中国银行境外汇款申请书(汇款单)

致：T O:BA

日 期发电等级Priority □ 普通Normal

申报号码20

32A

50a

54/56a

57a

收款人开户银行在其代

第一

联59a

收款人账号Bene's A/C

银

行

70

只限140个字位 Not

71A 留存联

收款人常

最迟装运日期

□□□□□□□□□□□□□ 是

□ 否

合同号

外汇局批

申请人姓名核准人签字Name of Applicant Authorized Person 电话日期Phone No.

Date

Please read the conditions and instructions overleaf before filling in this application

其

中

□ 对私

Please Effect The Upwards Remittance, Subject To The Conditions Overleaf:

the Remittance □ 账户 from Account

核印 Sig. Ver.

经办 Maker

复核 Checker

Total Charges 支付费用方式□ 现金 by Cash In Payment of □ 支票 by Check RMB Equivalent

手续费Commission 电报费Cable Charges

合计For Bank Use Only

Applicant's Signature

Bank's Signature

购汇汇率 @

Rate 等值人民币请按照贵行背页所列条款代办以上汇款并进行申报

本笔款项是否为报税货物项下付款发票号

银行专用栏申 请 人 签 章银 行 签 章交易编码相应币种及金额交易附言BOP Transac.

Code

Currency & Amount Transac.Remark

汇款附言

国内外费用承担

All Bank's Charges If Any Are To Be Borne By □汇款人OUR □收款人BEN □共同SHA

□□□

请选择：□ 预付货款 Advance Payment □ 货到付款 Payment Against Delivery □ 退款 Refund □ 其他 Others Remittance Information

收款人名称及地址Beneficiary's Name & Address

Beneficiary's Bank Name &

Address

个人身份证件号码 Individual ID NO.

□中国居民个人Resident Individual □中国非居民个人Non-Resident Individual

收款银行之代理行

名称及地址

收款人开户银行名称及地址Correspondent of Beneficiary's

Bank Name & Address

□对公 组织机构代码Unit Code □□□□□□□□-□

其他金额 Amount of Others 账号 Account No./Credit Card No.

汇款人名称及地址Remitter's Name & Address

现汇金额 Amount in FX 账号 Account No./Credit Card No.购汇金额 Amount of Purchase 账号 Account No./Credit Card No. Bank Transac. Ref. No.Receiver / Drawn on

汇款币种及金额金额大写Currency & Interbank Settlement

Amount

Amount in Words

境 外 汇 款 申 请 书

APPLICATION FOR FUNDS TRANSFERS (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