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Smart Money Form - Sending and Encashment

This document is a sample slip for sending or encashing funds through a money transfer service. It collects customer information like name, address, contact details, ID information and asks for details of the transaction like type, amount, account numbers. The customer signs and dates the form which is then processed by an authorized personnel who also signs off with details of the cashier, date, time and reference number.

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Amore Maño
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30 views3 pages

Smart Money Form - Sending and Encashment

This document is a sample slip for sending or encashing funds through a money transfer service. It collects customer information like name, address, contact details, ID information and asks for details of the transaction like type, amount, account numbers. The customer signs and dates the form which is then processed by an authorized personnel who also signs off with details of the cashier, date, time and reference number.

Uploaded by

Amore Maño
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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SAMPLE SLIP – SENDING / ENCASHMENT

[company SMART MONEY


name/logo]
TRANSACTION SLIP
CUSTOMER INFORMATION
First Name Middle Initial Last Name

Present Address
Permanent Address same as present address
Contact Number (Landline / Celfone / Work)
Date of Birth
Place of Birth
Nationality
Civil Status
Nature of Work
Name of Employer
Business/Office Address
Type of ID Presented
SSS / TIN / Driver’s License / Others____
ID Number____
Source of Funds [ ] employment [ ] business [ ] allotment [ ] others. Please specify___________
TRANSACTION REQUEST DETAILS
Type of Transaction Amount(Php)
Cash Loading / Sending Encashment
Smart Money Account Number Smart Money Account Number
____-____-____-____ ____-____-____-____

Signature
Date
For Branch Authorized Personnel Use Only
Cashier Name & Signature
Date
Time
Transaction Reference Number

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