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AFRICAN DEVELOPMENT BANK LAISON FINANCIAL MANAGEMENT COMMON WEALTH SECRETARAIT BUILDING LONDON.UNITED KINGDOM DIRECT ACCESS TEL :44-7031-946590.FAX:-704-0110353.DIRECT E-mail ACCESS: Our Ref: NB/BBA/TT111/P Your Ref:………………….
Date:11:10:05
ACC OUN T STATUS REACTIV ATION FORM I a resident of ,this 12th Day of January 2005, hereby issues these information in collaboration with the Foreign Funds Transfer/Release Control Act, African Development Bank(UK LAISON MANAGEMENT) of London in relation to the standard regulatory Account Status Reactivation Mode on my funds valued at US$10,500,000.00 ( Ten Million, Five Hundred Thousand United States Dollars only) with Deposit Account Number NB/TT5665654/D55. 1. 2. 3. 4.
FULL NAMES: DIRECT TEL;FAX NUMBERS FORWARDING ADDRESS: BANK DETAILS:
5. 6.
SEND ATTACHED FIRST PAGE OF INTERNATIONAL PASSPORT/DRIVERS LICENSE MARITAL STATUS
………………………………………………. Signature/Date FOR OFFICIAL USE ONLY …………………………………………………………………………………………. ………………………………………………………………………………………….. Supervisory official’s Details and remarks……………………………………………. …………………………………………………………………………………………. …………………………………………………………………………………………. ………………………………. Accounts Coordinator
…………………………… Head Foreign Operations
Date:11:10:05
ACC OUN T STATUS REACTIV ATION FORM I a resident of ,this 12th Day of January 2005, hereby issues these information in collaboration with the Foreign Funds Transfer/Release Control Act, African Development Bank(UK LAISON MANAGEMENT) of London in relation to the standard regulatory Account Status Reactivation Mode on my funds valued at US$10,500,000.00 ( Ten Million, Five Hundred Thousand United States Dollars only) with Deposit Account Number NB/TT5665654/D55. 1. 2. 3. 4.
FULL NAMES: DIRECT TEL;FAX NUMBERS FORWARDING ADDRESS: BANK DETAILS:
5. 6.
SEND ATTACHED FIRST PAGE OF INTERNATIONAL PASSPORT/DRIVERS LICENSE MARITAL STATUS
………………………………………………. Signature/Date FOR OFFICIAL USE ONLY …………………………………………………………………………………………. ………………………………………………………………………………………….. Supervisory official’s Details and remarks……………………………………………. …………………………………………………………………………………………. …………………………………………………………………………………………. ………………………………. Accounts Coordinator
…………………………… Head Foreign Operations
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