Cheque Requisition Slip

PF-06 The Head of Branch/Manager Banani ..........Branch Sub: Requistion for Issuing Cheque Book against my/our CD/SB/STD Account No. Yours faithfully Date : ................................. Signature of A/C holder Signature of A/C holder(s) To be filled up by the Bank authority Cheque Book Issue Register Entry No. Folio No. Date Signature verified by Authorised Signature Acknowledged receipt P.A. No. (if any).......... Account Title : NAXIS BANGLADESH CO. LTD. Dear Sir : With reference to my/our above account maintained with your Branch, I/we request you to please issue me/us a Cheque Book containing.... 100 ....leaves. Above account number and address of the account holder(s) have been tallied. Cheque book containing.............leaves bearing number...........................to................................. be issued and entered against the account in the Computer. Received the above SB/CD Cheque Book contained.............leaves, counted and found in order Marking of Computer Posting Date Address : Lot No. A10, Bangladesh Special Economic Zone, Sonpara, Panchrukhi Via Rupganj Araihazar, Narayanganj. Phone No: ' ................ ........................ ................... 100 ✓ Chongying Liang +86 136-3757-6669