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APPLICATION FORM FOR SAMPATH VISHWA …

APPLICATION form FOR SAMPATH VISHWA CORPORATE - SAMAJA Date Please use BLOCK LETTERS. 1. Details of the institution Name : _____. Registration Number : ( If Any). Address : _____. Telephone : Fax : E mail ( For official confidential communication):_____. Account Number : 2. Delegates to operate the account ( Inquiry Only ). Name Designation NIC No. Signature 1. 2. 3. 4. 3. Declaration by the Authorized signatories We, _____designated as_____ who have been duly authorized by resolution dated _____ as authorized signatories of the _____declare that the above information and instructions are true, correct and in accordance with the decision taken by the committee as per the attached minutes dated _____ and undertake to abide by terms, conditions and indemnity of SAMPATH VISHWA Corporate online banking facility.

via the e-mail address mentioned in this application. 1.6. shall accept full responsibility for all transactions processed or effected by the use of Sampath Vishwa Corporate howsoever effected and undertake and confirm that we shall not act in violation of any statutory or regulatory or other provisions prevailing in the said

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