B A N C A T A .

E C H IP A T A

BRD DEPU NERE NUM ERAR/C ASH DEPO SIT

GROUPESOCIETE CENERALE D a ta / Date: 03.04 .2024
BRD-Grou pe Société Générale S.A.
Nr/No:2304031509240008
Ag. BERCENI BUCURESTI, Str. Ion Iriceanu 20
Incasati de la / Cashed from: Calitate/Relationship: CNP/PIN: Act de identitate/Identity Document:
GALBEAZA IONUT DANIEL Client / Client 1880922211196 SZ 306589
Numar cont / Account number: Client Titular/A ccountHolder; Suma/Amount:
RO86BRDE441SV52697054410 HATTRICK BET SRL
5.000,00 RON
Comision general 30,00 RON
Referinte Client/ Client references: Referinte tranzactie / Transaction references
garantie contract 941/IONUT DANIEL GAMES Depunere numerar la ghiseu
INCASAT/CASHED
100 RON - 50 x 100,00= 5.000,00
10 RON - 3X 10,00 = 30,00
TOT AL RO N 5.030,00
Confirm validitatea datelor de identificare/I confirm the validity o f
the identification data.
Subsemnatul, am luat cunostinta de documentul "Informare Privind
Prelucrarea Datelor cu Caracter Pe rson al",v ersiu n ea in vigoare la
data co m p letaii prezentului form ular. Docum entul este disponibil
g ra tu it, p e site-u l B a n ci i, w w w .brd .ro, p re c u m si la ce re re in o ric e
unitate BRD ./I acknowledged the information from the document
"Information Note on the Processing of Personal Data", version
currently in force. The document is available free of charge, on the
bank's website, www.br d.ro, as well as in any BRD un it
Semnătur Banc / Bank signature: SUICA Maril ena Administrator Semnätura Client / Client signature:GALBEAZA IONUT DANIEL
Operatiu ni Curente
Pentru detali privind grila de comisioane standard operatiuni curente PJ si PFA, va stam la dispozitie in orice unitate BRD s i pe sitc-ul www.brd.ro