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PrimePay User link with Account (Client User)
Name of the concern Customer ID Current Account OD (General)
MICRONET BGD CO., LTD. 2360036 2118114 031946 NIL
User Information
Operator Information
1. Full User Name
Signature
Date of Birth
Mobile Number
Email Address (Domain)
2. Full User Name
Signature
Date of Birth
Mobile Number
Email Address (Domain)
Checker Information
1. Full User Name MR. NAOYA KASAMATU
Signature
Date of Birth 16 February 1970
Mobile Number +81 720694568
Email Address (Domain) kasa@micronetclub.co.jp
2. Full User Name
Signature
Date of Birth
Mobile Number
Email Address (Domain)
Authorizer Information
signatures of the authorizers will be printed on the cheques in case of cheques printed through Prime Cheque Management Solution )
1. Full User Name MR. KOZO MURAKAMI
Signature
Date of Birth 30 JUL 1948
Mobile Number +81 704830024
Email Address (Domain) micronet.bgd2023 @gmail.com
OTP Email SMS
2. Full User Name
Signature
Date of Birth
Mobile Number
Email Address (Domain)
OTP Email SMS
Please find the signature(s) of our Authorized Signatory (as per ‘Authorizer Information’ of this form and our board Resolution on Operational Mandate for banking
accounts) & would request you to convert the said specimen signature into a Mechanical Signature or delete the said in PrimePay. Operational mandate of the
authorized signatory shall be given separately. I/We hereby undertake that we shall intimate you through this form whenever any change of signatory (for any of the
above role) is required into PrimePay. I/We further confirm that above users have the authority to perform roles and functions designated in the setup form.
Authorized Signatory of Client Authorized Signatory of PBL
Authorized Signatory(s) Authorized Signatory(s) Authorized Signatory(s) Authorized Signatory(s)
Version: 1.0 | ANNEXURE H – PrimePay user link with Account (Client User) | Transaction Banking
MR. NAOYA KASAMATU
16 February 1970
+81 720694568
kasa@micronetclub.co.jp