New TT Application
New TT Application
TT No. : T T
SWIFT Code :
Bank Name :
Address Line 1 :
Address Line 2 :
Address Line 3 :
Country (Compulsory):
Account No/
IBAN :
Name :
BENEFICIARY DETAILS
Address Line 1 :
Address Line 2 :
Address Line 3 :
Country (Compulsory):
INTERMEDIARY BANK
Swift Code
(only if applicable)
Bank Name
Country :
Import – Advance Payment (Inv. No. / H.S. Code) Freight charges (Inv. No.) Education Payment (Student Name & Ref.)
Import – Open Account (Inv. No. / Cusdec No.) Migration Any Other - Please specify (Inv. No. / Ref.)
Please provide required details of transaction in the below space :
PURPOSE
Amount in Figures .
Amount in Words
Account No. :
Name :
APPLICANT DETAILS
Address Line 1 :
Address Line 2 :
Address Line 3 :
Country (Compulsory):
I/We have read, understood and agree to abide by the terms and conditions stated in page 3.
Signature : Date :
D D M M Y Y Y Y
availability of funds and the signature and address of the customer. (IF) A/c to be overdrawn;
Approved by …………………………
• I/We am/are aware that, Intermediary/ Beneficiary Banks may hold/freeze TTs at any time for regulatory and compliance issues which
may result in delays is beyond the control of Sampath Bank PLC
• I/We am/are aware of the possibility of the instructions received from the Beneficiary could be hacked and altered by fraudst ers.
Therefore, I/We have rechecked the Beneficiary Bank and account details by alternate methods and are satisfied with the accuracy of the same. The
bank is hereby authorized to remit funds as per the instructions provided herewith.
• I/We hereby undertake to submit you within 180 (360 for machinery and heavy equipment) days copies of commercial Invoice and
customs declaration both duly stamped by customs in respect of the import of goods for which payment has been made in advance by Telegraphic
Transfer
Applicant signature :