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Get Mashreq Bank Funds Transfer Form

I / We acknowledge that this request is governed by the Bank s terms and conditions for Funds Transfer Applications as published on your website and agree to abide with it Authorised/Customer signatures I agree that this transfer will be made subject to the conditions set out on the reverse Please note that we will process your Funds Transfer Request on the same day provided the form is completed with all relevant data subject to availability of funds and is submitted before specific currency cut off time show overleaf. For Bank use Branch official 1 Staff ID Signature Mashreq Al Islami -Islamic Banking Division of Mashreqbank psc. Funds Transfer Form Transfer details please complete in BLOCK LETTERS. Date 16/10/2014 Please select transfer type Debit my/our A/C no Account name Senders address details Landmark Office / Flat no Street Emirate / City Floor Building Country Please provide your street address and not your PO Box address Currency of transfer AED Amount of transfer in figures or AED equivalent amount Exchange rate / Deal rate Deal reference Beneficiary s Account details Correspondent bank details optional Beneficiary s bank name Wire Transfer only SWIFT code Bank branch Bank code City / Town In Bank branch providing IFSC for India SORT for UK Fed/Wire No*/ABA No* for USA Transit for Canada and IBAN for EU will expedite payment Beneficiary s full name A/C no. / IBAN no. Wire Transfer only Purpose of Payment For AED payments please select the appropriate Transaction Type Code For Non-AED payments please select Specific Purpose of Payment For Wire Transfer/DD only Specific Purpose of Payment Invoice no Goods Involved This is MANDATORY information - just mentioning an invoice number is NOT a Purpose of Payment. The goods on the invoice must also be mentioned* Example - Purchase of Iron Rods against Inv No XXX/ Loan Repayment/Advance Payment/ Investment etc* Other details please tick Charges Wire Transfer only I authorise the Bank to freeze the amount required in my Account for payment of transfer request. Funds Transfer Form Transfer details please complete in BLOCK LETTERS. Date 16/10/2014 Please select transfer type Debit my/our A/C no Account name Senders address details Landmark Office / Flat no Street Emirate / City Floor Building Country Please provide your street address and not your PO Box address Currency of transfer AED Amount of transfer in figures or AED equivalent amount Exchange rate / Deal rate Deal reference Beneficiary s Account details Correspondent bank details optional Beneficiary s bank name Wire Transfer only SWIFT code Bank branch Bank code City / Town In Bank branch providing IFSC for India SORT for UK Fed/Wire No*/ABA No* for USA Transit for Canada and IBAN for EU will expedite payment Beneficiary s full name A/C no. / IBAN no. Wire Transfer only Purpose of Payment For AED payments please select the appropriate Transaction Type Code For Non-AED payments please select Specific Purpose of Payment For Wire Transfer/DD only Specific Purpose of Payment Invoice no Goods Involved This is MANDATORY information - just mentioning an invoice number is NOT a Purpose of Payment. .

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