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附件 2: 境内银行涉外收付相关凭证样式 国家外汇管理局

2011 年11 月第一联银行留存联境外汇款申请书APPLICATION FOR FUNDS TRANSFERS (OVERSEAS) 致: TO: 银行签章Bank'

s Signature 申报号码BOP Reporting No.

20 收电行/付款行Receiver/Drawn on 填写前请仔细阅读各联背面条款及填报说明电汇 T/T 票汇 D/D 信汇 M/T 发电等级 Priority 普通 Normal 加急 Urgent 日期Date 32A 现汇金额 Amount in FX 其他金额 Amount of Others 购汇金额 Amount of Purchase 其中金额大写Amount in Words 账号 Account No./Credit Card No. 对公 组织机构代码 Unit Code - 国内外费用承担All Bank'

s Charges If Any Are To Be Borne By 汇款人 OUR 收款人 BEN 共同 SHA 外汇局批件号/备案表号/业务编号 54/56a 57a 59a

70 收款人开户银行在其代理行账号 Bene'

s Bank A/C No. 收款人账号 Bene'

s A/C No. 只限

140 个字位 Not Exceeding

140 Characters 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 Individual 申请人签章Applicant'

s Signature 购汇汇率Rate 等值人民币RMB Equivalent 手续费Commission 合计Total Charges 支付费用方式 In Payment of the Remittance 请按照贵行背页所列条款代办以上汇款并进行申报 Please Effect The Upwards Remittance , Subject To The Conditions Overleaf : 核准人签字 Authorized Person 日期 Date 银行专用栏For Bank Use Only 50a 对私 收款人常驻国家(地区)名称及代码 Resident Country/Region Name &

Code 交易编码 BOP Transac. Code 相应币种及金额 Currency &

Amount 交易附言Transac. Remark 本笔款项是否为保税货物项下付款 是否合同号发票号71A 复核Checker 核印Sig. Ver. 经办Maker 汇款币种及金额Currency &

Interbank Settlement Amount 汇款人名称及地址 Remitter'

s Name &

Address 收款人开户银行名称及地址Beneficiary'

s Bank Name &

Address 收款银行之代理行 名称及地址 Correspondent of Beneficiary'

s Bank Name &

Address 收款人名称及地址 Beneficiary'

s Name &

Address 汇款附言Remittance Information 现金 by Cash 支票 by Check 账户 from Account 电报费Cable Charges 申请人姓名 Name of Applicant 电话 Phone No. @ Please read the conditions and instructions overleaf before filling in this application. 请选择: 预付货款 Advance Payment 货到付款Payment Against Delivery 退款 Refund 其他 Others 账号 Account No./Credit Card No. 账号 Account No./Credit Card No. 银行业务编号Bank Transac. Ref.No 此面为银行有关条款(由银行自行制定) 第二联申报主体留存联境外汇款申请书APPLICATION FOR FUNDS TRANSFERS (OVERSEAS) 致: TO: 银行签章Bank'

s Signature 申报号码BOP Reporting No.

20 收电行/付款行Receiver/Drawn on 填写前请仔细阅读各联背面条款及填报说明电汇 T/T 票汇 D/D 信汇 M/T 发电等级 Priority 普通 Normal 加急 Urgent 日期Date 32A 现汇金额 Amount in FX 其他金额 Amount of Others 购汇金额 Amount of Purchase 其中金额大写Amount in Words 账号 Account No./Credit Card No. 对公 组织机构代码 Unit Code - 国内外费用承担All Bank'

s Charges If Any Are To Be Borne By 汇款人 OUR 收款人 BEN 共同 SHA 54/56a 57a 59a

70 收款人开户银行在其代理行账号 Bene'

s Bank A/C No. 收款人账号 Bene'

s A/C No. 只限

140 个字位 Not Exceeding

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