No. BDS : Thn Bk/No/BDS/Satker Date:
This Slip of Deposit functions is a legal document functions as proof for placement of safe deposit at Bank Indonesia that should be returned to Bank Indonesia when collecting the Safe Deposit.
SAFE DEPOSIT USER (name and address of institution):
REFERENCE (filled in with number and date of application for Safe Deposit placement):
DEADLINE:
ADMINISTRATION TREASURY
(Full Name)
SLIP OF DEPOSIT
OFFICER'S SIGNATURE
(Full Name) SAFE DEPOSIT USER
DETAILS OF SAFE DEPOSIT AMOUNT OTHER INFORMATION
BANK INDONESIA
No. BPS : Thn Bk/No/BPS/Satker Date :
This Collection Slip is a legal document functionc as proof that the Safe Deposit User has collected the Safe Deposit after signing this Collection Slip.
SAFE DEPOSIT USER (name and address of institution)) :
REFERENCE ( filled in with number of Collection Slip and number/date of application letter) :
DATE OF PLACEMENT OF SAFE DEPOSIT :
ADMINISTRATI
ON TREASURY
(Full Name)
COLLECTION SLIP
DETAILS OF SAFE DEPOSIT
SAFE DEPOSIT USER BANK INDONESIA
(Full Name)
AMOUNT OTHER INFORMATION
OFFICER'S SIGNATURE
