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Atasay Döviz ve Kıymetli Madenler A.Ş.

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Atasay Döviz ve Kıymetli Madenler A.Ş. - Turkey
Please return this form duly completed and signed
FAX: +90 212 653 9989
All information is mandatory. Please use only CAPITAL LETTERS
GENERAL DATA
Company/Name
VAT Reg. #
Street and #
Postal code and city
Country
Telephone #
Fax #
Contact person
E-mail address
BANK DATA
Account Holder
Beneficial Owner of the account
Account Number
Bank name
Bank Street and #
Bank Postal code and city
Bank country
BIC/SWIFT
CLEARING/ABA
IBAN
I confirm that I have given the correct information for my company’s details to be registered in the
Atasay Döviz ve Kıymetli Madenler A.Ş.’s master data file.
Name
Position
Signature
Date
General and Bank Data
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