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致：中国银行TO:BANKOFCHINA日期Date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.第一联59a收款人账号Bene'sA/CNo.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最迟装运日期□□□□□□□□□□□□□是□否合同号外汇局批件/备案表号/业务编号申请人姓名核准人签字NameofApplicantAuthorizedPerson电话日期PhoneNo.Date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BankTransac.Ref.No.Receiver/Drawnon汇款币种及金额金额大写Currency&InterbankSettlementAmountAmountinWords其中现汇金额AmountinFX账号AccountNo./CreditCardNo.其他金额AmountofOthers账号AccountNo./CreditCardNo.汇款人名称及地址Remitter'sName&Address购汇金额AmountofPurchase账号AccountNo./CreditCardNo.收款银行之代理行名称及地址CorrespondentofBeneficiary'sBankName&Address□对公组织机构代码UnitCode□□□□□□□□-□□对私个人身份证件号码IndividualIDNO.□中国居民个人ResidentIndividual□中国非居民个人Non-ResidentIndividual收款人名称及地址Beneficiary'sName&Address收款人开户银行名称及地址Beneficiary'sBankName&Address汇款附言国内外费用承担RemittanceInformationAllBank'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交易编码相应币种及金额交易附言本笔款项是否为报税货物项下付款发票号BOPTransac.CodeCurrency&AmountTransac.RemarkBank'sSignature购汇汇率@请按照贵行背页所列条款代办以上汇款并进行申报Rate银行专用栏申请人签章银行签章等值人民币PleaseEffectTheUpwardsRemittance,SubjectToTheConditionsOverleaf:RMBEquivalentForBankUseOnlyApplicant'sSignature手续费Commission电报费CableChargestheRemittance□账户fromAccount合计TotalCharges支付费用方式□现金byCash填写前请仔细阅读各联背面条款及填报说明Pleasereadtheconditionsandinstructionsoverleafbeforefillinginthisapplication核印Sig.Ver.经办Maker复核CheckerInPaymentof□支票byCheck