PAYMENT SUMMARY FORM Standard
PAYMENT SUMMARY FORM Standard
NAME IN FULL NATIONAL BANK BRANCH ACCOUNT NUMBER MOBILE AMOUNT SIGNATURE
I.D. NUMBER TELEPHONE PAYABLE
NUMBER Sh.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Verified by: Chief Invigilator Name: ____________________________________ Signature: ________________ Date: _________________________
NB: (1) The name should be written as captured in the National I.D. Card and should match the individual’s Bank Account name.