ATTESTATION BANCAIRE ce.org
Numéro de sécurité sociale : ……………………………………….
Numéro de retraite : ……………………………………………….
ATTESTATION BANCAIRE
BANK ACCOUNT INFORMATION
|This is to certify that : |Je soussigné certifie que : |
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|Mr/Mrs |M./Mme |
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|Date of Birth: |Date de Naissance : |
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|Residing: |Domicilié : |
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|Has an account with us: |A un compte chez nous : |
|Bank Name: |Nom de la Banque : |
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|Bank Address : |Adresse de la Banque : |
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|His (or her) account number is: |Son Numéro de compte est : |
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|Code Number of the Bank: |Code de la Banque : |
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|Routing Code: |Code Guichet : |
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|Signature AND OFFICIAL STAMP: |Signature ET CACHET OFFICIEL : |
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|Signature of the account holder: |Signature du titulaire du compte : |
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