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Remittance Application
 
Currency* :
Amount* :    Rate :    Charges :
  SGD Amount :
  All rates are subject to change without notice
No responsiblity will be borne by Dollar Exchange Pte Ltd in the event of fluctuation in rates
 


   
Applicant's Details
 
Name* :
Country* :
Address* :

Postal Code* : Fax No :
Contact No* : Occupation* :
Nationality* : Date Of Birth* :
Email :
Identity Type : NRIC
Passport
Work Permit
Identity No* :
Expiry date if applicable :
Company's name if applicable :
   
Beneficiary's Details
 
Name* :
Country* :
Beneficiary's Address :

Postal Code : Swift Code :
Bank* : Account No* :
BSB : IBAN :
Bank's Address (State)*
Bank's Country*            :
Bank's Province (if Bank is in China)                   :
   
 
   
 
NOTE:
The applicant assumes all risks and responsibilities in the events of delays, mistakes or omissions in transmission of the message or from its misinterpretation when received.

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