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Standard Bank of South Africa

The Standard Bank of South Africa Limited Registered Bank Reg. No. 1962/000738/06

CFC PAYMENTS FINAL AUDIT REPORT

User ID: QTG03 User Name: JEMBI HEALTH SYSTEMS
Operator ID: KFX55
Date Last Changed: 20240312 Time Last Changed: 08:03:26
Beneficiary Code: JEAN PIERRE
Deal No: 189541 Beneficiary Name: JEAN PIERRE ANGUISSA ABESSOLO
Beneficiary Gender: M BeneficiaryPassportNumber: 0502557
Beneficiary Country: CM
ISN No: 0 Beneficiary Account: /CM21100330521414002000876967
Value Date: 20240313 Beneficiary Address : DOUALA, DOUALA, DOUALA DOUALA, 0000
Status: Final Audit To Be Downloaded
Transaction Reference: OT24072ZA0051329 Beneficiary Charges: OUR
Statement` Reference: JEAN PIERRE SOLAR PANELS Destination Swift Address: SCBLUS33
Branch No: 5726
Debit Account: 90524497
FinanceCurrency: USD BeneficiaryBankers Account:
Finance Amount: 3543.27 Bankers Name: UBA CAMEROON SA
PaymentCurrency: USD
Payment Amount: 3543.27 Bankers Branch: DOUALA
Details of Payment: JEAN PIERRE SOLAR PANELS BankersAddress: DOUALA CAMEROON
Spot Cover No: Settlement Bank: 0
FEC:
Exchange Rate Info:
Conversion rate: 1
Compliance Type: BOP Other Info:
Excon Reference Number: BOP Loan Reference:
Excon Application Date: BOP Loan Currency:
Authorised Dealer Code: BOP Loan Amount: 0
Tax Number: 9154035183 VAT Number: 4480259243
Company Registration: 641165015 Tax Clearance Ref Number: 0700/2/2017/A001132870
Record No. BOP Code BOP Amount Subject Description Location Country Ath Dealer Code AD Int. Auth#/SARB Auth Appl # AD Int. Auth# Date SARB Auth Ref# Reason Information
1 220 3543.27 16 0016

BOP Reference Loan Currency Loan Reference Loan Tenor Loan Interest Rate
1

Import Details
BOP Reference Record No Sequence No Amount Transport Document No MRN Status

Third Party

DATE : 2024-03-13 14:54:33 Page : 1

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Standard Bank of South Africa
The Standard Bank of South Africa Limited Registered Bank Reg. No. 1962/000738/06

CFC PAYMENTS FINAL AUDIT REPORT

BOP Ref Number: 1
Third Party Type: Name: Surname:
Gender: Date of birth: Identity Number:
Temp Residency Permit No. Passport No: Passport Country:
Registration No: CCN Number: Tax Number:
VAT Number:
Contact Name: Contact Surname: Contact Email:
Contact Telephone: Contact Fax:
Physical Address: ,,,,,
PostalAddress: ,,,,,

** DISCLAIMER **

Make sure that you have entered the correct account number as we will pay to, or collect from, the account number you entered. Banks do not check that the specified account number and
account name match. Accordingly, Standard Bank cannot be held responsible for payments going to, or collections being taken from, an incorrect account number should incorrect or fraudulent
account details be entered. If you would like more information, speak to your Standard Bank representative about our account verification services.

** END OF FINAL AUDIT REPORT **

** Final Releasing Operator ID: **KFX55

DATE : 2024-03-13 14:54:33 Page : 2