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THE CHAIRMAN,
ACCOUNT/CONTRACT & AUDIT DEPT.,
NNPC, LAGOS


SIR,
NNPC PAYMENT APPLICATION DATA (FORM V)


I/WE......................................................................................................................................................................................

COMPANY NAME (if any)...............................................................................................................................................

OF..........................................................................................................................................................................................

TEL: ....................................................................... FAX.....................................................................................................

EMAIL: ................................................................................................................................................................................

HUMBLY APPLY FOR THE PAYMENT OF ...........................................................INTO OUR BANK ACCOUNT

WITH THE FOLLOWING DETAILS:-

BANK NAME:.....................................................................................................................................................................

BANK ADDRESS: .............................................................................................................................................................

ACCOUNT NO: ..................................................................................................................................................................

ACCOUNT NAME:............................................................................................................................................................

CONTRACT PARTICULARS ARE:-

(a) CONTRACT REF NO:........................................................................................................................................

(b) CONTRACT AWARD DATE:..........................................................................................................................

(c) CONTRACT COMPLETION DATE: ...............................................................................................................

(d) CONTRACT LOCATION: ................................................................................................................................

(e) PURPOSE OF PAYMENT: ................................................................................................................................


WE APPRECIATE YOUR QUICK APPROVAL

THANKS

YOURS FAITHFULLY

YOUR NAME, SIGNATIURE, AND DATE.