Currency Form

Thomasexchangeglobal.co. uk Dealer Checker Rate Charge HEAD OFFICE STRAND Amount Total INTERNATIONAL MONEY TRANSFER FORM BANK TO BANK Bank Name Compliance Bank Code/Swift United States ABA/Routing Number Australia BSB Number EUROPE BIC Code Bank Address City Country Account No/ IBAN Account Name Currency Sender s Name Address of Sender Tel no Home Tel no Work/Mobile E-Mail Purpose / Reason Reference If Any Customer Signature Date Note to Customer Sender please note that by signing this document and providing the above transfer information the sender accepts that Thomas Exchange Global Ltd does not assume any responsibility for infringements of currency import and/ or export restrictions if any in the United Kingdom or any foreign countries. For O ffice Use Only Head Office Confirmation Branch Confirmation Thomas Exchange Global lTD. RETAIL WHOLESALE COMMERCIAL FOREIGN MONEY DEALERS Head Office 402 Strand London WC2R 0NE Tel 020 7240 1214 Fax 020 3475 5049 www. Please keep yourself always informed and updated as to these regulations. Any changes to the original instructions received will incur a fee/administration cost. The Remitter is solely responsible for the accuracy of all the information and effecting payment to the beneficiary resulting from any laws decrees orders charges or regulations purporting to be effective where payment is made. Please note that these funds are from a legitimate source. Customers need to note that transfers done in US Dollars may result in additional charges from the clearing bank. Thomas Exchange Global are unable to take responsibility in delays caused by transfers going via a clearing bank. All payments may be subjected to compliance due diligence checks. Thomas Exchange Global Ltd reserves the right to request for additional supporting materials proof for source of funds reason for transaction etc HMRC MLR Number 12113089 FCA Authorised Payments Institution Number 568115 Information Commissioner s Office ICO Reg Number Z107815X. Please keep yourself always informed and updated as to these regulations. Any changes to the original instructions received will incur a fee/administration cost. The Remitter is solely responsible for the accuracy of all the information and effecting payment to the beneficiary resulting from any laws decrees orders charges or regulations purporting to be effective where payment is made. The Remitter is solely responsible for the accuracy of all the information and effecting payment to the beneficiary resulting from any laws decrees orders charges or regulations purporting to be effective where payment is made. Please note that these funds are from a legitimate source. Customers need to note that transfers done in US Dollars may result in additional charges from the clearing bank. Please note that these funds are from a legitimate source. Customers need to note that transfers done in US Dollars may result in additional charges from the clearing bank. Thomas Exchange Global are unable to take responsibility in delays caused by transfers going via a clearing bank.