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Fixed Deposit Application Form
All information is compulsory unless otherwise stated.
Personal
Amendment
Name
*
U
Daw
NRC No
*
N
E
P
T
Y
S
Mobile Phone
*
Email Address
*
Village/Town Name, Apartment No, Building, Street
*
State/Region
*
Township
*
Account Name
*
Account No
*
Term of deposit
*
(1) Month
(3) Months
(6) Months
(9) Months
(1) Year
Automatic Rollover
*
Yes
No
Deposit Amount
*
Deposit Date
*
Contract Maturity Date
*
