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Kelvin 2

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Kelvin 2

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Registered under the Financial Services Act 2010

Customer’s Name & Address

_____________________________________

_____________________________________

Cell : _____________________________

Date : _____________________________

VISA CARD ACTIVATION/EXTENSION FOR FOREIGN TRANSACTIONS

Account Name : __________________________________________________________

Account Number : __________________________________________________________

Card Number : * * * * * *

Destination / Country : _________________________________________________________

Purpose : _________________________________________________________

Amount : _________________________________________________________

Duration : From To __

Signature : _________________________________________________________

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