MEMBER BANKING ACCOUNT CONFIRMATION

Date : ………………………………..

MEMBER SURNAME AND INITIALS : ____________________________________________

IDENTITY NUMBER : ____________________________________________

PASSPORT NUMBER: ____________________________________________

CONFIRMATION OF BANKING DETAILS

Bank Name : ____________________________________________

Bank Account Holder : ____________________________________________

Bank Account Number : ____________________________________________

Branch : ____________________________________________

Branch code : ____________________________________________

We hereby confirm the banking details for the account holder as per details supplied.

Name of Bank Teller : _______________________________________

Signed : _______________________________________

Contact number : _______________________________________

Bank Branch : _______________________________________

Bank Stamp :