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UOB Interbank Giro Form

United Overseas Bank Limited Company Reg. No. 193500026 ZTo: The ManagerName Of Approving OfficerAuthorised SignatureDate (DD/MM/YYYY)This application is hereby REJECTED (please tick) for the following reason(s): Signature/Thumbprint# differs from bank s/finance co s records Signature/Thumbprint# incomplete/unclear# Account operated by signature/thumbprint#Wrong account numberAmendments not countersigned by customerOthers:Attn: (Name & Address Of Billing Organisation)PART 3: FOR BANK/FINANCE COMPANY S COMPLETIONINTERBANK GIRO APPLICATION FORMP lease FILL IN PART 1 of this form, PRINT it out, SIGN and RETURN to the Billing Organisation.

INTERBANK GIRO APPLICATION FORM Please FILL IN PART 1 of this form, PRINT it out, SIGN and RETURN to the Billing Organisation. * To: Name Of Bank/Finance Company: #Please delete where inapplicable PART 1: FOR APPLICANT’S COMPLETION (FILL IN THE SPACES INDICATED WITH A *)

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