Annex -3
} NSB&> Internal Memo
¥ aero wet. Request for Approval
{Overseas Customer Fund Transfer Request)
1) _| Details of the Account Holder
| Name with tnt
ii | Account No.
| 2) | Details of Beneficiary - ~
7 | Beneficiary Name
|
|
[7] Account No.
Ti. | Bank °
iv. | Branch
“Amount in figures (Rs)
vi | Amount in words (Rs)
‘hereby confirm that the above fund transfer has been perforemd in accordance with the General Manager's Circular
No... f2018 and submitted for your Approval.
‘The relevant customer request letter is attached herewith for necessary action please.
Branch Manager _ Date
Recommended / Approved
3, Goualncoger ost :
Approved
‘Date
‘Deputy General ManagerNSB&>
ication for Fund Teansfer
(Overseas Customers
‘Annex-2
a
Details of the Account Holder
Ful wame
‘NICNo. / Valid Passport No,
Toeal Permanent Address
Foreign Address
Foreign Telephone No.
Recount No.
Branch
Corrosponding E-mail address,
Fond wanster details
‘Amount to be Vransfered (ts)
“mount tobe Transfered (Rs) ia words)
Reason for fund transfer
a
Beneficiary Account Details
“Beneficiary Name
Relationship tothe beneficiary
Beneficiary Account No.
Bank name
Branch
Beneticiarys Telephone No.
Beneficiarys email address, irany
Signature of the customer
Signature verified and accepted by
Official use only
Date