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a Indian Overseas Bank Bangkok 221 a. rr{aoFf uuo{nt?rt6' rtnfrulfluoaosi' n!{l]lilt.t IOlOO ourortiu rd Eu Ia rr af.ilf, lrntpTrm,f Tel. Tel.= O-2224-5411-14 Fax.: 0-2622-5749, O-2224-S4OS SWIFT: BHOBTHBK tu rirs atau r0u r,irursuuurm rum Application Form - Bahtnet Transfer rietu af{onrtournrtau16sutarzaffif To Country Head drrrutdrflorrurltvaorftr,fsul6r,ti'r taursur.irurvuuururrln rirmEayrduosio'trJd dafiau ........ tasdrloflJtc{rderjrs?r1rtu/urlofiar6uvrro Applicant Name ID Card No./Passport No. rauJt;drof'l{iiunrilarnt/rarvrvnluuii6qrroa Tax ID No,/Juristic ID No. ?u?l , Date riarl .............. Address rlruilrSuelrn tr aauy{vrf tr ntvuatru{u raild.....,.... AccountType Saving Current No. darlru{l Account Name tqsnrtdrrcriuor:tr tr roudq #ncrn n rirg,ilrOuelrnr fla tr rrtoratd/ar{ud Pay by Cash Debit my/our A/C Cheque No./Date rdarrirrlrg.il6u,to.ti Beneficiary's Bank Name Account Name rdarj ..... 5t1s1 Branch Name Address .... tratrYnr,i Tel. Account No. Amount Baht Purpose of transfer drnt{rsa{utaodt muavrdsera'td1{rfr.lduqndaruacrtluorruq6o rturf,,l{uvrr,luuavona\r0uuaullfrl6aru lIaqnatnrttduinrttaut0ud:tttvuuutrntuo drvq'lfdruud.rluriruad4nrJtsnrt lostr,i6arlludruud.rfla{sirsad I/We ceftify that all of details given above are correct and true and agree to comply with the Terms and Conditions for Bahtnet Transfer at the back of this Application which form paft of this Application. ;#;d*i,:ffi;;?;il"""') fileoeituetsaallsa (daana,ru eytlaulzt t I ttliutdiu aituufo Authorized Signature Please Turnover

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Page 1: af.ilf, Bank Bangkok - IOB

a

Indian Overseas Bank Bangkok221 a. rr{aoFf uuo{nt?rt6' rtnfrulfluoaosi' n!{l]lilt.t IOlOO

ourortiu rd Eu Ia rr af.ilf,

lrntpTrm,fTel.

Tel.= O-2224-5411-14 Fax.: 0-2622-5749, O-2224-S4OS SWIFT: BHOBTHBK

tu rirs atau r0u r,irursuuurm rumApplication Form - Bahtnet Transfer

rietu af{onrtournrtau16sutarzaffifTo Country Head

drrrutdrflorrurltvaorftr,fsul6r,ti'r taursur.irurvuuururrln rirmEayrduosio'trJd

dafiau ........ tasdrloflJtc{rderjrs?r1rtu/urlofiar6uvrroApplicant Name ID Card No./Passport No.

rauJt;drof'l{iiunrilarnt/rarvrvnluuii6qrroaTax ID No,/Juristic ID No.

?u?l ,

Date

riarl ..............Address

rlruilrSuelrn tr aauy{vrf tr ntvuatru{u raild.....,....AccountType Saving Current No.

darlru{lAccount Name

tqsnrtdrrcriuor:tr tr roudq #ncrn n rirg,ilrOuelrnr fla tr rrtoratd/ar{udPay by Cash Debit my/our A/C Cheque No./Date

rdarrirrlrg.il6u,to.tiBeneficiary's Bank Name

Account Name

rdarj

..... 5t1s1Branch Name

Address.... tratrYnr,i

Tel.

Account No. Amount Baht

Purpose of transfer

drnt{rsa{utaodt muavrdsera'td1{rfr.lduqndaruacrtluorruq6o rturf,,l{uvrr,luuavona\r0uuaullfrl6arulIaqnatnrttduinrttaut0ud:tttvuuutrntuo drvq'lfdruud.rluriruad4nrJtsnrt lostr,i6arlludruud.rfla{sirsadI/We ceftify that all of details given above are correct and true and agree to comply with theTerms and Conditions for Bahtnet Transfer at the back of this Application which form paft of this Application.

;#;d*i,:ffi;;?;il"""')fileoeituetsaallsa (daana,ru eytlaulzt t I ttliutdiu aituufo

Authorized SignaturePlease Turnover

Page 2: af.ilf, Bank Bangkok - IOB

1. surortrilotr,fuinrtlaut0uairu;vrJlrulr4ruo vlniu{uvri6o {uqni o{ousiraar 9.3O u. 6o 14.30 u.2. surnr:qcrirtiiunulautsunruhrirraIaurour rfratoturSuoor/rtrn:iruflrOunlrn oru:iru:ur3urn'zalau lrfalrirsr:urfisuuayrirtddrfla'ut tunrrlaurOuoirE:cuuu''tvlrunniuriruudrMrriu3. ourortcvda'irtafldrirgduaori{ur3utaudrvqtutuoirsalourOur d rfluarrvair6'19zarrirzalausu16rlssl,ttJrtnTautOuuria[{ur€uTauoriltaflfiflrydfirJmn6tu?urirsalaur€ur 'totlos'til'irrlluofaooirfi.r6o da r[{u rO u1a u vf.r d tr.ia rl tu q a u rt fi q fl a o r ur o r t4. rarnrurnrr'leiiuttduarnnurarlffiulouir lriarurrneirrfiunrrorurirsalaur3ur riu'loi triirn^rnvrrao11o1 rd

Jitdorruunndao utanrrruftosaooutotr 6ulalrautr:fotr,ir.igalaurOuunutuiuvirarrlauriu ratanrEJluiuvirnrrrurnr:rYottj r,trnsurnrltrirr;fodafirryrarolo"l lr,fdairnrllauriuriuqnoiaor'raufasrdr5. nrrfltriarurralautOu'kf r,rav;irrflurlaorJrfi6urou rurnr:ay6ur3utr,irrrriqnrirou:iru'lur0ulaurMrriu6. surnrraviuftor?ra:Jtun'lruudurarsdrfioarnnr:nsvvirloscola ra'tarl:vururfiureiaadrofrsuroflao6ulFtlsvfud't*rnuai:.q'lutOurdlauerr:rlurirsalaurSur uactilofa.,fufiortaulun:rurfisilrsdrfisrducrnilqdnrtnifirauraf an:uunlriaomr.r runiinr aoR aurtr ro af7. nrtlaut€uotousi 5 druurradu'trJ rfralausfa.ru{ot?fsu,to,ti"i rnmuaiaourirasirorfas l iudrnrrsaoEu1o1t (ntaitlluqtn:tudtn'sariuvr{uf8u oiaruuuuuu rJ.rJ..r. 1-02 rrriautuoirsataurSur dvlna{o)B. q nrir arur:n1aur3ukilo atilfi ?farir rfoairu'lufl il nr:uav;iruturSuoi afug.4nrirorurrnsaiudrturnulautOur'lriousfaonr:arnr{rudrdouror: uovqnriravlotulurffnrirgdrdaflunrrlaur':ura6eotu:niudr10. udanrruovornn:rfldenrirofaonuaaunrurdsrfi:.r:rflnr:dleiIaurOul:ludr anrirsfaoroBflu?iaualosu{{fuil'uavt'larlaut3u rntrfi:irgf,taoqilau uavffiulau ilrvmuflsnrr (lour0uao u':afinuOuarnrirgdr3urJrn):rufio

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Terms and Conditions for BAHTNET Transfer

1. Seruices Time : Monday - Friday 9.3O a.m. - 2.3O p.m.2. The Bank will proceed with the transfer as specified in the Application when the Bank has receivedpayment therefor together with the required commission, fees and expenses in full.3. The Bank will consider the account number of beneficiary appearing on the Application asmost significant and may, at the Bank's discretion, transfer funds to the account with suchaccount number without having regard to the name of the beneficiary.4. In the event the Bank has been informed by the Beneficiary's Bank that the requested transfer cannotbe effected, the Bank will notify the applicant thereof within the next working day. In case no fault has beennotified by the Bank, the transfer shall be deemed to be successful.5. Where the funds cannot be transferred and has to be refunded, the Bank shall return to applicant only theamount to be transferred.6. The Bank shall be responsible for damage arising from any willful act or gross negligence of the Bank,upto but not exceeding the amount requested to be transferred, but shall not be liable for any loss or damageincurred from special circumstances or a technical failure of any computer system.7. The applicant shall inform the Bank at least 1 working day in advance (herewithPorPorNgor. 1-02 Form (AMLO Repoft) if transaction involving asset) where Bahtnet transferfor 5 million baht and above.B. There is no limit on the number of transactions and amount per transactions.9. Customers will be given copy of the application for Bahtnet on demand. Further customers are entitled toreceive Debit Note on completion of the transaction.10. In case lhe customer wishes to enquire about the transaction done, following information must provide tothe Bank, i.e. Date and time of transaction, account number of the requester and receiver, type of transaction(cash or transfer) and amount of transferred money. Customer shall be given information within next workingday.11. In case any error comes to the knowledge of the Bank, Bank shall inform the customer about the errorand shall investigate and cooperate to solve the error on best effort basis. However, Bank shall be liable onlyas stated in point no. 6.12. The Bank may amend these Terms and Conditions as it deems appropriate and such amendment shall beposted publicly at the Bank's office.