FREE REMITTANCE FOR ACTIV AND ACTIV PREMIUM ACCOUNT HOLDERS

MODE OF PAYMENT Please effect/ issue the following

Telegraphic Transfer Travelers Cheque Demand Draft Manager’s Cheque

FOR CHEQUE/DRAFT. PLEASE Hold for my/our collection

Cashier Order Send by registered mail/us/beneficiary

Remitting Currency Details: Currency *In Figures

* In words

Chargers: All charges to beneficiary’s account

BENEFICIARY DETAILS
Beneficiary name/In favour of:____________________________________________________________________________

Beneficiary account number:______________________________________________________________________________

Beneficiary’s account with bank:___________________________________________________________________________

Beneficiary’s bank address:_______________________________________________________________________________

_____________________________________________Country:___________________________

*Beneficiary’s bank Telephone: ___________________________________________*Fax:____________________________

*Preferred routing information i.e.__________________________________________________________________________

Correspondent / Intermediary bank/ Sort Code_________________________________________________________________

*Payment Details / Purpose:_______________________________________________________________________________

MAIL or FAX to: Zenith Bank Ghana Limited. Beneficiary’s Signature

P.M.B.43 Cantonments, 342, Kingston Road Accra-Ghana.
Tel: +233 21771981 …………………………….
Fax: +233 21458970

Date…………………………

I/We confirm having read and understood and agree to abide by the terms and conditions printed overleaf

FOR AIB USE ONLY

Branch Control No.: ________________________
Fax original received: _______________________
Call back done: ____________________________
Signature Verified: _________________________
Funds Checked: ___________________________
Risk: ____________________________________
Deal No.:________________________________
Rate: ___________________________________
Special Charges: __________________________
Value Date: ______________________________