CROAMIS

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Bank Account Details Collection Form

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Beneficiary Details

Beneficiary Name
Beneficiary Address 1
Beneficiary Address 2
Beneficiary City
Beneficiary State
Beneficiary Country Code
Beneficiary Country Name
Beneficiary Email
Postal Code
Beneficiary Contact Number

Bank Details

Bank Name
Bank Branch
Bank Address Line 1
Bank Address Line 2
Bank City
Bank State
Bank Country Code
Bank Country Name
Postal Code

Account Details

Account Number
Re Enter Account Number

IBAN
SWIFT
INTRA SWIFT
Bank Code
IFSC
Sort Code
Routing Code
ABA Number
BSB Code
CHIPS
BLZ

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Bank Details Captured Successfully