83912368）220（：话电制承司公限有展发术技刷印博银市津天境外汇款申请书APPLICATIONFORFUNDSTRANSFERS(OVERSEAS)致：中国农业银行行日期TO:AGRICULTURALBANKOFCHINABRANCHDate□?电汇T/T□?票汇D/D□?信汇M/T发电等级□?一般Normal□?加急PriorityUrgent中报号码BOPReportingNo.□□□□□□□□□□□□□□□□□□□□□□20银行业务编号收电行/付款行BankTransuc,Ref.NoReceiver/Drawnon32A汇款币种及金额金额大写Currency&InterbankSettlemeniAmountAmountinWords其现汇金额AmountinFX账号AccountNo./CreditCardNo.购汇金额AmountofPurchase账号AccountNo./CreditCardNo.中其余金额AmountofOthers账号AccountNo./CreditCardNo.50a汇款人名称及地点Remitter'sName&Address□?对私个人身份证号码IndividualIDNO.□?对公组织机构代码UnitCode□□□□□□□□-□□?中国居民个人ResidentIndividual□?中国非居民个人Non-ResidentIndividual54/56a收款银行之代理行第二名称及地点联CorrespondentofBeneficiary'sBankName&Address申57a收款人开户银行收款人开户银行在其代理行账号Bene'sBankA/CNo.报主名称及地点体Beneficiary'sBankName&存Address留59a收人账号Bene'sA/CNo.联收款人名称及地点Beneficiary'sName&Addre70只限140个字位NotExceeding140Characters71A国内外花费担当汇款附言AllBank'sChargesIfAnyAreToBeBorneByRemittanceInformalion□?汇款人OUR□?收款人BEN□?共同SHA收款人常驻国家（地域）名称及代码ResidemCountry/RegionName&Code□□□请选择：□?预支货款AdvancePayment□?货到付款PaymentAgainstDelivery□?退款Refund□?其余Olhers交易编码□□□□□□相应币种及金额交易附言BOPTransac.□□□□□□Currency&AmoumTnirisac.RemarkCode本笔款项能否为保税货物项下付款□?是□?否
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号/业务编号银行专用栏申请人签章银行签章ForBankUseOnlyApplicant'sSignatureBank’sSignature购汇汇率请依据贵行背页所列条款代劳以上汇款并进行申报@PleaseEffectTheUpwardsReminance.SubjectToTheRateConditionsOverleaf:等值人民币RMBEquivalent手续费Commission电报费CableCharges合计TotalCharges支付花费方式□?现金byCash申请人姓名批准人署名□?支票byCheckNameofApplicantAuthorizedPersonInPuymenloftheRemiitiincc□?账户fromAccount电话日期PhoneNO.Date核印Sig.Ver.经办Maker复核Checker填写前请认真阅读各联反面条款及填报说明Pleasereadtheconditionsandinstructionsoverleafbeforefillinginthisapplicalion.
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