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IME London (Subhida UK Ltd. Company)

Registration No.: 6432399, FCA Registration No.: 576127

HMRC Registration No.: 12663526

Registered Address : Pentax House South Hill Avenue, South Harrow, London, HA2 0DU

Tel: +4402088660307, +4407984713677

Email:info@imelondon.co.uk

Remittance Statement Office Copy

SENDER INFORMATION
Sender Name		Membership ID
Address
Nationality		Occupation
Telephone No.
Date of birth		Visa Status

BENEFICIARY INFORMATION
Payout Country		Purpose
Beneficiary Name		Mode of Receipt
Telephone No.		Bank Name
Deposit Type:
Relation with Beneficiary		Branch Name
		Account No.

Reference NO:

Collect Amount

Service Charge

Transfer Amount

Exchange Rate

Payout Amount

Serial:

Signature and Declaration
This is the digital copy generated from the system hence no signature is required. Please do contact IME London for further information.

Signature or Stamp

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Signature and Declaration
This is the digital copy generated from the system hence no signature is required. Please do contact IME London for further information.
Signature or Stamp
Signature or Stamp

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IME London (Subhida UK Ltd. Company)

Registration No.: 6432399, FCA Registration No.: 576127

HMRC Registration No.: 12663526

Registered Address : Pentax House South Hill Avenue, South Harrow, London, HA2 0DU

Tel: +4402088660307, +4407984713677

Email:info@imelondon.co.uk

Remittance Statement Office Copy

SENDER INFORMATION
Sender Name		Membership ID
Address
Nationality		Occupation
Telephone No.

BENEFICIARY INFORMATION
Payout Country		Purpose
Beneficiary Name		Mode of Receipt
Telephone No.		Bank Name
Relation with Beneficiary		Branch Name
Deposit Type:
		Account No.

Reference NO:

Collect Amount

Service Charge

Transfer Amount

Exchange Rate

Payout Amount

Serial:

This is the digital copy generated from the system hence no signature is required. Please do contact IME London for further information.
Company Stamp		Operator:()	..................................................

IME London (Subhida UK Ltd. Company)

Remittance Statement Office Copy

SENDER INFORMATION

BENEFICIARY INFORMATION

Reference NO:

IME London (Subhida UK Ltd. Company)

Remittance Statement Office Copy

SENDER INFORMATION

BENEFICIARY INFORMATION

Reference NO: