AGENT RECORD SHEET AGENT RECORD SHEET AGENT RECORD SHEET
Serial number………………. Serial number………………. Serial number S/W
Agent………………………… Agent………………………… Agent…………………………
Branch………………………. Branch………………………. Branch………………………..
Date_ _ /_ _ _/_ _ _ _ Date_ _ /_ _ _/_ _ _ _ Date_ _ /_ _ _/_ _ _ _
National National National
TXN Customer TXN Customer TXN Customer
Nr ID /passport Value Transaction ID Nr ID /passport Value Transaction ID Nr ID /passport Value Transaction ID
Type Signature Type Signature Type Signature
No. No. No.
1 1 1
2 2 2
3 3 3
4 4 4
5 5 5
6 6 6
7 7 7
8 8 8
9 9 9
10 10 10
11 11 11
12 12 12
13 13 13
14 14 14
15 15 15
16 16 16
17 17 17
18 18 18
19 19 19
20 20 20
21 21 21
22 22 22
23 23 23
24 24 24
25 25 25
26 26 26
27 27 27
28 28 28
29 29 29
30 30 30