Remittance Application Form
Remittance Application Form
Date:_____________________
against
cheque no. ___________________ dated____________ amounting _________________ favoring Meezan Bank Ltd.
Please mark the mode of remittance.
Payment Order
Demand Draft
Amount in words*:
Currency*
Amount in figures*
Purpose of remittance:*
For Demand Draft, Foreign Telegraphic Transfer Use Only Please fill where applicable
Town, City and Country where Payable:
Name and Address of Beneficiary Bank:
SWIFT Code:*
S.V.
__________________
Customers Signature
___________________________
Signature of Authorized Persons
Checked by
Authorized signature
Remittance Amount
Conversion Rate
Account debited by amount
Remittance charges
FED
Courier / SWIFT Charges
TOTAL