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Client Request Form Edited

This document is a client request form from the Land Bank of the Philippines. It allows clients to request bank statements, certificates, account snapshots, or make changes to their account details. The client fills out their account name and number, the type of request and relevant dates, and chooses a payment method of debiting an account or paying cash. Bank employees then verify and approve the request before releasing it to the client.

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Lbp MATI BRANCH
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2K views

Client Request Form Edited

This document is a client request form from the Land Bank of the Philippines. It allows clients to request bank statements, certificates, account snapshots, or make changes to their account details. The client fills out their account name and number, the type of request and relevant dates, and chooses a payment method of debiting an account or paying cash. Bank employees then verify and approve the request before releasing it to the client.

Uploaded by

Lbp MATI BRANCH
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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CLASS D

Land Bank of the Philippines


CLIENT REQUEST FORM
Date: _____________________
Account Name Account Number/s

Request for (Please Specify) Date/Period Covered Purpose

Bank Statement Bank Certificate Snapshot Others_______

Change of Account Details To______________________________________


Mode of Payment
Debit from Account ______________________________ Cash _____________
Authorized Representative Authorized Signatory Authorized Signatory

FOR BANK USE ONLY


Signature Verified by Checked/Approved by Released by Received by

__________________________
Signature Over Printed Name
Payment Validation

Original copy – LBP Duplicate copy – Client/Depositor

CLASS D
Land Bank of the Philippines
CLIENT REQUEST FORM
Date: _____________________
Account Name Account Number/s

Request for (Please Specify) Date/Period Covered Purpose

Bank Statement Bank Certificate Snapshot Others_______

Change of Account Details To______________________________________


Mode of Payment
Debit from Account ______________________________ Cash _____________
Authorized Representative Authorized Signatory Authorized Signatory

FOR BANK USE ONLY


Signature Verified by Checked/Approved by Released by Received by

__________________________
Signature Over Printed Name
Payment Validation

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