*收款人 BENEFICIARY’S NAME:
*收款人地址 BENEFICIARY’S ADDRESS:
*收款人帐号 BENEFICIARY’S ACCOUNT NO.:
*收款银行名称及地址 BENEFICIARY’S BANK NAME & ADDRESS:
*收款行 SWIFT CODE.:
收款行之代理行名称及地址 CORRESPONDENT OF BENE’S BANK NAME & ADDRESS:
代理行 SWIFT CODE:
银行专用
FOR BANK USE ONLY
FOR BANK USE ONLY
手续费
COMMISSION
COMMISSION
电报费
CABLE CHARGES
CABLE CHARGES
合计
TOTAL CHARGES
TOTAL CHARGES
核印
SIG. VER.
SIG. VER.
大写 IN WORDS:
*汇款人名称 REMITTER’S NAME:
*汇款人地址 REMITTER’S ADDRESS:
*附言 REMITTANCE INFORMATION:
*国内外费用承担方 ALL BANK’S CHARGES IF ANY ARE TO BE BONE BY:
有关上述款项及一切费用,请支敝帐户: AS TO PAYMENT OF THE ABOVE TRANSFER AND YOUR BANK
CHARGES, YOU ARE AUTHORIZED TO DEBIT MY/ OUR ACCOUNT WITH YOUR BANK.
*帐号 A/C NO.
申请人签署
APPLICANT’S SIGNATURE
APPLICANT’S SIGNATURE
(请用留存我行之印鉴签署PLEASE USE THE SIGNATURE(S)FILED WITH THE BANK)
*联系人 CONTACT PERSON:
*联系电话 TEL NO: