Successful Submission

This withdrawal application form has been submitted successfully.

Submission Date 06/04/2020 4:06:47 AM

Status SUBMITTED

Reference No. LESTARIKWSP010001029594

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Personal Details
Name AZANI BIN OMAR

ID No. 730916035313

Correspondence Address
Address KG BETA HULU

Postcode 16450

City KETEREH

State KELANTAN DARUL NAIM

Country MALAYSIA

Contact Information
Mobile Phone 01111004870

Email azam_patek@yahoo.com.my

Withdrawal Information
Withdrawal Type i-Lestari

Balance in Account 2 (RM) 1,231.21

Estimated Eligible Amount (RM) 500.00

Applied Amount (RM) 400.00

Bank Account Details

Bank Name BANK ISLAM (M) BHD

Savings / Current Account No. 12029020341914