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  • Jenis Transaksi (Type Transaction) : Lima Puluh Juta Lima Ribu Rupiah Pembayaran DP Mobil

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    Willy Teguh
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    This document is a deposit/transfer form from Bank bjb. It contains information about transferring funds from Sabrina Imani's account at Bank Mandiri to Puri Ardeli's account at the same bank. The amount being transferred is Rp. 50,000,000 and the transaction fees are Rp. 5,000. The source of funds is personal and the purpose of the transaction is for a car down payment. Sabrina Imani is approving the full terms on the back of the form and recognizes the application is valid after validation by the bank.

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    This document is a deposit/transfer form from Bank bjb. It contains information about transferring funds from Sabrina Imani's account at Bank Mandiri to Puri Ardeli's account at the same bank. The amount being transferred is Rp. 50,000,000 and the transaction fees are Rp. 5,000. The source of funds is personal and the purpose of the transaction is for a car down payment. Sabrina Imani is approving the full terms on the back of the form and recognizes the application is valid after validation by the bank.

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    140 views2 pages

    Jenis Transaksi (Type Transaction) : Lima Puluh Juta Lima Ribu Rupiah Pembayaran DP Mobil

    Uploaded by

    Willy Teguh
    This document is a deposit/transfer form from Bank bjb. It contains information about transferring funds from Sabrina Imani's account at Bank Mandiri to Puri Ardeli's account at the same bank. The amount being transferred is Rp. 50,000,000 and the transaction fees are Rp. 5,000. The source of funds is personal and the purpose of the transaction is for a car down payment. Sabrina Imani is approving the full terms on the back of the form and recognizes the application is valid after validation by the bank.

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    Bank bjb Deposit/transfer Form

    TANGGAL (DATE)
    CABANG (BRANCH)
    JENIS TRANSAKSI (TYPE TRANSACTION)
    ☒KLIRING/LLG/SKNBI ☐TELEGRAPICH TRANSFER ☐SETORAN KE REKENING BANK BJB
    (CLEARING) (SWIFT) (DEPOSIT TO BJB’S BANK ACCOUNT)

    ☐RTGS ☐PEMINDAH BUKUAN ☐LAINNYA...........................


    ANTAR REKENING BANK BJB (OTHER)
    (OVER BOOKING)
    PENERIMA (BENEFICIARY) BIAYA BANK KORES PONDEN DIBEBANKAN KEPADA(CORRESPONDENT’S BANK CHARGES ARE FOR)
    NAMA (NAME) : PURI ARDELIA ☒PENGIRIM (REMITTER/OUR) ☐PENERIMA (BENEFICIARY) ☐.......................

    DI ISI OLEH NASABAH


    ALAMAT (ADDRESS) : JL.BUAH BATU
    NO.TELP (PHONE) : 08111321121 MATA UANG (CURRENCY)
    STATUS PENDUDUK ☒PENDUDUK ☐ NON-PENDUDUK ☒RUPIAH (IDR) ☐VALAS (FOREIGN CURRENCY)
    (RESIDENT STATUS) (RESIDENT) (NON-RESIDENT)
    RINCIAN VALAS KURS RUPIAH
    DETAILS FOREIGN CURRENCY RATE IDR
    NO REKENING (ACCOUNT NO) : 13011221134231
    JUMLAH DIKIRIM/DISETOR RP. 50.000.000,00
    (AMMOUNT
    NAMA BANK (BANK’S NAME) : MANDIRI
    TRANSFERRED/DEPOSIT)
    KOMISI
    ALAMAT BANK (BANK’S ADDRESS) : JL. ASIA AFRIKA (COMMISION)
    BIAYA PENGIRIMAN RP. 5.000,00
    KODE BANK (BANK’S CODE)*) : (SWIFT/RTGS/SKN)
    BIAYA KORESPONDEN
    TUJUAN TRANSAKSI : (CORRESPONDENT CHARGE)
    (PURPOSE OF TRANSACTION) TOTAL RP. 50.005.000,00

    *)DAPAT BERUPA KODE SWIF, NO ABA(FEDWIRE),CHIPS UID,BLZ(GERMANY),BSC(UKI), ATAU KODE KLIRING LAINNYA)
    PENYETORAN/PENGIRIM (DEPOSITOR/REMITTER)

    NAMA (NAME) : SABRINA IMANI

    ALAMAT (ADDRES) : JL.PADJAJARAN


    TERBILANG (IN WORD) LIMA PULUH JUTA LIMA RIBU RUPIAH
    NO IDENTITAS (KTP/SIMPASSPORT) : 32062343234001
    (ID CARD)
    BERITA (MESSAGE) PEMBAYARAN DP MOBIL
    NO. TELP (PHONE) : 081222255562

    SUMBER DANA (SOURCE OF FOUND) : PRIBADI TRANSAKSI TUNAI OLEH NON-NASABAH ≥ RP. 100.000.000 (SERATUS JUTA RUPIAH) ATAU EKUIVALENNYA (AKUMULASI DALAM SATU HARI
    CARA PEMBAYARAN (PAYMENT) KERJA) WAJIB MENGISI FORMULIR PMIN (PRINSIP MENGENAL NASABAH) CASH TRANSACTION BY NON-CUSTOMERS ≥ RP. 100,000,000
    (ONE MILLION RUPIAH) OR EQUIVALENTS (ACCUMULATE IN ONE WORKING DAY) TO COMPLETE THE PMIN FORM (KNOWING PRINCIPLES
    ☐TUNAI OF CUSTOMERS)
    (CASH)
    TRANSAKSI TUNAI OLEH NON-NASABAH ≥ RP. 500.000.000 (SERATUS JUTA RUPIAH) ATAU EKUIVALENNYA (AKUMULASI DALAM SATU HARI
    KERJA) WAJIB MENGISI FORMULIR PMIN (PRINSIP MENGENAL NASABAH) CASH TRANSACTION BY NON-CUSTOMERS ≥ RP. 500,000,000
    ☐DEBET REKENING
    (FIVE MILLION RUPIAH) OR EQUIVALENTS (ACCUMULATE IN ONE WORKING DAY) TO COMPLETE THE PMIN FORM (KNOWING PRINCIPLES
    (DEBET ACCOUNT)
    OF CUSTOMERS)
    ☐CEK/BG/PO
    (CHQUE/BILYET/PAYMENT ORDER) SAYA ATAU KAMI MENYETUJUI SEPENUHNYA SYARAT-SYARAT YANG TERCANTUM PADA HALAMAN BELAKANG DAN MENGAKUI
    DENGAN KETENTUAN SEBAGAI BERIKUT PERMOHONAN INI SAH SETELAH DI VALIDASI // I OR WE APPROVE THE FULLEST TERMS CONTAINED ON THE BACK AND RECOGNIZE THIS
    (WITH DETAILS FOLLOWS) APPLICATION AFTER IN VALIDATION

    BANK TERTARIK NO CEK/BG/PO VALUTA NOMINAL (AMOUNT) PENYETOR / PENGIRIM DI ISI OLEH BANK / BANK USE ONLY
    (DRAWEE) (CHQUE/BILYET/PO) (CCY) (DEPOSITOR / REMITTER)
    PT BANK PEMBANGUNAN DAERAH JAWA BARAT DAN BANTEN

    KASIR (TELLER) PEJABAT BANK (BANK’S


    OFFICIAL)

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