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Staff Bank Account Information Form: Special Instructions, If Any

The document contains an employee's bank account information form with their name, badge number, bank details, account number, address and signature. The employee authorizes their employer, Petrofac Facilities Management International Limited, to transfer wages and benefits to the provided bank account according to the jurisdiction of their employment.

Uploaded by

Larbi Hammoun
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© © All Rights Reserved
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Download as DOCX, PDF, TXT or read online on Scribd
43 views

Staff Bank Account Information Form: Special Instructions, If Any

The document contains an employee's bank account information form with their name, badge number, bank details, account number, address and signature. The employee authorizes their employer, Petrofac Facilities Management International Limited, to transfer wages and benefits to the provided bank account according to the jurisdiction of their employment.

Uploaded by

Larbi Hammoun
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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STAFF BANK ACCOUNT INFORMATION FORM

Employee Name HAMMOUN LARBI


Badge No.

Account Information Bank Name BANQUE NATIONAL D'ALGERIE


Account Name/Beneficiary Name HAMMOUN LARBI
Branch 439 - Agence HADJOUT
Rue des Frères Guendouz, Hadjout, Tipaza
- Algerie
Address

Account No. 439020101316762


Swift Code if any BNALDZAL
Sort Code if any /
IBAN No. 00100439020101316762
Account Currency Euro

Special Instructions, if any:

I,theundersigned,doherebyauthorizeandconsenttoPetrofacFacilitiesManagementInternationalLimitedto
transfer,inmyownbehalf,tothebanknameandbankaccountnumberhereinstatedonthisformallandany
wages,salariesandallotherbenefitsduetomeasaresultofmyemploymentwithPetrofacInternationalLtd.
underthelawsofthejurisdiction(s)whereIamemployed

Place: Algiers

Date :22/11/2018 Signature : Larbi Hammoun

Note:
Inordertoavoiddelayinremittingfunds,pleasemakesurethattheinformationfurnishedaboveiscorrectandcomplete.

Applicable Regions: MENA/CIS


Rev 01 Document No: BMS-AF-I-1306 © PFMI Ltd 2014
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