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Head of Cards Operation Division

Dutch-Bangla Bank Limited
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Cards Operation Division (.1gth)
31518 Shahid Taiuddin Ahmed Sarani.Tejqaon
Dhaka - 1208.

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I do h*reby request for:

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Signaiurd
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For Bank Use

Signature verified :

IAvailable iimit :

Tlpayment status : [.lRegutar f-ltrregutar

f]Approvea ruc ransfer amount:.

Posted By Authorlz--d Slsnatrre