Remittance Account Details

Remittance Account Detail Form

Date:

Payee’s Account Details

Payee Full Name *

Date of Birth *

Address / Postal Address *

Email *

Phone *

Home Phone *

2 Identification Documents *
Passport / ID Card / Driver License

Passport Photo *

Must be a clear colour original digital copy. Scanned or photographed images accepted. JPG, PNG, JPEG supported.

Please upload document 1 image file.

Selfie Holding Passport *

Ensure passport text is clearly visible. Face must not be covered. Shoulders and arms visible.

Please upload document 2 image file.

Occupation / Company Information *

Relationship with payer *

Source of Funds *

BSB & Bank Account Number *

Bank Name & Branch Name *

SWIFT Code *

Bank Address *

Confirmation

Please understand that we are not responsible for any incorrect or incomplete information provided. Please double check your details before submitting. Your signature confirms agreement to the transaction terms.

Signature *

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