Fast Cheque Qatar 2 DEPOSIT

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FastCHEQUE Instruction Form

Name: MOHANRAJ DHANAGOPAL


Debit instructions

COMMERCIAL BANK QATAR Bank: ____________________________________


Currency: QATARI RIYAL

Cheque Number: _____________________ Amount:

Credit instructions (Please tick as applicable) Credit my NRI account no. Shanghai Banking Corporation Limited, India (HSBC India) Open a Fixed Deposit with HSBC India under my Customer ID no. period of Interest Type Deposit Type Currency (only for FCNR Deposits) years days/months: Ordinary NRE USD Cumulative NRO GBP FCNR EUR JPY CAD AUD for a with The Hongkong and

Daytime Telephone Number.: Current Mailing Address:

66754122
STRATEGIC PLANNING, HAMAD MEDICAL CORPORATION
PO 3050

DOHA, QATAR
Current Email Address:

MOHAN72@GMAIL.COM

Please send this form to: NRI Relationship Manager HSBC Bank Middle East Limited P Box 57 .O. Abdulla Bin Jassim Street Doha Qatar

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