Vendor Bank Information Request v2.4
Vendor Bank Information Request v2.4
BHD. (235586-U)
(A member of NORMA Group)
4 & 6 Persiaran Perusahaan Kledang (U) 1/3,
Taman Perindustrian Chandran Raya,
31450 Menglembu, Ipoh, Perak,
Malaysia
Phone: +605 240 8488 Fax: +605 282 4588
Company Name*
Company
Correspondence
Address*
Contact Person* Phone/HP*
Email Address*
Office Telephone* Fax Number*
Bank Information
Bank Name
Bank Address
Bank Account
☐Swift Code
No.
☐IBAN
Beneficiary
☐Fedwire No. Currency
I confirmed that the above information is true, correct and complete.
Company Stamp & Signature
Name
Title
Date
NOTE: Please return the form as soon as possible, Tel no.: +6052822288 Fax no.: +6052824588
Email: finance.my@normagroup.com
For Finance Use
1. EDITED BY: 2. APPROVED BY: Vendor Code:
(Signature Box)
☐New ☐Existing
(Signature Box)