reg eStatement by 8mJc7F

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									                                                                E- STATEMENT REGISTRATION FORM


I wish to register for e-statements:                  Yes          No

Statement frequency                                  Monthly              Weekly                Daily

Please send e-statement to my e-mail address: ________________________________________________________

For Account Numbers                                           1.
                                                              2.
                                                              3.

Currently I have a                                   Statement Account                     Passbook Account

If a passbook account: Please change my account to a statement account.


…………………………….
Customer signature
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Please handover this form to your nearest branch or post to “Call Centre”, Pan Asia Banking Corporation PLC, 450,
Galle Road, Colombo 3.

								
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