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TT Form - New

The document is a Transfer of Funds Request Form for CRDB Bank, allowing customers to request international or domestic fund transfers. It requires the applicant's and payee's details, bank information, and payment details, along with a customer signature. The bank disclaims liability for any issues during the transfer process.

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restyeugene1994
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711 views1 page

TT Form - New

The document is a Transfer of Funds Request Form for CRDB Bank, allowing customers to request international or domestic fund transfers. It requires the applicant's and payee's details, bank information, and payment details, along with a customer signature. The bank disclaims liability for any issues during the transfer process.

Uploaded by

restyeugene1994
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CRDB BANK PUBLIC LIMITED COMPANY

Time stamp Processed stamp

TRANSFER OF FUNDS REQUEST FORM

INTERNATIONAL DOMESTIC

( To be filled and signed by the customer)


Please select (tick) the desired type of transfer of funds:
SWIFT
TISS
EFT
BP cheque
Applicant’s (drawer) details: Payee’s details
Name.................................................................... Name................................................................................
Postal Address...................................................... Address.............................................................................
Post box/ Pin code................................................ Zip/ Pin code.....................................................................
Street Name......................................................... Street Name......................................................................
Telephone (s)....................................................... Telephone (s)..................................................................
Email.................................................................... City...................................................................................
City......................................................................... Country.............................................................................
Applicant’s Bank Details: Payee’s Bank Details:

Account No............................................................... Bank Name:.......................................................................


SWIFT CODE /BIC.............................................................
Account Name......................................................... Branch Name /routing No ...............................................
Account no: /IBAN ..........................................................
Branch...................................................................... Intermediary bank Name ...............................................
Country..............................................................................
SWIFT CODE/BIC...............................................................
Details of payment
Supporting documents ( tick where appropriate) yes no
Currency: Amount in Figures:
Amount in words:

Transfer @Rate ( if forex ) Shillings Cents


amount

Transfer Commission
charges Other charges/overseas charges
Total (T)

In making the transfer, the Bank shall not be liable for mutilation, interruption, omission, errors or delays
occurring during execution of this transfer.

Time received.................. Customer Signature: …………………………

FOR OFFICIAL USE ONLY


RECEIPT: To be filled and signed by a bank Official. Date: ......................................
(To be presented whenever an inquiry is made regarding the above funds transfer) Bank Official’s
Received fund transfer request form from: ......................................................................................... Sign & Stamp
Amounting to (Currency & Amount)......................................................................................................
In favour of.............................................................................................................................................
Time received: ...................................... CBFE 9-004

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