vanuatu agriculture development bank

VANUATU AGRICULTURE DEVELOPMENT BANK
REFRENSE BLONG PASTA
HAIL Form 4-
Mi,
___________________Pasta blong Jioj blong
[nem blong Jioj] _________________, mi talem aot se long save
blong mi, *Mr. /Mrs. /Ms. [nem blong man / woman we iaskem lon]
____________________
hemi
wan
memba
blong
kongregesen blong………………………………… [Nem blong kongregesen] mo
mi mekem stetmen blong mi long ples ya se [Nem blong man we I
askem lon] _______________isave:
[nem blong Pasta]
o *pembak wan lon
o *no save pem back wan lon
Pasta:
[nem blong Pasta]
________________
Signature blong Pasta: _______________Deit: ___________
* Please krossem hemia we ino stret
Telephone: 23140 Fax: 23141 Email: [email protected]