FUNDS TRANSFER FORM – FOR WHOLESALE BANKING CUSTOMERS ONLY

PLEASE ENSURE TO SAVE THE FORM BEFORE PRINTING (*) Indicates mandatory information to be provided
Form Reference: Validate & Print
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Transfer Type:* TRANSFER FUNDS OUTSIDE OF UAE Date: 14-JAN-2021
Debit Account Details
Debit Account Name:* GOVERNMENT OF NIGERIA FOREIGN RESER Debit A/c Number or IBAN:* 073623310001
Customer Reference:* DEBIT OUR ACCT Debit A/c Currency:* USD
Payment Details
Please Enter either Debit Amount or Payment Amount
Debit Amount Payment Amount Payment Currency:* USD

Debit Amount: 38,300,000.00 Payment Amount: * 38,300,000.00

Amount in words: USD THIRTY EIGHT MILLION THREE HUNDRED THOUSAND ONLY

Debit Value Date: * 19-JAN-2021 (Date your account to be debited. Enter date in the format DD-MM-YYYY or select a date from the calendar)
Applicable for Cross Currency
Note: For cross-currency transfers outside of UAE, all payments will be credited to the beneficiary's bank two working days after your account has been debited. However,
if you would like beneficiary's account to be credited on a different day, please make the appropriate selection from below. Note: if the following options are selected
additional charges and different FX rates may apply. All transactions are subject to currency cut off times and additional conditions as applicable. FGB will process such
payments on a best effort basis and does not guarantee the payments will be effective on the option selected below.
Payment to be Effected : FX Contract No/Rate/Dealer Name : GOVERNMENT OF NIGERIA
Same Day as Debit Value Date ✔ Next Business Day after Debit Value Date
If you have received FX Contract No or the Rate and Dealer Name from FGB, please enter it above
Beneficiary Details FXcontract number received from FGB

IBAN or Account Number: * 427020848 Beneficiary Bank Name: * TDB

Beneficiary Name: * MR.OYUNTSETSEG BATERDENE Beneficiary Bank Address: * ULAANBAATAR,ENKHTAIWAN URGUN CHULUU
19,SVLHBAATAR DISTRICT 1KHOROO
Beneficiary's Address: * KHAN UUL DISTRICT 9KHOROO BURKHANT11
STREET.,ULAANBAATAR

Beneficiary Bank Country: * MONGOLIA

Beneficiary Country: * MONGOLIA Beneficiary Bank Routing Type: * SWIFT
Beneficiary Bank Routing Code: * TDBMMNUB
Payment Details * TO FINALIZE TRANSFER MR.OYUNTSETSEG
BATERDENE,,MUST PRESENT FOREIGN
(will be sent to Optional
PAYMENT BENEFICIARY IDENTIFICATIONS CARD
beneficiary) : Intermediary Bank Name: BANK FOR INTERNATIONAL SETTLEMENT

Intermediary Routing Type: * SWIFT

Intermediary Routing Code: * BISBCHBB

Purpose of Payment : * PAYMENT TO MR. RETO METTAUER, FOR CONTRACT NO NNPC/PED/9753/PHREF/2014

(For Regulatory Purposes)
Txn Type Code: * REMITTANCE-REM Charge Code(BEN/SHA/OUR): * BEN

Authorization
✔ I/We confirm that the above transfer details Signature 1 Company Stamp Signature 2
are correct and that I/We am/are authorised to
make this transfer. I/We understand that FGB will
make the transfer to the account number specified
above and will not verify the beneficiary’s details.
I/We acknowledge that this transaction is governed
by FGB’s General Terms

Bank Use Only-Do not write on this area

CMU CALL VERIFICATION DONE

Bank Contact No:

Client Contact Name:

Client Contact No:

Date & Time:

Staff Initials & Id:

No. of Transactions:

FGB_FUNDS TRANSFER FORM_V2.0