‫‪At his request below is his account no. without any liability or‬‬ ‫ﻭﺑﻨﺎء ﻋﻠﻰ ﻃﻠﺒﻪ ﺗﺠﺪﻭﻥ ﺭﻗﻢ ﺣﺴﺎﺑﻪ ﺃﺩﻧﺎﻩ ﺑﺪﻭﻥ ﺃﺩﻧﻰ ﻣﺴﺆﻭﻟﻴﺔ ﺃﻭ ﺍﻟﺘﺰﺍﻡ ﻋﻠﻰ ﺍﻟﺒﻨﻚ‬
‫‪obligation on the bank‬‬

‫ﺭﻗﻢ ﺍﻟﺤﺴﺎﺏ ﺍﻟﺠﺎﺭﻱ‬

‫‪Current Account No.‬‬

‫‪4‬‬ ‫‪0‬‬ ‫‪9‬‬ ‫‪8‬‬ ‫‪2‬‬ ‫‪0‬‬ ‫‪6‬‬ ‫‪7‬‬ ‫‪2‬‬ ‫‪9‬‬ ‫‪9‬‬ ‫‪4‬‬ ‫‪0‬‬

‫ﺭﻗﻢ ﺍﻟﺤﺴﺎﺏ ﺍﻟﻤﻮﺣﺪ )ﺍﻵﻳﺒﺎﻥ(‬

‫)‪Consolidate Account No. (IBAN‬‬

‫‪S‬‬ ‫‪A‬‬ ‫‪1‬‬ ‫‪4‬‬ ‫‪2‬‬ ‫‪0‬‬ ‫‪0‬‬ ‫‪0‬‬ ‫‪0‬‬ ‫‪0‬‬ ‫‪0‬‬ ‫‪4‬‬ ‫‪0‬‬ ‫‪9‬‬ ‫‪8‬‬ ‫‪2‬‬ ‫‪0‬‬ ‫‪6‬‬ ‫‪7‬‬ ‫‪2‬‬ ‫‪9‬‬ ‫‪9‬‬ ‫‪4‬‬ ‫‪0‬‬

‫ﺑﻴﺎﻧﺎﺕ ﺍﻟﻌﻤﻴﻞ ﺍﻟﺸﺨﺼﻴﺔ‬

‫‪Customer Personal‬‬
‫ﺍﻻﺳﻢ‬
‫ﻣﻴﺲ ﻋﺒﺪﺍﻟﻠﻪ ﻗﺎﺳﻢ ﺍﻟﺒﻠﻮﻱ‬
‫‪Name‬‬
‫ﺭﻗﻢ ﺍﻟﻬﻮﻳﺔ‬
‫‪1129966550‬‬
‫‪ID No.‬‬
‫ﺍﻟﻌﻨﻮﺍﻥ‬
‫ﺹ ‪ .‬ﺏ‪6655‬‬
‫‪Address‬‬
‫ﺭﻗﻢ ﺍﻟﻬﺎﺗﻒ‬
‫‪966543074426‬‬
‫‪Tel No‬‬

‫ﺍﻟﺨﺘﻢ‬
‫‪Seal‬‬

‫‪Reference Number:‬‬ ‫ﺍﻟﺮﻗﻢ ﺍﻟﻤﺮﺟﻌﻲ‪:‬‬

‫‪2-24406464934‬‬ ‫‪2-24406464934‬‬
‫‪To verify, please scan the below QR code:‬‬
‫ﻟﻠﺘﺤﻘﻖ‪ ،‬ﺍﻟﺮﺟﺎء ﻣﺴﺢ ﺍﻟﻜﻮﺩ ﺃﺩﻧﺎﻩ‪:‬‬