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Details
| Reference Number | Full Name | ||
|---|---|---|---|
| Registered Name | Utility Type | ||
| Preferred Communication | Preferred Language |
Address
Phone
| Phone Type | Country Code | ||
|---|---|---|---|
| Area Code | Number | ||
| Extension |
Payment Details
| Minimum Payment Amount | Maximum Payment Rate (%) | ||
|---|---|---|---|
| Payment Method | Currency | ||
| Frequency |   |
Bank Details
| Account Name | Account Number | ||
|---|---|---|---|
| Sort Code | Joint Account | ||
| Account Type |
Contact Details
| Type | Name | ||
|---|---|---|---|
| Country Code | Area Code | ||
| Phone Number | Extension | ||
| Public Office |  |
Date
| Registration Date |
|
|---|
