(Morning Snack + Lunch) 57 RMB28 RMB 1596 Infants School And

BISS PUDONG CAMPUS LUNCH CARD REGISTRATION FORM

Personal information: Name : Gender: Female Male Date of birth: Nationality: Parent’s Phone No: Parent’s email: Identity: Student Teacher Class:

Card loading payment: Apr - Jun 2015 (3rdTerm)

No. of Set Menu School Year TOTAL Lunches Price Early Years - Pre-Nursery, Nursery and Reception 57 RMB28 RMB 1596 (morning snack + lunch) Infants School and Junior School - Year 1 to 57 RMB28 RMB 1596 Year 5 (morning snack + lunch) Middle, Upper and Senior Schools - Year 6 to Year 13 57 RMB28 RMB 1596 (lunch set menu)

This estimation presumes that card bearer will eat every day school lunch set menu.

Amount you wish to load: RMB We recommend a term loading to avoid overdraft, cash on the campus and frequent reloading.

If for any reason you wish to close your account at any time, the card balance will be returned to you.

Do you wish to pay by: Cash Cheque Bank Transfer

o Company name: Sodexo (Shanghai) Management Service Co., Ltd. o 索迪斯（上海）管理服务有限公司 o Account number: 404003-1737245205 o Bank name: Citibank（China）Co., Ltd. Shanghai Branch . 花旗银行（中国）有限公司上海分行 Swift code: CITICNSX

REMARKS: Kindly note down the students name and class number at the transfer slip.

For bank transfer, please email a copy of the lunch card registration form and a copy of bank transfer receipt with student details to [email protected]

Do you need an official invoice: YES NO Official invoice title:

General Information: The first IC Card is provided by Sodexo(Y6-IB). If the card is lost or damaged, 30 RMB will be charged to the card bearer to cover the cost of the second card. The balance of the lost or damaged card will be transferred into the new one. Date: Signature:

Sodexo Building 11, Lane 28, Danba Road, Putuo District, Shanghai, 200062 Tel.: (86)(21) 2325 6082 - Fax: (86)(21) 2325 6031Http: www.sodexo-cn.com Member of Sodexho Alliance – www.sodexo.com