05 Account Opening Confirmation (Payment Request)

We have opened a Blocked Account for

First Name : _________________________
Ismail

Surname : _________________________
KOUSKOUS

User ID : _________________________
407237

Date of birth : _________________________

13/07/2003

Passport Number : _________________________

RC6184686

Dear _________________________________,
Ismail KOUSKOUS

Thank you for setting up your Blocked Account with Expatrio in partnership with MANGOPAY (the
“Blocked Account”). The Blocked Account is officially approved by the German Federal Foreign
Office, the Missions Abroad and the Immigration Authorities for visa applicants.

This Account Opening Confirmation sets forth the General Terms and Conditions (“GTC”), the
Special Terms and Conditions Blocked Account (“STCBA”) for the Blocked Account and the Pre-
Contractual Information.

Please transfer the amount of €__________

11417.00 to the Blocked Account with the following
recipient details (not all details might be relevant for an international transfer depending on
your local bank’s rules):

RECIPIENT DETAILS

Recipient First Name : ______________________________

Ismail
Recipient Last Name : _______________________________
KOUSKOUS
Recipient Address : _______________________________
3 Fürstenallee
Recipient Zip Code : _______________________________
33102
Recipient City : _______________________________
Paderborn
Recipient Country : _______________________________
Germany

Bank Name : ______________________________

MANGOPAY SA
Bank Address : _______________________________
2 Av. Amelie
Bank Zip Code : _______________________________
L-1125
Bank City : _______________________________
Luxembourg
Bank Country : _______________________________
Luxembourg
Bank Account/ IBAN Number : _______________________________
LU29805HDYUA47DSV8MI
Bank BIC/ SWIFT Code : _______________________________
MAGYLUL1XXX
Reference Text : _______________________________
3517833301

PLEASE NOTE: International money transfer usually takes 3-5 business days (Monday-
Friday), in some rare cases even longer. We will automatically inform you once we have received
your funds. Should you have not heard from us within 5 business days after you have transferred
the funds, please contact us via service@expatrio.com.

Expatrio Global Services GmbH – Friedrichstraße 194 – 10117 Berlin 1/2

The Total Blocked Amount you need to transfer to the Blocked Account was calculated as follows:

• €_______
11208.00 Blocked Amount (___
12 months Blocking Period * €______
934.00 Monthly Blocked Amount)
• €_______
0.00 Additional Basic Sum
• €_______ Set-up Fee
49.00
• €_______
60.00 Total Service Fee (___
12 months Blocking Period * €______
5.00 Monthly Service Fee)
• €_______ Buffer
100.00
• €_______
11417.00 Total Blocked Amount

Of this Total Blocked Amount, you have indicated that you would like to transfer the following
amount with this transaction: €_______
11417.00

NEXT STEP
Once we have received the Total Blocked Amount, you will be able to download the document ‘06
Blocked Amount Confirmation’ from your Expatrio User Portal which you can use to apply for
your German visa.

If you have any questions, please do not hesitate to contact us.

Berlin, _______________
28.02.2024

Expatrio Global Services GmbH – Friedrichstraße 194 – 10117 Berlin 2/2