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Republika e KosovsRepublika Kosova - Republic of KosovoQeveria - Vlada - Government

Ministria e Financave

Ministarstvo za Finansije Ministry of FinanceDepartamenti i Thesarit - Departament Trezora - Treasury Department

FORMULAR I T DHNAVE PR TRANSFER BANKAR NDRKOMBETAREmertimi i Organizats Buxhetore: __________________________________________________Nr.i Kuponit t shpenzimit n SIMFK: _____________________________1Prfituesi:Shuma : ______________________)

2Nr i llogaris s prfituesit:

Valut tjetr ____________________ )

3Institucioni bankar i prfituesit:

Kodi i banks:

Tel/ Fax:Telex:

4Banka ndrmjetsuese ( nse posedon)IBAN -KODI

5Nr i referencs (apo nr i faturs)SWIFT-Kodi:

Emri dhe Mbiemri Nenshkrimi DataZyrtari administrativ: ________________________ ____________________ _________________Zyrtari ertifikues : ________________________ ____________________ _________________

TH-SHQ-TBN-07