Professional Documents
Culture Documents
Slobodni smo zamoliti Vas da zahtjev popunite itko, tiskanim slovima, koristei kemijsku olovku ili tintu./
Fill the application form legibly, using a ball-point pen or ink pen, in capital letters.
OIB
broj osobne
iskaznice i
mjesto
izdavanja/ ID
card number and
place of
issuance
Mjesto i
potanski broj/
City and postal
code
Telefon na
poslu/ Work Tel.
No.
Nain dostave izvatka (samo na pismeni zahtjev Klijenta): (zaokruiti broj)/ Statement delivery method (upon the written request of the
Cutomer only): (circle the number)
1
Potom/ by mail
a)
Telefaksom/ by fax
Punomo/ Authorization
Za raspolaganje sredstvima na deviznom tednom ulogu, otvorenom temeljem ovog zahtjeva, opunomoujem:/ I, hereby, give authority to
manage funds on the foreign currency account to the following person:
Ime i prezime/ First Name and
Last Name
OIB
Telefon/ Phone
Mobilni
telefon/ Mobile
broj osobne
iskaznice i
mjesto
izdavanja/ ID
card number and
place of
issuance
Mjesto i
potanski broj/
City and postal
code
Telefon na
poslu/ Phone at
work
E-mail adresa/
E mail
address
Opunomoenik IMA NEMA pravo zatvoriti devizni tedni ulog./ Authorized person HAS GOT/ HASN'T GOT the right to close the foreign
currency savings deposit account.
Telefaks/ Fax
Pod materijalnom i krivinom odgovornou potvrujem da su podaci koje sam popunio(la) u ovom zahtjevu ispravni i istiniti. Pozitivnim rjeenjem ovog
zahtjeva potvrujem da prihvaam ope uvjete poslovanja i akte Banke koji reguliraju ovu problematiku.
Izriito izjavljujem da sam KentBank d d. dobrovoljno stavio(la) na raspolaganje podatak o svom osobnom identifikacijskom broju, te dajem suglasnost Banci
da se istim koristi u cilju identifikacije, zatite baninih i mojih osobnih interesa u poslovanju.. Under penalty of perjury I hereby certify that the
information I have filled in this application are true and correct. I confirm that I accept the general terms and regulations of the Bank relating to this
issue.
I explicitly declare that I voluntarily made available information on my personal identity number to KentBank d. d. and I, hereby, give my consent
that the same is used for the purpose of identifying, protecting the bank's and my personal interest in the business operations.
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