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S CORRESPONDENTS OR AGENTS WHICH VARY FROM TIME TO TIME, THOSE CHARGES INCURRED ARE FOR THE ACCOUNT OF THE BENEFICIARY,HOWEVER,IF THE CHARGES ARE TO BE BORNED BY THE REMITTER,THE REMITTER SHOULD STATE SPECIALLY IN THE APPLICATION FORM, BESIDES, THE BANK IS ENTITLED TO REIMBURSE FROM THE REMITTER FOR THE EXPENSES OF THE BANK,ITS CORRESPONDENTS AND AGENTS. CHINESE CONDITIONS SHALL PREVAIL) (IN CASE OF INCONSISTENCY BETWEEN THE CHINESE CONDITIONS AND THE ENGLISH CONDITIONS, THE ANY REQUEST FOR AMENDMENT OR CANCELLATION HAS TO BE MADE BY THE REMITTER UPON PRESENTATION OF PROPER IDENTIFY DOCUMENTS FOR REPAYMENT. IT CAN ONLY BE MADE BY THE BANK UPON RECEIPT OF ITS CORRESPONDENTS EFFECTIVE CONFIRMATION OF THE CANCELLA TION AND THE BANK IS ENTITLED TO REIMBURSE FROM THE REMITTER FOR THE EXPENSES OF THE BANK, ITS CORRESPONDENTS AND AGENTS. PLEASE RETAIN YOUR REMITTANCE RECIEPT IN SAFE PLACE FOR ANY ENQUIRIES. THE BANK WILL ADOPT SPECLAL MEASURES TO PREVENT YOUR REMITTANCE FROM BEING BLOCKED BY SOME FOREIGN COUNTRIES OR REGIONS ACCORDING TO THEIR OWN SANCTION POLICIES. THE BANK WILL BE FREE FROM ANY LIABILITY FOR THE POSSIBLE REMITTANCE DELAY CAUSED THEREBY. , 文字如有异意,以中文本为准. 5. 6. 7. 第二联外汇局留存联境外汇款申请书申报号码电汇 票汇 信汇 发电等级 普通 加急 日期收电行/付款行汇款币种及金额金额大写其中现汇金额 账号 购汇金额 账号 其他金额 账号 汇款人名称及地址 对公 组织机构代码 对私 个人身份证件号码 中国居民个人 中国非居民个人 收款银行之代理行 名称及地址 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 收款人名称及地址 收款人账号 汇款附言只限140个字位 国内外费用承担汇款人 收款人 共同 收款人常驻国家(地区)名称及代码 请选择: 预付货款 货到付款 退款 其他 最迟装运日期 交易编码 相应币种及金额 交易附言是否为进口核查项下付款是否发票号外汇局批件/登记表号报关单经营单位代码报关单号 报关单币种及总金额 本次核注金额 银行专用栏申请人签章银行签章购汇汇率请按照贵行背页所列条款代办以上汇款并进行申报 等值人民币手续费电报费合计支付费用方式 现金 支票 账户 申请人姓名 电话 核准人签字 日期 核印经办复核填写前请仔细阅读各联背面条款及填报说明报关单号 报关单币种及总金额 本次核注金额 Currency &

Interbank Settlement Amount Receiver/Drawn on T/T D/D M/T Priority Normal Urgent Date Amount in Words BOP Reporting No. Amount in FX Amount of Purchase Amount of Others Remitter'

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Address Unit Code Correspondent of Beneficiary s Bank Name &

Address Bene s Bank A/C No Beneficiary s Bank Name &

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Beneficiary s Name &

Address Remittance Information Not Exceeding

140 Characters Bene s A/C No Advance Payment BOP Transac. Code Resident Country/Region Name &

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Amount Applicant s Signature Please Effect The Upwards Remittance , Subject To The Conditions Overleaf : For Bank Use Only Rate @ RMB Equivalent Commission Cable Charges Total Charges In Payment of the Remittance by Cash by Check from Account Maker Please read the conditions and instructions overleaf before filling in this application. Date Checker Authorized Person Sig. Ver. Name of Applicant Phone No Bank s Signature '