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SERVICE REQUEST FORM

Please fill in all relevant fields

Check Type Of Services:






Applicant Details :


Beneficiary / Details :

Beneficiary name to be used for service:
Or

Amount and Currency you are applying for :


Beneficiary Receiving Bank information :


Shipment Information : (*For Import/Export transactions only)

Shipping Medium


Additional Import/Export information :

Freight

Insurance

Partial Shipments

Transhipment

Transferable

Terms

ADDITIONAL DOCUMENTATION REQUIRED


Please attach the following documents when submitting your application:

Companies

:
Corporate applicants must provide a Certificate of Incorporation or Certificate of Good Standing, and Articles of Incorporation

Authorized Persons

:
Associated or authorized applicants must provide Passport identification.

Proof of Funds

:
All applications must provide a statement showing the Funds available for payment of bank fees. All broker Fees are paid following the successful delivery of the Instrument.

Third Party Contracts

:
Provide any sales contracts, agreements, letters of Intent, etc. regarding the purposes transaction with Third parties.
  • Short Summary of Business Plan
  • Profile of Management Group
  • Non-Solicitation Non-Disclosure Statement
  • SBLC/BG/POF Letter and SWIFT Text: Provide (if relevant) the SWIFT text required by the receiving Beneficiary Bank.

I Attest as a legally appointed director, member, executive, or otherwise legally authorized and appointed individual to the applicant company that the information inputted here with any and all attached documentation is true and correct to the best of my knowledge.