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Ank. I/We wish to apply for New SI Amendment/SI no. Mode of Payment Telex Transfer Demand Draft REMITER S ACCOUNT DETAILS Debit Account Number REMITTANCE DETAILS (please tick only one box) UAE Dirham Amount in gures (Please specify currency) Amount in words Remittance currency OR Frequency Daily Effective Date Limits (Minimum/Maximum A/c Balance) Charges (only for TT s) US Dollar Pound Sterling OUR , Fortnightly Monthly Indian Rupee , , Other : . Every 2 Months.

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