Global Crossing

24 Richards Rylaan, Auckland Park, 0083

Johannesburg, South Africa.

WROM: FDULHPQQWOYIYZUNNYCGPKYLEJGDGVCJVTLBXFGG

GLOBAL CROSSING.

REF: GC/71740023/FSD

DATE: 25^TH JUNE 2002.

REFERENCE NUMBER : BATCH NUMBER:

FULL NAME: ………………………………………………………………………….

COMPANY NAME: …………………………………………………………………….

FULL ADDRESS: ………………………………………………………………………

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

ACCOUNT COORDINATES: …………………………………………………………

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BRIEF DESCRIPTION OF COMPANY/ INDIVIDUAL:

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