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Remittance Template
To Send Money
Sender: _________________________ (Name Here) Code: _____________________________________
Address: __________________________________ Date & Time: _______________________________
Telephone: ________________________________ Agent: ____________________________________
Receiver: ________________________________
Terms and Conditions: Write your terms and conditions regarding transfer here write your terms and conditions regarding
transfer write your terms and conditions regarding transfer write your terms and conditions regarding transfer write your terms and
conditions regarding transfer write your terms and conditions regarding transfer write your terms and conditions regarding transfer
________________________________
________________________________ Agent Signature
Customer Signature Date: _____/______/_____________
Remittance Template
To Receive Money
Receiver: ________________________ (Name Here) Code: _____________________________________
Address: __________________________________ Date & Time: _______________________________
Telephone: ________________________________ Agent: ____________________________________
Sender: ________________________________
Terms and Conditions: Write your terms and conditions regarding transfer here write your terms and conditions regarding
transfer write your terms and conditions regarding transfer write your terms and conditions regarding transfer write your terms and
conditions regarding transfer write your terms and conditions regarding transfer write your terms and conditions regarding transfer
________________________________
________________________________ Agent Signature
Customer Signature Date: _____/______/_____________