International n Gallifrey laws and legal jargon require both parties to complete th form will require the forms to be corrected and re-submitted for a Incomplete forms will result in failure of funds transfered. - Code 1 Sender's details Sender's name* (may be a company name) account number* Bank Access number* Daytime phone number* - ) 2 International money transfer details Send transfer in this currency* please tick Japanese Ā„ Canadian $ Swiss Franc Swedish Kroner Please Branch Account number Alter Aust Danish Kroner Singapore $ S You must complete either the foreign currency amount OR the equivalent amou Foreign currency amount equivalent amount 3 Foreign bank account details Exchange rate (Bank use only) Fee You must complete either the bank and branch number OR the SWIFT code *. P of boxes that you need Bank and branch number Swift code (BIC) Bank and branch name'
International money transfer reque ALL SECTIONS OF THIS FORM MUST BE COMPLETED AND RETURNED TO 5 Fund purpose - ANSWER ALL QUESTIONS CORRECTLY Will these funds be used to aide terrorism / scientology? Do you intend to spend this money frivoliously? Explain in exactly 75 words how this money could better spent. 6 Security Protocols - YOU MUST PROVIDE SECURITY IMAGES FOR APPROVAL To provide a safe and secure transfer of funds, the recipient (YOU) must complete the security image for verification. In the bo owner of these forms will request a 'proof of security'. To complete this form you MUST provide a sample image/s as require If you fail to provide required security image, payment and processing of this transaction will not occur. Security Image Requirements: * YOU MUST ATTACHED THIS IMAGE/S TO THIS DOCUMENT, AND / OR PROVIDE THEM ELECTRONICALLY 7 Security Protocols - SECURITY EVALUATION 16723576349065175084890751765106500160586146856586108678646361762798120387051034718327515616508951 10892375890721385764675617263657823758927358747857182057827437581782097561262091012923895789751095 65760186283785127348718283778783295794598420890910423545714675671978236578674365161299109571082751 57396172376503089578932783278721073958784783476155321432414299489709874312891571236875237812820981 61536176023475891234656478506465086125089239875809478940798784371612798267561237510173265182719231 00128937387565737465374219807345723097947593871283748566573743784018374851736374560971387458971097 56573989123298746512987348971209101834756328974389071489756701328712390791273908475980732897412098 09125038765907912387451097698127346567412983074509610982379010923754671324061723897498107230945731 41941921093745610297635677125732715000179865132782782973874873289748732172001091273897412837487374 09821734123694768912734980175673274089172340961723480708192374890172396517230487123098741892378921 90827168951890723563250721307405917643781967237518097460891723010923907409812370894715641726410192 65273276091609812809347621437692531254215492590798102734651718293712373124910287431212432434234098 09126756709712908374091723980657647323427645347324655347309754907155632102098304738290134756218397 09182735098617329109327475067108924751690374271072017230741502938756123781027340981752398018920734 06123065123709684123097480937012974056751066427300974539827489015670398217409573981893712070517809 To provide greater security you must complete this section to provide a security identification number to the sender. This client be used to authenticate the transaction. This security number will ensure that the parties can prove and identify themselves di of this transaction. Complete the section below. This is very simple. Count and provide a total number of the individual numbers requested. Each will provide a section of the final security number. Triple check your results as incorrect security number will result in failure to How many times does the number appear? 2 6
International money transfer reque ALL SECTIONS OF THIS FORM MUST BE COMPLETED AND RETURNED TO 8 De-terrorising - ANSWERING THESE QUESTIONS ENSURES YOU ARE NOT A TERRORIST - ANSWER ALL QUESTION These questions have been scientifically approved. They have! They will test your ability to answer outside your field of rando Do not respond to any question with, 'I don't know'. You must answer or guess to the best of your knowledge. Answer honestl Will these funds be used to aide terrorism / Scientology? When were the watermelon and honeydew melon discovered? What is at the end