slip-bank
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APLIKASI PEMBUKAAN CIF (individu)
Nomor CIF : 00-
Nama Sesuai Identitas :............................................................................................................
Tempat Lahir :............................................................................................................
Tanggal Lahir :............................................................................................................
Jenis Kelamin :...........................................................................................................
Status Pernikahan :............................................................................................................
Nama Gadis Ibu Kandung :...........................................................................................................
Jenis Identitas : 01-KTP
Nomor Identitas : ...........................................................................................................
Alamat sesuai Identitas :............................................................................................................
RT/RW :............................................................................................................
Des/ Kel :............................................................................................................
Kecamatan :............................................................................................................
Kab/ kota : ...........................................................................................................
Kode pos :............................................................................................................
Propinsi :............................................................................................................
Jenis Pekerjaan :............................................................................................................
Sumber dana :............................................................................................................
Tujuan Penggunaan Rekening :............................................................................................................
Penghasilan Per bulan :............................................................................................................
Nilai transaksi nominal :............................................................................................................
Kewarganegaraan : Indonesia
Penduduk/ Non penduduk : Penduduk
Telephone :............................................................................................................
Telepon Selular :.............................................................................................................
Email :.............................................................................................................
Petugas Bank Bengkulu, Februari 2015
SLIP PENYETORAN
DEPOSIT SLIP
Bengkulu , Desember 2014
Tabungan BMI Giro Lainnya....................................
Penerima/ BeneficiaryNo Rek./ Acc. No : ............................................Nama/ Name : ............................................Kanca/ KCP : ...........................................Mata Uang / Currency
Rupiah Valas / Forex
Tunai/ Cek/ BG Jumlah / Amount
Sub Total
Kurs/ rate***
Penyetor/ Depositor : ............................................Nama/Name : ...........................................Alamat/ Addres : .................................................................................................Telp.......................Sumberdana / Source of fund :...................................
Biaya / charge***
TotalTerbilang/ Amount in words : ........................................................................................
Ket/ Remark..................................................... Disahkan / app. by
Teller Ttd penyetor
SLIP PENARIKAN
WITHDRAWAL SLIP
Bengkulu , Desember 2014
Tabungan BMI Giro Lainnya....................................
No Rek./ Acc. No : ............................................Nama/ Name : ............................................Kanca/ KCP : ...........................................Alamat/ Addres : .................................................................................................Telp.......................
Matauang/Currency Jumlah / Amount Rupiah
Valas/ Forex
Sub Total
Kurs/ rate***
Penarikan/ Withdrawal : Tunai Pemindah bukuan No Rek./ Acc. No : ....................................... Nama/ Name : ....................................... Kanca/ KCP : .......................................
Biaya / charge***
TotalTerbilang/ Amount in words : ........................................................................................
Ket/ Remark..................................................... Disahkan / app. by
Teller Ttd penarikan
Cabang BANK AMANNAH SYARIAH
No Rekening : 00-
Nama : Tanggal :
Alamat :
Tanda Pengenal : KTP/ SIM
Tanggal Sandi Debit Kredit PC Saldo KET
Sandi Transaksi:
0. OB Bunga Deposito 7. Koreksi1. Penyetoran 8. Saldo Pindahan2. Pengambilan di Teller P. Pajak3. Pengambilan di ATM4. Pemindahbukuan5. Setoran/ Tolakan Kliring6. Bunga