If you do not have an ID number please leave this field blank and fill out all of the fields below.
If you do have an ID number you only need to fill in the forename, surname and post code fields for verification purposes.
If you have a Beneficiary Reference please enter it above and verify this by entering the name below.
If you do not have a Beneficiary Reference please leave the reference field blank and fill out all of the fields below.
I/WE HEREBY DECLARE THAT MONEY PAID TO YOU BY me/us was/is not derived or obtained by me or us by any illegal means or transactions including but not limited to any unlawful drug dealings.
I understand that telegraphic transfer/bank draft once issued cannot be cancelled without prior approval of regulatory bank of recipient country.
NOTE: Once the order is placed, any amendments you wish to make will incur extra fees.