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    NEW REFUND FORM -1 (2) (1)

    Uploaded by

    engelberthumperdinck12

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    NEW REFUND FORM -1 (2) (1)

    Uploaded by

    engelberthumperdinck12
    0 views2 pages

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    0 views2 pages

    NEW REFUND FORM -1 (2) (1)

    Uploaded by

    engelberthumperdinck12

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    5.

    Photocopy of Means of Identification should also be provided upon submission of filled form
    6. All enquiries should be directed to ADRON HOMES & PROPERTIES LIMITED offices across the state. Terms & Conditions apply

    REFUND FORM
    DATE:
    SURNAME OF CLIENT DR./MR./MRS./CHIEF

    OTHER NAMES

    SEX MARITAL STATUS

    DATE OF BIRTH NATIONALITY

    RESIDENTIAL ADDRESS (P.O.BOX)


    TEL NO EMAIL ADDRESS

    MODE OF IDENTIFICATION:
    DRIVER’S LICENSE: /NO:......................NATIONAL ID CARD: .............................

    INT’L PASSPORT: /NO:. ................... VOTER’S CARD: .............................

    CAC CERTIFICATE: /NO:......................

    NEXT OF KIN:

    ADDRESS OF NEXT OF KIN:

    ESTATE NAME:

    NO OF PLOTS PLOT SIZE

    NAME TO BE WRITTEN ON THE CHEQUE:

    Note: The preferred name to be written on the cheque must be accompanied


    with authority letter, if the name is different from the name presented at the point
    of purchase.

    CLIENT SIGNATURE:

    NAME OF MARKETER:

    MARKETER’S ID: MARKETER’S PHONE NUMBER


    FOR OFFICIAL USE:
    TO BE COMPLETED BY THE ACCOUNTANT:
    TOTAL PAYMENT TILL DATE:
    LESS NON-REFUNDABLE: N:
    NET PAYMENT: N:
    LESS ADMIN EXPENSES:
    AMOUNT RECEIVABLE BY CLIENT: N:

    Branch Internal Control Confirmation of Computation and comment;

    Group Head Internal Control Comment and Approval:

    Sign:

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