Zenith Doc2

FREE REMITTANCE FOR ACTIV AND ACTIV PREMIUM ACCOUNT HOLDERS MODE OF PAYMENT Please effect/ issue the following Telegraphic Transfer

Travelers Cheque

FOR CHEQUE/DRAFT. PLEASE Cashier Order

Demand Draft

Manager’s Cheque

Hold for my/our collection 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. P.M.B.43 Cantonments, 342, Kingston Road Accra-Ghana. Tel: +233 21771981 Fax: +233 21458970

Beneficiary’s Signature ……………………………. 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: ______________________________