Annexure 1
| SR NO | ACCOUNT NUMBER | NAME OF ACCOUNT |
|---|
| 1. | 33890977940 | EPFO (EPF Scheme Payment to foreign Nationals) |
| 2. | 33890981130 | EPFO (EPS payment to Foreign Nationals) |
| 3. | 33890982474 | EPFO (EDLI Payment to foreign Nationals) |
FD-SWIFT - 103
APPLICATION FOR ISSUE OF FOREIGN TELEGRAPHIC TRANSFER
DATE:
STATE BANK OF INDIA
EMBASSY SECTION
1-Division, New Delhi Main Branch,
11, Sansad Marg, New Delhi-110001
20
OUR TT NO. NDMB/TSI FEX
Please mark the following remittarnce
| TRANSMIT THE MESSAGE TO | VALUE DATE |
|---|
| 32A | YY MM DD |
| APPLICATIONS NAME AND ADDRESS | 50 |
|---|
| BENEFICIARY'S NAME AND ADDRESS | 59 |
| No. | |
| BENEFICIARY'S Alc No. | |
| 57a AND LANK | |
| Swift IBAN | |
| PURPOSE OF REMITTANCE | 70 |
FOREIGN BANKS'S CHARGESs TO BE BORNE BY
I 1(OUR) APPLICANT:I I SHA[ ]8ENEFICIARY
71A
FOREIGN BANKS TO ADVISE BENEFICIARY BY
ITELEBEN:
IPHONBEN
72
METHOD OF PAYMENT TO BENEFICIARY
BENONLY
1CHEQUE: [ 1 HOLD
72
IWe request you to make the above payment by wire/sWIFT entirely at my/our risk and on my/our responsibility and the dastinct understanding that no liability whatsover is to attach to the Bank for any loss injury of damage or resuiting from delay in transactions delivery or no-delivery of the telegraphic ISWIFT message or for any mistake, comission of offer in the transmission of delivery there of in deciphering the message from any cause whatsover or from the misinterpretation when received
USD-US Dollars GBP - pound Steeling JPY- Japanese Yarn
*"beneficiary will call to collect payment
SIG 7URE OF THE APPLICANT
For Bank;s Use only
| TRANSMIT MESSEGE TO (RECEIVER) | RATE (PROVIFIRM): |
|---|
| FWD CONTRACT IN ANY | APPLICANT'S |
| Rs. Ps. |
| 52a BANK IF INVOLED Fill only if other than SBI | CREDIT COVER |
| 53a INSTRUCTIONS SENT TO | LOAUSDIMFC/ BR. CLG. GEN A/G |
| cOVER PAID TO | 64a RECEIVING BANK'S A/cAT cORRESP. Alc |
| EXCHANGE CHARGE (P&T) | BENEFICIARY'S 6a BANK TO BE PAID THROUGH |
| TOTAL (IN WORDS) | ANY OTHER ZINSTRUCTIONS |
CASH/TRANSFER SCROLL
CASH OFFICER/ PASSING OFFICER
PLEASE TRANSMIT THE ABOVE TT MESSAGE THROUGH SWIFT
ASSTT. GENERAL MANAGRER
Entd. in TT Register
CheckedTT Register
Posted in Ledger
Checked in Ledger:
#NOTE: THIS INFORMATION IS MANDATORY
Entd.
Verified
Approved| SWIFT reference& Date
