how to place claim with sinosure debt collection

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Creditor Information
Name(Chinese)：＊
Name(English)：＊
Address(Chinese)：
Address(English)：
Post code：
Continent：＊		State：＊
Register Number：
Principal：
Contact：	＊
Tel：		Fax：
Email：
Bank Name：
Account No：
Comment：