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Certificate of Deposit

(1) Your full name: Supriyanto


(2) your contact's home address: rt / rw: 003/004-Ngebrak-
Mergowati
(3) your bank account number: 1550248260
(4) Your Bank Name: BCA <Bank Central Asia>
(5) Your Bank Address: Parakan Kauman, Parakan, Temanggung
Regency, Central Java 56254, Indonesia
(6) Account Name: Supriyanto
(7) Your bank's quick code number or regular number: SWIFT
code BCA: CENAIDJA & routing code 021000018
(8) Your Bank Phone Number and Fax: 0293-596604, 596667
(9) Your personal phone number and fax: 082138118477 & Fax:
0620293596013
(10) your occupation: INDONESIA
(11) Married: Married
(12) Attach a photocopy of your Passport or International
Driving License:
(13) Nationality: INDONESIA

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