BANK COPY NEDIAN ASSOCATION COPY CUSTOMER COPY

NED INT'L ALUMNI NETWORK ASSOCIATION NED INT'L ALUMNI NETWORK ASSOCIATION NED INT'L ALUMNI NETWORK ASSOCIATION

Bank Corporate Bank Corporate Bank Corporate

Collection ID 126 Collection ID 126 Collection ID 126
DATE DATE DATE
REGISTRATION # REGISTRATION # REGISTRATION #
FULL NAME FULL NAME FULL NAME
DISCIPLINE DISCIPLINE DISCIPLINE
BATCH BATCH BATCH
MEMBERSHIP # xxxxxxxxxxxxxxxxxxxxxxxxxx MEMBERSHIP # xxxxxxxxxxxxxxxxxxxxxxxxxx MEMBERSHIP # xxxxxxxxxxxxxxxxxxxxxxxxxx

Amount Amount Amount

Amount in Amount in Amount in

words words words

_____________________________________________ _____________________________________________ _____________________________________________

Paid on account of NED INTERNATIONAL ALUMNI NETWORK Paid on account of NED INTERNATIONAL ALUMNI NETWORK Paid on account of NED INTERNATIONAL ALUMNI NETWORK
ASSOCIATION ASSOCIATION ASSOCIATION
____ Event Participation Contribution ___ Event Participation Contribution ___ Event Participation Contribution
____ Sponsorship Contribution ___ Sponsorship Contribution ___ Sponsorship Contribution
____ Membership Contribution ___ Membership Contribution ___ Membership Contribution
Other: __________________________ Other: _________________________ Other: _________________________

Depositor Signature Depositor Signature Depositor Signature

Contact No. Contact No. Contact No.

Collecting Branch Collecting Branch Collecting Branch

Name Name Name

Branch Code Branch Stamp & Signature Branch Code Branch Stamp & Signature Branch Code Branch Stamp & Signature
Payable at any Habib Metro Bank Branch Payable at any Habib Metro Bank Branch Payable at any Habib Metro Bank Branch