申请汇款

Dear bank of Taiwan , Tunhua Branch:

I hereby requst you to effect the following remittances subject to the conditions overleaf, which I have read and agreed to be bound by.
T/T M/T D/D
Date
Amount
Name of Beneficiary
Address of Beneficiary
Name of Remitter
Address of Remitter
Remarks

Signature

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

致台湾银行敦化分行：
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。
电汇 信汇 票汇
日期
金额
收款人姓名
收款人地址
汇款人姓名
汇款人地址
备注
签名

上述汇款支付办法，从本人在贵行开立的账户中扣除。