第PAGE\*Arabic\*MERGEFORMAT40页共NUMPAGES\*MERGEFORMAT40页境外汇款申请书industrialandcommercialbankofchina境外汇款申请书日期applicationforfundstransfers（overseas）致：中国工商银行to：industrialandcommercialbankofchinadate√□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banktransac.ref.no□□□□□□□□□□□□□□□□□□□□□□收电行/付款行receiver/drawnon32a其中汇款币种及金额港币100，000元金额大写currencyinterbanksettlementamountamountinwords港币壹拾万元整现汇金额amountinfx购汇金额amountofpurchase其他金额amountofother帐号accountno./creditcardno.帐号accountno./creditcardno.帐号accountno./creditcardno.王××XX省××路×××号××××室□对私个人身份证件号码individualidno.310××××××××××50a汇款人名称及地址remitter’snameaddress□对公组织机构代码unitcode□□□□□□□□-□54/56a收款银行之代理行名称及地址banknameaddress√□中国居民个人residentindividual□中国非居民个人non-residentindividualcorrespondentofbeneficiary’s57a收款人开户银行名称及地址beneficiary’sbanknameaddress收款人开户银行在其代理行账号bene’sbanka/cno.bankofchina（hongkong）limited71desvoeuxroadcentral，hongkong收款人帐号bene’sa/cno.012-916-1-012558-6cescapitalinternationalco.，limitedunit2211a，22f，bankofamericatower，no.12harcourtroad，hongkong只限140个字位notexceeding140charactersa001wang××注明客户账号及客户名称（拼音）residentcountry/regionnamecode□货到付款paymentagainstdelivery相应币种及金额currencyamount59a收款人名称及地址beneficiary’snameaddress70汇款附言71a国内外费用承担□汇款人our□收款人ben□共同sha收款人常驻国家（地区）名称及代码请选择：□顶付货款advancepayment交易编码boptransac.code□□□最迟装运日期□退款refund□其他other□□□□□□□□□□□□交易附言transac.remark是否为进口核销项下付款外汇局批件/备案表号报关单号报关单号银行专用栏forbankuseonly□是□否合同号报关单经营单位代码发票号□□□□□□□□□□本次核注金额本次核注金额报关单币种及总金额报关单币种及总金额申请人签章applicant’ssignature银行签章bank’ssignature购汇汇率@rate等值人民币rmbequivalent请按照贵行背页所列条款代办以上汇款进行申报pleasechecktheupwardsremittance.subjecttotheconditionoverleaf：手续费commission电报费cablecharges合计totalcharges申请人姓名□现金bycash□支票bychect□帐户fromaccount电话王××支付费用方式inpaymentoftheremittancenameofapplicant139××××××××phoneno.核准人签字authorizedperson日期date复核checker核印sig.ver.经办maker中国工商银行industrialandcommercialbankofchina境外汇款申请书日期applicationforfundstransfers（overseas）致：中国工商银行to：industrialandcommercialbankofchinadate√□电汇t/t□票汇d/d□信汇m/t发电等级priority□普通no