Authorisation Letter

ANZ Bank (Vietnam) Limited

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AUTHORISATION LETTER

I/ We the undersigned, ………………………………………………………………, do hereby declare that we authorize Mr/

Mrs………………………………………………ID/ PP number ………………………………, issued on…………………… to act on our behalf

and in our name to do the following:

Pick up my Platinum Credit Card & Pin

(Please cross to delete the option which is not to be authorized)

This authorization will be effective from …………………………to……. …………………/or until further notice.

I/ We guarantee that I/ we will be responsible for this authorisation.

Account name:

Account number:

Dated this………………day of…………………….year

Signature of Director/ Account holder

Stamp

BANK USE ONLY

Received by

Checked by

Dated

_______________

_________________

__________________

ANZ Bank (Vietnam) Limited

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Parent category: Letters