E

BE FORWARD CUSTOMER
DEPOSIT FORM

L
Date
Branch
Account Name BE FORWARD HND

P
Account Number 0075833854031

Cash Deposit In-House Cheque Deposit

Notes Amount Name of Drawer
K100
K50

M
K20
K10
K5
K2
Coins

A
K1
50n
10n
5n

S
Notes Total | K

Teller’s Stamp & Signature

Amount in words*

Required information
Invoice No.* / Quote No.*
Reference Number* (BF/PA)
Depositor’s Name

Value Date
Depositor’s Signature

Depositor’s Phone Number

Depositor’s Reference Details

Fields marked with * are mandatory