Translation in three languages(English, Arabic, and Polish)

Date:
Reference Number:

Applicant Information

Client Name:
Company:
Phone Number:
Email:
Address:

Service Details

Service Type:
Brief Description of the Requested Service:

Required Execution Duration:
Additional Notes:

Payment System

Total Service Cost:

Advance Payment Percentage (Before Starting the Service):
%
Advance Payment Amount:

Paid via:
Bank TransferInvoice AdditionOther Payment Method

Remaining Payment Percentage (After Receiving the Service):
%
Remaining Service Amount:

Paid upon service delivery.

Payment Method:

Bank Account Information

Beneficiary Name: Pol & Nile
Bank Name: CIB Commercial International Bank
SWIFT Code: CIBEEGCX140
Account Number (EUR): EG170010002300000100063141415
Account Number (EGP): EG240010002300000100063140998

Terms and Conditions

• The first party (the company) has the right to modify the delivery schedule after notifying the client in advance in case of emergencies.

• If the client delays the payment, a late fee of % will be applied.

• The client's signature on this request is considered an official agreement to the mentioned terms.

Signatures

Client Signature:
Stamp:

Company Signature:
Stamp: