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Meezan Bank Remittance Application Form

This document is a remittance application form requesting the processing of funds transfers by debiting an account number. It provides fields for the applicant to fill in details of the beneficiary such as name, address, contact and account details. The applicant also declares that the information provided is correct and authorizes the collection of funds by an authorized person whose signature is included. The bank section notes the remittance reference number, conversion rates, account debited, applicable charges and receipt acknowledgment.

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Muhammad Raheel
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3K views1 page

Meezan Bank Remittance Application Form

This document is a remittance application form requesting the processing of funds transfers by debiting an account number. It provides fields for the applicant to fill in details of the beneficiary such as name, address, contact and account details. The applicant also declares that the information provided is correct and authorizes the collection of funds by an authorized person whose signature is included. The bank section notes the remittance reference number, conversion rates, account debited, applicable charges and receipt acknowledgment.

Uploaded by

Muhammad Raheel
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Remittance Application Form: This form is used for applying for remittance via Meezan Bank, capturing details like beneficiary information, remittance details, and authorization signatures.

_______________ Branch.

Date:_____________________

REMITTANCE APPLICATION FORM


You are requested to process the following remittance(s) by debiting my / our account no.

against

cheque no. ___________________ dated____________ amounting _________________ favoring Meezan Bank Ltd.
Please mark the mode of remittance.
Payment Order

Demand Draft

Foreign Telegraphic Transfer

Remittance Details (* denotes mandatory fields)


CNIC / SNIC* or
NTN number* (for corporate entities)

Name of Beneficiary (in Block Letters)*

Amount in words*:

Currency*

Complete address of the beneficiary:*

Amount in figures*

Contact No. of the beneficiary:*

Purpose of remittance:*
For Demand Draft, Foreign Telegraphic Transfer Use Only Please fill where applicable
Town, City and Country where Payable:
Name and Address of Beneficiary Bank:
SWIFT Code:*

Beneficiarys Account number:*

Relationship between Originator & Remitter:*


Message or Instructions if any (for FCY remittances only):
Name of Applicant / Remitter (in Block Letters):*
Conditions:
I / we hereby declare that information presented above is correct and verifiable. I / we further hereby agree that the above payment order / draft / remittance is
to be dispatched entirely at my / our own risk; and in case of a telegraphic transfer, you are at liberty to send the same either literally or in spirit and you shall
have no liability whatsoever for any delay, error, omission, which may occur in the transmission of the message or from its misinterpretation when received. I /
we further agree that the bank may share with other banks/authorities including correspondent banks, as the Bank deems fit, the information about my/our
account provided by me/us, or that the Bank may obtain as a result of transaction(s) or other activity, for among other things, the purpose of offering products
and services.

I/we authorize Mr./Mrs./Ms._______________________________________

(Customers signature & Company Stamp)

having CNIC No. (copy enclosed)____________________ to collect the above

S.V.

PO/DD/FDD on my/our behalf. His / her specimen signature is as under.

__________________
Customers Signature

___________________________
Signature of Authorized Persons

For Bank Use Only


PO /DD /FDD / Ref no.

Checked by

Authorized signature

Remittance Amount
Conversion Rate
Account debited by amount

Remittance charges
FED
Courier / SWIFT Charges
TOTAL

I hereby acknowledge the receipt of the above PO / DD / FDD.


Receivers signature:
Date Received:

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