Seylan Foreign Remittance Application | Banks in Sri Lanka

Please Effective/Issue:

Telegraphic Transfer

Demand Draft

Debit Our/ My Account No.

Foreign Currency

Amount

Name of the Applicant

Address

E-mail Address

Contact No

Applicant’s NIC/BR/PP/DL No

Sender’s Business/Profession

Source of Funds

Intermediary Bank

BIC of Beneficiary’s Bank

Name of Beneficiary’s Bank

BSB /IFSC/Routing No

Address of Beneficiary’s Bank

A/C Number/IBAN of Beneficiary

Name of Beneficiary

Address of Beneficiary

Contact Number of Beneficiary

Purpose of Payment

Foreign Bank Charges

Beneficiary’s A/C

Applicant’s A/C

Import Purposes

Import of Goods

Others

Description of Goods/HS code

Incoterm (strike inapplicable)

CIF

FOB

EXW

FCA

CFR

CIP

CPT

DDP

DAP

Port of Loading

Port of Discharge

Any Other Details

I/we take the full responsibility for the instructions provided above by me/us and hereby authorized to remit the funds. I/we are aware of the possibility of the instructions received from the beneficiary could be altered due to cyber fraudulent activity and have verified same and are satisfied with the accuracy of the said beneficiary details.

I/We absolve the bank or it’s correspondents from any responsibility or claims whatsoever that may arise in the event of it’s failure to properly identify the payee or any mistake or misinterpretation or any delay whether in transmission or in giving effect to this request. I/We further certify that request is made under existing local/Foreign regularity requirements and have not obtained exchange for this purpose from any other bank/authorized dealer in Sri Lanka. In respect of imports, I/we undertake to submit the Customs declaration and commercial invoice within 180 days from today.