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OUTWARD TELEGRAPHIC TRANSFER / DEMAND DRAFT APPLICATION CUM FORM A2 Please fill in using BLOCK LETTERS * Please () wherever applicable Applicant’s information ( Sender / Remitter ) * Name of Sender / Remitter: * Contact Tel. * Status: Resident NRI Foreign National * Constitution: Proprietorship Partnership Limited co. Others: (Please specify) Account type Premier Others Transfer instructions I / We authorise you to debit my / our savings / current / EEFC / RFC * Account no for (currency) __________ (amount) _________________ and debit my / our savings / current / EEFC / RFC * Account nos for the balance amount and * (please provide multiple account numbers in order of priority for debit incase of insufficient EEFC balances.) * charges from a/c, and * 1. Issue a Demand Draft: * 2.

HSBC Personal Banking Tariff of Charges (PDF, 3.8MB) HSBC Personal Banking Tariff of Charges (PDF, 3.8MB) Download. HSBC Premier Tariff of Charges (PDF, 3.7MB). Funds Transfer Form (PDF, 1.9MB) Download. Debit Card ATM Transactions Dispute Form (English) (PDF, 1.2MB) Debit Card ATM Transactions Dispute Form (English) (PDF, 1.2MB) Download.

Effect a Telegraphic Transfer 56A Intermediary * Name: Bank * Address: Optional - for routing payment to Beneficiary } Bank Issued by The Hongkong and Shanghai Banking Corporation Limited, India ( HSBC India). Incorporated in Hong Kong SAR with limited liability.

Date: * Details of foreign exchange required Remittance of Currency Amount (in figures Amount (in words) (E.g. Programmu koordinatnaya ploskostj. USD 1000.00) Remittance of Currency Equivalent of Currency Amount (in figures) Amount (in words) (E.g. USD equivalent of INR 45000.00) * Country: Swift Code / Chips ID / Australia BSB Code / USA Fed Wire / USA ABA / UK Sort Code / UID No.

57 Beneficiary’s * Beneficiary Bank’s Name: Bank * Address: * Country: * Please fill up any of the following (as applicable): For USD payment: For Euro payment: in USA Fedwire No: in UK Sort Code: outside USA Swift Code: outside UK Swift Code: For GBP payment: For AUD: in UK Sort Code: in Australia BSB Code: outside UK Swift Code: Swift Code: For any other currencies: in any country Swift code: outside Australia Swift Code.

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OUTWARD TELEGRAPHIC TRANSFER / DEMAND DRAFT APPLICATION CUM FORM A2 Please fill in using BLOCK LETTERS * Please () wherever applicable Applicant’s information ( Sender / Remitter ) * Name of Sender / Remitter: * Contact Tel. * Status: Resident NRI Foreign National * Constitution: Proprietorship Partnership Limited co. Others: (Please specify) Account type Premier Others Transfer instructions I / We authorise you to debit my / our savings / current / EEFC / RFC * Account no for (currency) __________ (amount) _________________ and debit my / our savings / current / EEFC / RFC * Account nos for the balance amount and * (please provide multiple account numbers in order of priority for debit incase of insufficient EEFC balances.) * charges from a/c, and * 1. Issue a Demand Draft: * 2.

HSBC Personal Banking Tariff of Charges (PDF, 3.8MB) HSBC Personal Banking Tariff of Charges (PDF, 3.8MB) Download. HSBC Premier Tariff of Charges (PDF, 3.7MB). Funds Transfer Form (PDF, 1.9MB) Download. Debit Card ATM Transactions Dispute Form (English) (PDF, 1.2MB) Debit Card ATM Transactions Dispute Form (English) (PDF, 1.2MB) Download.

Effect a Telegraphic Transfer 56A Intermediary * Name: Bank * Address: Optional - for routing payment to Beneficiary } Bank Issued by The Hongkong and Shanghai Banking Corporation Limited, India ( HSBC India). Incorporated in Hong Kong SAR with limited liability.

Date: * Details of foreign exchange required Remittance of Currency Amount (in figures Amount (in words) (E.g. Programmu koordinatnaya ploskostj. USD 1000.00) Remittance of Currency Equivalent of Currency Amount (in figures) Amount (in words) (E.g. USD equivalent of INR 45000.00) * Country: Swift Code / Chips ID / Australia BSB Code / USA Fed Wire / USA ABA / UK Sort Code / UID No.

57 Beneficiary’s * Beneficiary Bank’s Name: Bank * Address: * Country: * Please fill up any of the following (as applicable): For USD payment: For Euro payment: in USA Fedwire No: in UK Sort Code: outside USA Swift Code: outside UK Swift Code: For GBP payment: For AUD: in UK Sort Code: in Australia BSB Code: outside UK Swift Code: Swift Code: For any other currencies: in any country Swift code: outside Australia Swift Code.