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CLIENTS RECORDS UPDATE

Dear Client: As part of our Clients service protocol, we undertake the regular update of Clients records to ensure that we have up to-date information on our clients. In pursuit of the above, the following questions have been designed to enable Clients update their records with us. Kindly provide the information requested below Thank you for your cooperation. Kind regards, Databank Retail Services 1. Personal Details: Full Account Name: .. Account Holders Date of Birth: (DD/MM/YYYY) .. Primary and Active Mobile Number: Is your Mobile Number ported? YES NO

If Yes, from which Mobile network ..to which Mobile Network ... Regular and Active email: . Postal Address: 2. Account Number(s) 3. Employment details: (Name of and address of Employer, Position) 4. Annual Income (Please circle as applicable) (a) Below GH 2,000.00 (b) GHC 2,000 4,999 (c) GHC 5,000 9,999 (d) Above GHC 10,000 5. Other sources of income: 6. Purpose of investment (Please tick as applicable) Growth Security Income Thank you for your time and investment with Databank .. Client signature

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