FUNDS TRANSFER AND INTERNATIONAL REMITTANCE.

NatWest FREEPOST NAT 12685 BOREHAMWOOD- WD6-IBR LONDON - UNITED KINGDOM:

(INTERNATIONAL REMITTANCE DEPARTMENT)

APPLICATION FOR TRANSFER OF FUND

Applicant’s First Name:....................................................................................................................................................

Surname:...........................................................................................................................................................................
Nationality:........................................................................................................................................................................
Occupation...................................................................................................................................................................
Contact Address:................................................................................................................................................................
Telephone:..........................................................................................................................................................................
Beneficiary’s Bank Details:................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
Account Number:...............................................................................................................................................................
Swift Code:..........................................................................................................................................................................
Aba No. (If any):........................................................................................................................................................................
Details of Payment:..............................................................................................................................................................

Choose Currency: US Dollars or Others. Specify Currency:...........................................................................................

Applicants are liable for any false declaration or statement made in respect of this application form and wrong payment
if made based on the information herein.

APPLICANT’S DECLARATION.
I the undersigned hereby apply for the payment of $.......................... being my entitlement sum deposit with your bank. I
declare that the information given in this application is correct to the best of my knowledge and believe.

Signature:_______________________________ Date:___________________

FOR BANK USE ONLY

All Documents Verified:......................................... Date:......................

Reference obtained/verified:.................................. Date:.......................
General remarks by verifying:...............................
Payment of opening account fee:...........................
Signature:..........................Remarks:................................Date:............................. CERTIFIED TRUE COPY
Copy Foreign Operations Department:.................................................................