REMITTANCE APPLICATION
Date:
5/16/2012
Branch: You are requested to process the

following remittance against Cheque No. For Rs. / Debit Account No. / Cash

Mode of Remittance:                              Internal Transfer (including IBTS)
Currency:
  PKR  USD  GBP  EURO  JPY
Amount in Figure:
Amount in Word:
Payment Instruction:  Advise & Pay  Advise & Credit    
 
BENEFICIARY DETAILS (Complete as applicable)
Name:
 Higher Education Commission
Address:
 H-9, Islamabad
Bank / Branch Name / Code No.
Habib Bank Aabpara Branch, Islamabad
Account Type / No.
0112-7900567403
 
APPLICANT DETAILS:
Name:
Address:   Email:
   
CNIC or Passport OR Any other ID No.
Telephone #:
Purpose of Remittance: Relationship to beneficiary (Fcy Remittance only)
 

  
Line of Business/ Occupation: Charge Account No. (If different from above)
   
Paying Bank's Charges: Beneficiary Account     My/Our Account
Payment Terms & Conditions