Sending Money Information

Sender Information

Sender's Name:
Address:
:
ID Expiry Date:
DOB:
City:
Country:
Email:
Contact No:
Tel No:

Receiver Information

Receiver's Name:
Address:
:
ID Expiry Date:
DOB:
City:
Country:
Email:
Contact No:
Tel No:
Receiver Name Code:
Withdrawal Password:

Transaction Information

Collection Amount:		Sent Amount:
Service Charge:		Scheme/Offer:
Customer Rate:
Payout Amount:

Payout Agent/Bank Information

Country:		Mode of Payment:
Payout Agent/Branch:		Account Number
State:		District
Payment Through:

Message to Receiver

As per AML Policy please conduct customer due diligence and transmit the accurate and meaningful originator information, Thanks.

Note: If are in compliance then you can not make the transaction !!!

Please note that this transaction requires Enhance Customer Due Diligence, please provide an explanation below about the customer activity and source of funds.
*

Primary Bank Name	Primary Account No	Amount Deposited

Txn. Password: (Note: Please use your login password to confirm the transaction)

Sending Money Information

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