COMMERICAL BANK OF ETHIOPIA

CASH PAYMENT RECEIPT FOR NEKEMTE BRANCH DATE:

FOREIGN REMITTANCE

Please effect the following payment by MAIL TRANSFER TELEGRAPHIC TRANSFER

DRAFT

As per Exchange Control Permit No:

By order of : Full name and address in Ethiopia CASHIER STAMP

PULIGILLA PRASHANTH KUMAR DEBIT FROM:
WOLLEGA UNIVERSITY
NEKEMTE ,ETHIOPIA
1000184099083

Payment to be made to: For the sum of Birr

PULIGILLA PRASHANTH KUMAR ( foreign Currency) Rs:
(Name and Address of foreign country For bank use only equivalent as per
A/C NO: 30595834332 exchange-----------------------------
Service charge-----------------------
IFSC: SBIN0011079
Cast of cable-------------------------
STATE BANK OF INDIA, Postage--------------------------------
NAGOLE BRANCH, ALKAPURI, Corresp.charges---------------------
HYDERABAD, Revenue stamp----------------------
TELANGANA, Total-----------------------------------
INDIA-500035. Calculation made by-----------------

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Signature of Client
Message---------------------

Advice to client
To ensure immediate attention and to
avoid unnecessary delay in correspondence,
clients are kindley requested to type or to write in
clear block letter full address of the
beneficiary abroad and their own address in
Ethiopia
SALARY REMITANCE

1. FULL NAME OF APPLICANT: SAVING ACCOUNT NO: 1000184099083

2. ADDRESS: WOLLEGA UNIVERSITY TEL: 0937215515

3. CITIZEN SHIP: INDIAN PASSPORTNO: H1551547

4. ID NO: WU-P1-17/P16 WORK PERMIT NO: TIO262820

5. ISSUE DATE OF WORK PERMIT: 12 JUL 2017 EXPIRY DATE: 31 JUL 2018

6. MONTHLY INCOME: 2075 USD

7. AMMOUNT & TYPE OF ROREIGN CURRENCY REMITED: Rs:

8. THE UNDER HERE BY CERTIFY THE ABOVE STATEMENTS ARE

TRUE AND CORRECT

APPLICANT SIGNATURE:
DATE:

FOREIGN EXCHANGE APPROVED

CASH NOTE : ----------------------

EQUIVALENT--------------------

DRAFTNO : ----------------------

DIRECT TRANSFER: ----------------------

AUTHERIZED SIGNATURE: ---------------

DATE: ----------------------------