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Nd Identification No. Date: To Bank Leumi Le-Israel B.M. (hereinafter: the Bank ) ' 2042/ To be signed once in 3 years Customer s Declaration of His/Her Being a Non-Resident For The Purpose of The Income Tax Ordinance I wish to open a non-resident account by virtue of my being a non-resident for the purpose of the Income Tax Ordinance. A. The Customers Particulars: Name: Passport No./Corporation: Type of customer: legal entity Indiv.

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