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SO GIAO O!CH
NGAN HANG TMCP NGOJ>.I THUONG VN GIAY NOP TIEN - DEPOSIT SLIP
V1etcombank OC: 31-33 Ngo Quyen, Hoan Kiem, Ha Ni;ii
Ma VAT: 0100112437001 Ngay (Date):

s6 TIEN (With
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Phi trong (Charge Included):
OE NGH! GHI CO TAI KHOAN (Please Credit account): amount): Phi ngoai (Charge Excluded):

s6 Bang so /In figures):

TK (AIC No.):
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I TEN TK /AIC name): Bang chii (In words):
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N O!A CHi (Address):

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<OJ
:.J NGAN HANG (With bank):

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_J NGUOI NOP,TIEN (Depositor): TRONG 00: Tien m t (Cash): ....................................... ............................................
In which:
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<OJ Ho va ten (Full name): ..................... ............. ........... .............. ...................... ..... ...................
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NOi DUNG NOP (Details): ............... ........... ...... .......... KY TEN (Signature):
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5_J DANH CHO NGAN HANG (For Bank's Use only) MA VAT:
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