1、境 外 汇 款 申 请 书APPLICATION FOR FUNDS TRANSFERS(OVERSEAS)致:中国银行TO:BANK OF CHINA日 期Date 电汇 T/T 票汇 D/D 信汇 M/T发电等级Priority 普通 Normal 加急 Urgent申报号码 BOP Reporting No.20银行业务编号T/T收电行/付款行BANK OF CHINA Bank Transac.Ref.No.Receiver/Drawn on32A汇款币种及金额金额大写Currency&Interbank Settlement AmountAmount in Words其中现汇金额 A
2、mount in FX账号 Account No./Credit Card No.购汇金额 Amount of Purchase账号 Account No./Credit Card No.其他金额 Amount of Others账号 Account No./Credit Card No.50a汇款人名称及地址Remitters Name&Address对公 组织机构代码Unit Code-对私个人身份证件号码 Individual ID NO.中国居民个人Resident Individual 中国非居民个人Non-Resident Individual54/56a收款银行之代理行名称及地址
3、Correspondent of BeneficiarysBank Name&Address57a收款人开户银行名称及地址收款人开户银行在其代理行账号 Benes Bank A/C No.第Beneficiarys Bank Name&Address一联59a收款人名称及地址收款人账号 Benes A/C No.Beneficiarys Name&Address银行70汇款附言只限140个字位 Not Exceeding 140 Characters71A国内外费用承担留Remittance InformationAll Banks Charges If Any Are To Be Borne
4、 By存汇款人OUR 收款人BEN 共同SHA联收款人常驻国家(地区)名称及代码 Resident Country/Region Name&Code请选择:预付货款 Advance Payment 货到付款 Payment Against Delivery 退款 Refund 其他 Others最迟装运日期交易编码相应币种及金额交易附言BOP Transac.CodeCurrency&AmountTransac.Remark本笔款项是否为报税货物项下付款 是 否合同号发票号外汇局批件/备案表号/业务编号银行专用栏申 请 人 签 章银 行 签 章For Bank Use OnlyApplican
5、ts SignatureBanks Signature购汇汇率 6.15请按照贵行背页所列条款代办以上汇款并进行申报Rate等值人民币Please Effect The Upwards Remittance,Subject ToThe Conditions Overleaf:RMB Equivalent手续费Commission电报费Cable Charges合计Total Charges申请人姓名核准人签字支付费用方式 现金 by CashName of ApplicantAuthorized PersonIn Payment of 支票 by Check电话日期the Remittance 账户 from AccountPhone No.Date核印 Sig.Ver.经办 Maker复核 Checker填写前请仔细阅读各联背面条款及填报说明Please read the conditions and instructions overleaf before filling in this application
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