Request For Sending Funds Through SWIFT

Company Name(s): 

THE ASSTT GENERAL MANAGER,
BANK OF MAHARASHTRA,

__________________________
R/Sir,

Re: PLEASE SEND A SWIFT MESSAGE AS PER THE MESSAGE TEXT.
MESSAGE TEXT {[MT-103] CUSTOMER TRANSFER}

33 B : CURRENCY :
INSTRUCTED AMT
50 K : ORDERING CUSTOMER DETAILS :
NAME:
ADDRESS:
ACCOUNT NO.:
CONTACT DETAILS:
56 A : INTERMEDIARY INSTITUTE:
ROUTING / IBAN / BIC NO.:
SWIFT CODE:
57 A : ACCOUNT WITH INSTITUTE (BENEFICIARY BANK DETAILS):
.
ROUTING / IBAN / BIC NO.
SWIFT CODE :
59 A : BENEFICIARY CUSTOMER DETAILS:
ACCOUNT NO.
NAME
ADDRESS
70 : REM.INFORMATION :
71 A : DETAILS OF CHARGES:
71 F : SENDER’S CHARGES:
(CONTINUED ON NEXT PAGE OVERLEAF)
IT IS UNDERSTOOD AND AGREED THAT BANK OF MAHARASHTRA MAY MAKE THE REMITTANCE THROUGH SUCH AGENT’S & CORRESPONDENT, IT MAY CHOOSE & BY SUCH MEANS OF COMMUNICATION AS MAY BE SELECTED BY IT.
THE BANK WILL NOT BE RESPONSIBLE FOR ANY DELAYS OR ERRORS ON THE PART OF PROPOSAL SERVICES / TELEGRAPH / RADIO OR TELECOMMUNICATIONS COMPANIES OR THEIR AGENTS OR THE PATH OF ANY OF THE BANK SO AGENTS OR CORRESPONDENT IN INDIA OR ABROAD OR FOR ANY OF OR DELAY ARISING FROM ANY GOVERNMENT ACTION. WHATEVER, IN INDIA OR ELSEWHERE.
IN THE EVENT OF THE REMITTANCE IS FOR ANY REASON WHATSOEVER IS COMPLETED. THE SHALL NOT BE REQUIRED TO DO ANY REFUND UNTIL IT SHALL HAVE RECEIVED ADVICE FOR CANCELLATION FROM ITS AGENT OR CORRESPONDENT TOGETHER WITH THE RELATIVE FUNDS FREELY AVAILABLE IN CASE BY REFUND.
ALL EXPENSES AND LOSSES OCCASIONED BY THE REMITTANCE OR ATTEMPTED REMITTANCE AND THE REFUND SHALL BE BORNE BY THE REMITTER WHO ASSUMES AS WELL ALL RISK OF EXCHANGE RATE FLUCTUATION.
FURTHER / WE DECLARE CUM UNDERTAKE
[UNDER SECTION 10 (5), CHAPTER iii OF THE FOREIGN EXCHANGE MANAGEMENT ACT, 1999], THAT
I / WE HEREBY DECLARE THAT THE TRANSACTION, THE DETAILS OF WHICH ARE SPECIFICALLY MENTIONED IN THE SCHEDULE HEREUNDER DOES NOT INVOLVE, AND IS NOT DESIGNED FOR THE PURPOSE OF ANY CONTRAVENTION OR EVASION OF THE PROVISIONS OF THE AFORESAID ACT OR OF ANY RULE, REGULATION, NOTIFICATION, DIRECTION OR ORDER MADE THEREUNDER.
I / WE HEREBY AGREE AND UNDERTAKE TO GIVE SUCH INFORMATION / DOCUMENTS AS WILL REASONABLY SATISFY YOU ABOUT THIS TRANSACTION IN TERMS OF THE ABOVE DECLARATION.
I / WE ALSO UNDERSTAND THAT IF I / WE REFUSE TO COMPLY WITH ANY SUCH REQUIREMENT OR MAKE ONLY UNSATISFACTORY COMPLIANCE THEREWITH. THE BANK SHALL REFUSE IN WRITING TO UNDERTAKE THE TRANSACTION AND SHALL IF IT HAS REASON TO BELIEVE THAT ANY CONTRAVENTION / EVASION IS CONTEMPLATED BY ME / US REPORT THE MATTER TO RESERVE BANK OF INDIA.
I / WE FURTHER DECLARE THAT THE UNDERSIGNED HAS / HAVE THE AUTHORITY TO GIVE THIS DECLARATION AND UNDERTAKING ON BEHALF OF THE FIRM / COMPANY.
SCHEDULE
PURPOSE :
AMOUNT :
[ SAME AS IT IS MENTIONED IN THE MESSAGE TEXT GIVEN OVERLEAF ]
[SIGN.] >
[For and on behalf of__________________________________________________________________]
PLACE: Pune
DATE : SEAL