New Format Transfer Application - FIFI
2
Fund Transfer Application Form Sender Information Transfer Ty Customer: Chemonics International Inc. - ATAR Internation Account No: 0500102002886103 - USD Domestic Address: For Individuals on Date of Birth Place of Birth Nationality Occupation Amount(in figures) $ 12,588.00 Currency USD Country Afghanist Amount (in word) Value Date 24-Aug-2 eneficiary detail Account name FORUM OF INDIAN FOOD IMPORTERS Account number 12612560000907 - USD Address B-226, ASHOK VIHAR PHASE - I, New Delhi - India Details of transfer Bank name Standard Chartered Bank Account # 3582066660001 SCBLUS33XXX Bank name HDFC BANK LTD. Address B BLOCK, ASHOK VIHAR PHASE - I, New Delhi - India IBAN/Routing # SWIFT HDFCINBBDEL Charges Single Purpose OUR Multiple purpose A BEN B SHA Sender's Signature:……………………………………………………… Date: For Bank Use Only Signature Verified: Checked by: For Use by Payment Depar AML Checked: Signature: PS Booker Balance Verfied PS Authorizer Flexcube Ref# External Ref# ATAR Office , Chemonics International Inc, The Baron Hotel Compound East O Airport Sqaure, Kabul - Afghanistan Transfer Instructi on Twelve Thousand, Five Hundred & Eighty Eight USD Only (GJ$-184) Remaining 80% amount of FIFI for the space charges in Aaha Trade Fair India - Feb 2015 Intermediar y Bank details (if any) IBAN/Routing # SWIFT Beneficiary Bank details External payment code AIB Charges, Intermediary, & Beneficiary Bank charges to my account AIB Charges, Intermediary, & Beneficiary Bank charges to Beneficiary's account AIB charges to my account. Intermediary and Beneficiary Bank charges to AIB shall not be held liable if the beneficiary does not receive the transferred amount on any reasons stated by the intermediary or beneficiary bank due to blockage or stoppage of the transfer process, or fo any delay in the payment of the amount. ع ف ن ی کذ ان اب یوب ج ن ا ی م ک ان ب رف ط ی از ل بر ذلا ب ا ی ی ده ی# کن& ت ف ا ص ذزب خ+ ش ی ک ب ا ب ساب ح ه ب3 دن ی س ز ل از ;pma&ی ف،3 ان& ی س ن ا غ ی افل مل ل ا3 ن ی ن ک ان ب ده از+ ل ذاذه ش ا& ق& ن# ی ول ا& ت+ س واهد ذا خ ن ی& ت لنN و س م وع پQ چ ی ه ه ن من ذز ز3 ان& ی س ن ا غ ی افل مل ل ا3 ن ی ن ک ان رذ، ب گی& وزب صر ی خN ا& ب3 ن] ها ذبN ا& م ذز ب ه ا رذذ و ب گ ;pma&ف ف و& ت م3 ن] لا ا& ق& ن# ی ا ا رذذ، ب گ ک اذازه ان وال ب پg ر ب3 ان& ی س ن ا غ ذاف(AIB) هE ذبh i ر لی اذ او ب و ل، ذزو و ل د ی ک لg ګ ن ک و س یp ن لکه ذ ل م لا ولg رذ ه هE هب& کب ان ب ی ک ب وg ه زاوز& ن س لاs ی س یp نs یE چ کلهs ې کروسهE ب هE ذبh i رs لی هg از هغE هبg رE ب او& ت ی ل وN و س م ولg ذQ چ ی ه، يh i ر سی هز وب ه& کب ان ب ی ک ب وg ه زاوز& ن س ی لا س یp ن ا کب ان يبg رg ګN ځ ن م ذs ی س یp نs ې ل د ذبh i ر لی ت ی س هE دب نN ح ولg رذ ه ل ن ذs ې کI/We authorize the bank to debit our account with above mentioned amount and associated charges. I/we als certify that the above mentioned information is accurate and complete to the best of my/our knowledge and a later date if AIB requires any documentry proof of purpose we undertake to submit the same.
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AIB. Fund transfer formates
Transcript of New Format Transfer Application - FIFI
Sheet3Fund Transfer Application FormSender InformationTransfer
Type:Customer:Chemonics International Inc. -
ATARInternationalAccount No:0500102002886103 -
USDDomesticAddress:ATAR Office , Chemonics International Inc, The
Baron Hotel Compound East Of Airport Sqaure, Kabul - AfghanistanFor
Individuals only:Date of BirthPlace of
BirthNationalityOccupationTransfer InstructionAmount(in figures)$
12,588.00CurrencyUSDCountryAfghanistanAmount (in word)Twelve
Thousand, Five Hundred & Eighty Eight USD OnlyValue
Date5-May-15Beneficiary detailsAccount nameFORUM OF INDIAN FOOD
IMPORTERSAccount number12612560000907 - USDAddressB-226, ASHOK
VIHAR PHASE - I, New Delhi - IndiaDetails of transfer(GJ$-184)
Remaining 80% amount of FIFI for the space charges in Aahar Trade
Fair India - Feb 2015Intermediary Bank details (if any)Bank
nameStandard Chartered BankAccount #3582066660001IBAN/Routing #
SWIFTSCBLUS33XXXBeneficiary Bank detailsBank nameHDFC BANK
LTD.AddressB BLOCK, ASHOK VIHAR PHASE - I, New Delhi -
IndiaIBAN/Routing #SWIFTHDFCINBBDELChargesExternal payment
codeSingle PurposeOURAIB Charges, Intermediary, & Beneficiary
Bank charges to my accountMultiple purposeABENAIB Charges,
Intermediary, & Beneficiary Bank charges to Beneficiary's
accountBSHAAIB charges to my account. Intermediary and Beneficiary
Bank charges to Beneficiary's accountAIB shall not be held liable
if the beneficiary does not receive the transferred amount on any
reasons stated by the intermediary or beneficiary bank due to
blockage or stoppage of the transfer process, or for any delay in
the payment of the amount. . (AIB) .I/We authorize the bank to
debit our account with above mentioned amount and associated
charges. I/we also certify that the above mentioned information is
accurate and complete to the best of my/our knowledge and on a
later date if AIB requires any documentry proof of purpose we
undertake to submit the same.Sender's Signature:Date:For Bank Use
OnlySignature Verified:Checked by:For Use by Payment DepartmentAML
Checked:Signature:PS BookerBalance VerfiedPS AuthorizerFlexcube
Ref# External Ref#----------------------------External Ref#
