Dukascopy Form

In accordance with Article 27 of the Agreement on the Swiss banks' code of conduct...

Account Holder/Client:

MANIK

Account Number:

120905690293

Account Type:

Corporate

Last Name(s), First Name(s) / Swiss Name:

MANIK SAHA

swissCode:

9747665114678410

Date of Birth / Date of Incorporation:

10/03/1978

Actual Residence Address / Registered Office Address:

NalitaBari Sherpur

Country of Residence / Incorporation:

Bangladesh

Citizenship:

Bangladeshi

TIN Number:

Waiting

NID Number:

956 210 4217

Passport Number:

Waitingg

Email:

sahamdmanik73@gmail.com