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Raiffeisen Brokers

 

Order for Sale of Securities

Raiffeisen BROKERS d.o.o. Sarajevo
securities Brokerage Company,
Fra Andela Zvizdovica broj 1. Sarajevo, Bosna i Hercegovina

Order No.:

INFORMATION ON PRINCIPAL

Identification code – General Contract No.:

Name and Last Name/Name of Company:

Address:

ID No.:

Phone No.:

Fax No.:

e-mail address:

Name of bank, gyro account No.:

Account No. with Securities Register:

 

INFORMATION ON AUTHORISED LEGAL ENTITY PERSON

Name and Last Name:

Address:

ID No.:

 

INFORMATION ON SECURITIES

Name of Issuer:

Securities Identification:

Number of Securities:

Order limits in respect to price, dynamics and quantity:

 

INFORMATION ON ORDER

Date of acceptance:

Time of acceptance:

Fee from transaction amount %:

Total fee in KM:

Total costs of order execution in KM:

 

PLACE OF ORDER EXECUTION

Sarajevo Stock-Exchange

Principal acknowledges that securities trading bear respective risk and that RBR cannot guarantee earning from securities purchase.