‫ﺇﻳﺼﺎﻝ‬

‫‪SALWA OTHMAN SALEM MOHAMED‬‬ ‫ﺍﺳﻢ ﺍﻟﻌﻤﻴﻞ‬

‫)ﺍﺻﺪﺍﺭ ﺗﺄﺷﻴﺮﺓ ﺍﻟﺨﺮﻭﺝ ﻭﺍﻟﻌﻮﺩﺓ )ﻣﻔﺮﺩﺓ‬ ‫ﺍﻟﺨﺪﻣﺔ‬

‫‪MOIAC‬‬ ‫ﺍﻟﻤﻔﻮﺗﺮ‬

‫ﺗﻔﺎﺻﻴﻞ ﺍﻟﺪﻓﻊ‬

‫ﺭﻳﻡ ﻫﻳﺛﻡ ﻣﺣﻣﺩ ﺷﻭﻣﺎﻥ‬ ‫ﺍﺳﻢ ﺍﻟﻤﺴﺘﻔﻴﺪ‬

‫‪396802550‬‬ ‫ﺭﻗﻢ ﻣﺮﺟﻊ ﺍﻟﺒﻨﻚ‬
‫‪5078362137‬‬ ‫ﺭﻗﻢ ﻣﺮﺟﻊ ﺳﺪﺍﺩ‬
‫‪15/02/2024‬‬ ‫ﺗﺎﺭﻳﺦ ﺍﻟﻌﻤﻠﻴﺔ‬
‫‪13:11‬‬ ‫ﻭﻗﺖ ﺍﻟﺴﺪﺍﺩ‬
‫‪31159737000104‬‬ ‫ﺍﻟﺤﺴﺎﺏ ﺍﻟﻤﺨﺼﻮﻡ ﻣﻨﻪ‬
‫‪SAR 200‬‬ ‫ﻣﺒﻠﻎ ﺍﻟﺨﺼﻢ‬

‫ﺍﻟﺒﻨﻚ ﺍﻷﻫﻠﻲ ﺍﻟﺴﻌﻮﺩﻱ‬

‫ﺷﺮﻛﺔ ﻣﺴﺎﻫﻤﺔ ﺳﻌﻮﺩﻳﺔ | ﺭﺃﺱ ﺍﻟﻤﺎﻝ ‪ 60,000,000,000‬ﺭﻳﺎﻝ ﺳﻌﻮﺩﻱ ﻣﺪﻓﻮﻉ ﺑﺎﻟﮑﺎﻣﻞ‬

‫ﺍﻟﺮﻗﻢ ﺍﻟﻀﺮﻳﺒﻲ ‪ | 300002471110003‬ﺱ ‪ .‬ﺕ ‪4030001588‬‬

‫ﺧﺎﺿﻌﺔ ﻹﺷﺮﺍﻑ ﻭﺭﻗﺎﺑﺔ ﺍﻟﺒﻨﻚ ﺍﻟﻤﺮﻛﺰﻱ ﺍﻟﺴﻌﻮﺩﻱ | ﻣﺮﺧﺺ ﻟﻬﺎ ﺑﻤﻮﺟﺐ ﺍﻷﻣﺮ ﺍﻟﺴﺎﻣﻲ ﺭﻗﻢ ‪ 3737‬ﻭ ﺗﺎﺭﻳﺦ ‪ 1373/4/20‬ﻫـ ﺍﻟﻤﻮﺍﻓﻖ ‪ 1953/12/26‬ﻡ ﻭﺧﻄﺎﺏ ﺍﻟﺒﻨﻚ ﺍﻟﻤﺮﻛﺰﻱ ﺍﻟﺴﻌﻮﺩﻱ‬
‫ﺭﻗﻢ )‪1373 (1‬‬

‫ﺍﻟﻤﺒﻨﻰ ﺍﻟﺮﺋﻴﺴﻲ ﺑﺮﺝ ﺍﻟﺒﻨﻚ ﺍﻷﻫﻠﻲ ﺍﻟﺴﻌﻮﺩﻱ ﻣﺮﻛﺰ ﺍﻟﻤﻠﻚ ﻋﺒﺪﺍﻟﻠﻪ ﺍﻟﻤﺎﻟﻲ ﻃﺮﻳﻖ ﺍﻟﻤﻠﻚ ﻓﻬﺪ | ‪ – 3208‬ﺣﻲ ﺍﻟﻌﻘﻴﻖ | ﺭﻗﻢ ﺍﻟﻮﺣﺪﺓ ‪ | 778‬ﺍﻟﺮﻳﺎﺽ ‪6676-13519‬‬
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