ICBC

CardHolder Copy

1. MERCHANT NAMEACODE

2. UNION PAY MERCHANT CODE

3. TERMINAL No.

4. SYSTEM No.

5. CARD No.

6。ISSUE BANK/CARD TYPE

7. EXPIRY

8. TRACE No.

9. DATE/TIME

10. AUTH No.

11. TRANS TYPE

12. TOTAL

13. AMOUNT

14. CARDHOLDER SIGNATURE

UnionPay