农业银行境外汇款申请书样板

境外汇款申请书,,,,,,,,,,,,

APPLICATIONFORFUNDSTRANSFERS(OVERSEAS),,,,,,,,,,,,

,,,,,,,,日期Date,,,,

,,,,,,,,,,,,,

,,,,□电汇T/T□票汇D/D□信汇M/T,,,,发电等级Priority,□普通Normal□加急Urgent,,,

申报号码BOPReportingNo.,,,□□□□□□□□□□□□□□□□□□□□□□,,,,,,,,,

20,银行业务编号,,,,,收电行/付款行,,,,,,

BankTransac.Ref.No.,,,,,,Receiver/Drawnon,,,,,,

32A,汇款币种及金额,,USD,111.24,,金额大写,,壹佰壹拾壹元贰角肆分,,,,

Currency&InterbankSettlementAmount,,,,,,AmountinWords,,,,,,

其中,现汇金额AmountinFX,,USD,111.24,,账号AccountNo./CreditCardNo.,,,,,,

,购汇金额AmountofPurchase,,,,,账号AccountNo./CreditCardNo.,,,,,,

,其他金额AmountofOthers,,,,,账号AccountNo./CreditCardNo.,,,,,,

50a,汇款人名称及地址,,,,,,,,,,,

,Remitter'sName&Address,,,,,,,,,,,

□对公组织机构代码UnitCode,,,,,□对私,个人身份证件号码IndividualIDNO.,,,,,,

,,,,,,□中国居民个人ResidentIndividual□中国非居民个人Non-ResidentIndividual,,,,,,

54/56a,收款银行之代理行,,,,,,,,,,,

,名称及地址,,,,,,,,,,,

,CorrespondentofBeneficiary'sBankName&Address,,,,,,,,,,,

,,,,,,,,,,,,,

57a,收款人开户银行名称及地址,,收款人开户银行在其代理行账号Bene'sBankA/CNo.,,,,,,,,,第

,Beneficiary'sBankName&Address,,,,,,,,,,,一

,,,,,,,,,,,,联

59a,收款人名称及地址,,收款人账号Bene'sA/CNo.,,,,,,,,,

,Beneficiary'sName&Address,,,,,,,,,,,银

,,,,,,,,,,,,行

70,汇款附言,,只限140个字位NotExceeding140Characters,,,,,71A,国内外费用承担,,,留

,RemittanceInformation,,,,,,,AllBank'sChargesIfAnyAreToBeBorneBy,,,,存

,,,,,,,,□汇款人OUR□收款人BEN□共同SHA,,,,联

收款人常驻国家（地区）名称及代码ResidentCountry/RegionName&Code,,,,,,,,,,□□□,,

请选择：□预付货款AdvancePayment□货到付款PaymentAgainstDelivery□退款Refund□其他Others,,,,,,,,,最迟装运日期,,,

交易编码,,□□□□□□,相应币种及金额,,,,交易附言,,,,,

BOPTransac.Code,,□□□□□□,Currency&Amount,,,,Transac.Remark,,,,,

是否为进口核销项下付款,,,□是,□否,合同号,,,发票号,,,,

外汇局批件/备案表号,,,,,,报关单经营单位代码,,□□□□□□□□□□,,,,

报关单号,,,,报关单币种及总金额,,,,本次核注金额,,,,

报关单号,,,,报关单币种及总金额,,,,本次核注金额,,,,

银行专用栏,,,,申请人签章,,,,银行签章,,,,

ForBankUseOnly,,,,Applicant'sSignature,,,,Bank'sSignature,,,,

购汇汇率@,,,,请按照贵行背页所列条款代办以上汇款并进行申报,,,,,,,,

Rate,,,,,,,,,,,,

等值人民币,,,,"PleaseEffectTheUpwardsRemittance,SubjectToTheConditionsOverleaf:",,,,,,,,

RMBEquivalent,,,,,,,,,,,,

手续费,,,,,,,,,,,,

Commission,,,,,,,,,,,,

电报费,,,,,,,,,,,,

CableCharges,,,,,,,,,,,,

合计,,,,,,,,,,,,

TotalCharges,,,,申请人姓名,,,,核准人签字,,,,

支付费用方式,,□现金byCash,,NameofApplicant,,,,AuthorizedPerson,,,,

InPaymentof,,□支票byCheck,,电话,,,,日期,,,,

theRemittance,,□账户fromAccount,,PhoneNo.,,,,Date,,,,

核印Sig.Ver.,,,,经办Maker,,,,复核Checker,,,,

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