申请篇(3)：申请汇款

Dear Bank of Taiwan, Tunhua Branch,

致台湾银行敦化分行：

I hereby request you to effect the following remittances subject to the conditions overleaf, which I have read and agreed to be bound by.

本人已阅读并同意遵守此页背面所列条款，兹委托贵行据此办理下列汇款。

T/T M/T D/D

电汇 信汇 票汇

Date

日期

Amount

金额

Name of Beneficiary

收款人姓名

Address of Beneficiary

收款人地址

Name of Remitter

汇款人姓名

Address of Remitter

汇款人地址

Remarks

备注

Signature

签名

In payment of the above remittance, please debit my account with you.

上述汇款支付办法，从本人在贵行开立的账户中扣除。