境外汇款申请书样板

日期Date填写日期:2013.1.1发电等级Priority□普通Normal□加急Urgent申报号码BOPReportingNo.2032A50a54/56a57a收款人开户银行在其代理行账号Bene'sBankA/CNo.填写SWIFTCODE:XXXXXX第一联59a收款人账号Bene'sA/CNo.121-8888-8银行70只限140个字位NotExceeding140Characters71A留存联收款人常驻国家（地区）名称及代码ResidentCountry/RegionName&Code加拿大最迟装运日期□□□□□□□□□□□□□是□否合同号外汇局批件/备案表号申请人姓名核准人签字NameofApplicantAuthorizedPerson电话日期PhoneNo.Date请按照贵行背页所列条款代办以上汇款并进行申报PleaseEffectTheUpwardsRemittance,SubjectToTheConditionsOverleaf:加币伍万元整□对公组织机构代码UnitCode□□□□□□□□-□CorrespondentofBeneficiary'sBankName&AddressBeneficiary'sBankName&Address复核Checker填写前请仔细阅读各联背面条款及填报说明Pleasereadtheconditionsandinstructionsoverleafbeforefillinginthisapplication其中□对私Beneficiary'sName&AddressRemittanceInformationZHAILiInPaymentof□支票byChecktheRemittance□账户fromAccount核印Sig.Ver.经办Maker电报费CableCharges合计TotalCharges支付费用方式□现金byCash购汇汇率@Rate等值人民币RMBEquivalent手续费Commission银行专用栏申请人签章银行签章ForBankUseOnlyApplicant'sSignatureBank'sSignature报关单号报关单币种及总金额本次核注金额报关单号报关单币种及总金额本次核注金额是否为进口核销项下付款发票号报关单经营单位代码□□□□□□□□□□交易编码相应币种及金额CAD50000交易附言出国留学生活费BOPTransac.CodeCurrency&AmountTransac.Remark汇款附言国内外费用承担AllBank'sChargesIfAnyAreToBeBorneBy□汇款人OUR□收款人BEN□共同SHA□□□请选择：□预付货款AdvancePayment□货到付款PaymentAgainstDelivery□退款Refund□其他Others收款人开户银行名称及地址RoyalBankofCanada1,PlaceVilleMarie,Montreal,Quebec,H3C3B5,Canada收款人名称及地址XXXXXXXXXXXXXX,Suite320Montreal,Quebec,H3A3P8,CanadaRemitter'sName&Address个人身份证件号码IndividualIDNO.□中国居民个人ResidentIndividual□中国非居民个人Non-ResidentIndividual收款银行之代理行名称及地址其他金额AmountofOthers账号AccountNo./CreditCardNo.汇款人名称及地址填上汇款人姓名及地址现汇金额AmountinFXCAD50000账号AccountNo./CreditCardNo.填上汇款人账号购汇金额AmountofPurchase账号AccountNo./CreditCardNo.BankTransac.Ref.No.Receiver/Drawnon汇款币种及金额金额大写Currency&InterbankSettlementAmountAmountinWordsCAD50000境外汇款申请书APPLICATIONFORFUNDSTRANSFERS(OVERSEAS)□电汇T/T□票汇D/D□信汇M/T□□□□□□□□□□□□□□□□□□□□□□银行业务编号收电行/付款行√√√√√填上汇款人身份证号码填上联系电话汇款人签名