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BRANCH COPY AIB/F68 02/13 Foreign Draft Application Form C Y This form should be used for Foreign Currency non-domestic draft orders. Drafts are available to account holders only. AIB can issue currency drafts drawn on the UK USA Australia Canada and India* Customer Name R I N T PMS 273 PMS A M E Non-printing Colours I/we authorise you to debit the following account with the euro value of the Foreign Draft at your exchange rate on the day the Foreign Draft order is received from me/us by AIB together with commission if applicable. This account should have adequate funds available to fulfil the Foreign Draft order. NSC Account Number JOB LOCATION Customer Authorised Signature s Date D D M M Y Please sign in accordance with the drawing instructions on the account signing mandate. Draft Details Please refer to the Schedule of International Transactions Charges for details of commissions and charges For Branch use only Foreign Currency Amount excl* commission Exchange Rate In favour of Payee Currency Collection Date for Draft For Third Party Collection to collect this order on my/our behalf* Collected on behalf of Customer by Commission Collected Brand and FX Teller Initials Y/ N If no state reason State type of Third party ID Sighted* e*g* Passport/Drivers Licence Courier ID No* Signature Verified by Customer Receipt Ref* Allied Irish Banks p*l*c* Registered Office Bankcentre Ballsbridge Dublin 4. Registered in Ireland No* 24173. Your account terms and conditions apply. Allied Irish Banks p*l*c* is regulated by the Central Bank of Ireland. AIB600F68. indd 1 K Customer Details Please print in BLOCK CAPITALS P M 02/01/2013 15 27 PRINERGY 3. Drafts are available to account holders only. AIB can issue currency drafts drawn on the UK USA Australia Canada and India* Customer Name R I N T PMS 273 PMS A M E Non-printing Colours I/we authorise you to debit the following account with the euro value of the Foreign Draft at your exchange rate on the day the Foreign Draft order is received from me/us by AIB together with commission if applicable. This account should have adequate funds available to fulfil the Foreign Draft order. NSC Account Number JOB LOCATION Customer Authorised Signature s Date D D M M Y Please sign in accordance with the drawing instructions on the account signing mandate. This account should have adequate funds available to fulfil the Foreign Draft order. NSC Account Number JOB LOCATION Customer Authorised Signature s Date D D M M Y Please sign in accordance with the drawing instructions on the account signing mandate. Draft Details Please refer to the Schedule of International Transactions Charges for details of commissions and charges For Branch use only Foreign Currency Amount excl* commission Exchange Rate In favour of Payee Currency Collection Date for Draft For Third Party Collection to collect this order on my/our behalf* Collected on behalf of Customer by Commission Collected Brand and FX Teller Initials Y/ N If no state reason State type of Third party ID Sighted* e*g* Passport/Drivers Licence Courier ID No* Signature Verified by Customer Receipt Ref* Allied Irish Banks p*l*c* Registered Office Bankcentre Ballsbridge Dublin 4.

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Keywords relevant to Draft Application

  • indd
  • Ballsbridge
  • Excl
  • PayeeCurrency
  • PRINERGY
  • uk
  • FX
  • 2013
  • debit
  • applicable
  • Authorise
  • regulated
  • ireland
  • CAPITALS
  • EURO
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