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See Chapter 5 Para 10 APP.5 10
FORM-C
DECLARATION FOR REMITTANCE RECEIVED FROM FOREIGN
coUNTRY OF AMOUNT EXCEEDING TO USD 10,000/- OR EQUIVALENT
VWedoherebyceclarethat /Wehavereceivedremitlanceof USD 2156. 60 Three
(Amount and Currency in figures and in words)
Thovsond ne Hundrud fif14 usb] remitted or
To be remitted bySMC Bemgkok onaccount of_Midta 1 ndustryes (Thiland)
(Name and address of remitting bank)
Co, 1td. Thailerd for the purpose of Equity Purchase Money.
(Name and address of remitter) (Purpose of remittance)
MOHAMAD RIZWAN BIN SHAHABUDDIN
(Name of Applicant)
Nationality.
0/11/202 2
Malaysian
Level-11. Sanmar Tower-2. Plot # 38 A. Road-35. Gulshan-2.
Date. Address Gulshan Modcl Town. Gulshan Dhaka-1212 **
Signaure and Starmp of the applicant
FormC:Inward Remittance exceeding USD10,000/-(Ten Thousand) or equivalent.
Month Country of ordering Purpose Amount in (State Cumency)
Customers
Coded by
Checked b
Purpose of remittance. Equity Purchase Money.
We hereby certity that we are satisfied as to the identity of the applicant and that we have seen doeumentary
evidence which satisfies us as to the bonafides of the declaration made on this fonm.
30/11/ 022 Date Signature and Stamp of the Receives
Authorized Dealer
Contd. P/2
Mahfuz Sharif
First
Asiatant
Vice
President
&Relationship Manager
Prime Bank Limited
Banani Branch, Dhaka.
See Chapter 5 Para10 APP.5 10
FORM-C
DECLARATION FOR REMITTANCE RECEIVED FROM FOREIGN
COUNTRY OF AMOUNT EXCEEDING TO USD 10,000/- OR EQUIVALENT
We do herebydeclare that IWehavereceivedremittance of USD 238432.bo To Lat
(Amount and Curency in figures and in words)
Nine4y Eighd Thouxand fovrt Hlundted Ninet Thrrs VEb remited or
To be remitted by MBC; Sinjap on account of Miva Soutk East Acia Holdias
(Name and address of remitting bank)
Pte. L4d. , irgte for the purpose of Equity Purchase Money.
(Name and address of remitter) (Purpose of remittance)
MOHAMAD RIZWAN BIN SHAHABUDDIN
(Name of Applicant)
Nationality.
Date 0/ 31/2022
Malaysian
Level-11. Sanmar Tower-2. Plot # 38 A. Road-35. Gulshan-2.
Address Gulshan Model Town. Gulshan Dhaka-1212 .
Signature and Stamp of the applicant
FommC: Inward Remittance exceeding USD 10,000/- (Ten Thousand) or equivalent.
Month Country of ordering Purpose
Customers
Amount in (State Currency)
L
Coded by
Checked by
Purpose of remittance Equitv Purchase Money.
We hereby certify that we are satisfied as to the identity of the applicant and that we have seen documentary evidence which satisfies us as to the bonafides of the declaration made on this form.
Date 0//2022 Signature and Stamp of the
Authorized Dealer
feee u
Contd. P/2
Mahfuz Sharif
First
Asistant
Vice
President
&Relationship Manager
Prime Bank Limiled Banani Branch, Dhaka.