Supplier E-Payment Form

CWC Business Owner/Client Relationship Manager:

*Name of Supplier (as it appears

Tyreke D Morgan
on your Bank Account) :
*Complete Address of Supplier : 16 Peachway Frazers Content Spanish Town P.O S.T Catherine

*Supplier’s Tax Identification 130201596

(Eg. TRN/VAT#):

*Supplier Contact Information (required):

Account Owner Account Owner E-mail gamebrain4@gmail.com
1(876) 348-6703
Phone Number: Address:
Accounts Receivable Accounts Receivable 1(876) 348-6703
Tyreke Morgan
Contact Name: Phone number:
Accounts Receivable gamebrain4@gmail.com
Contact Email:

Beneficiary Banking Detail

Your Banking Information needed (Applicable for All Currencies)
*Beneficiary Bank Name: Bank Of Nova Scotia
*Beneficiary Bank Address: 6 March Pen Road
S.T Catheriene

*Financial Institution ID: 80275091050234

80275002 *Beneficiary Bank NOSCCATT
(Combined Bank Transit and Routing Code :
Routing #) Notes 6&7
*Beneficiary Bank Account # 000603078 *Beneficiary Bank Saving
(no dashes or leading zeroes): Account Type
(Savings or Checking):

Intermediary Banking Details

(Applicable for International payments - Please refer to note 2 & 8. )
Intermediary Bank Name:
Intermediary Bank Address:

Intermediary Bank Routing

Code:(Eg: ABA/ SWIFT code/
IBAN #. Please see Note 8
Intermediary Bank Account Intermediary Bank
Type (Savings or Checking): Account #:
(Optional) (no dashes or leading
zeroes)

…………………………………
Name: Tyreke
*Name: Morgan Signature: ………………………………….
Signature: .................. Date.Date: …………………
June 11, 2021

November 12, 2019

 Supplier E-Payment Form

Instructional guide to complete E-payment form.

1. All catgeories with asterisk * must be completd or the form will be rejected.

2. The intermediary section should only be completed if payments have to pass through a 3rd party
bank before being deposited to your bank account.

3. The name of the supplier is the name of the vendor as per contract with C&W legal entity and must
correspond with name on bank account.

4. The supplier’s TRN/VAT number is the tax payer identification # used when issuing invoices or the
associate identification # for sales tax.

5. All Contact names and numbers for all supplier in the form are required.

6. A beneficiary bank is the receiving bank where you have your account. The beneficiary name
provided must be the exact name in which the bank account is registered.

7. The Financial institution ID is a unique identifier assigned to each specific bank or financial
instution. This number used during interbank transactions, is sometimes a piece of the routing
transit number to identify the institution, branch location and customer account. For vendors
registered in USA please ensure the ABA code is filled out for in-country payment, this is not
optional.

8. The beneficiary/intermediary bank routing code is bank code that identifies particular banks
worldwide such as ABA routing #, SWIFT codes , IBAN, etc. This list is not exhaustive.
a) ABA routing transit number is a nine digit code used in the United States to identify financial
Instititution. For vendors registered in USA please ensure the ABA code is filled out for
in-country payment, this is not optional.
b) A SWIFT code is an international code that identifies particular banks worldwide.
c) An IBAN is International Bank Account Number used internationally consists of an alphabetical
country code, followed by two digits and then up to thirty five characters for the bank account
number.

9. The intermediary bank is a third-party bank used by the beneficiary bank to facilitate international
transfer and settlement of funds. Payment will reach the intermediary bank before being credited
to the beneficiary bank account.

10. Forms without signature will be rejected.

The fully completed form must be sent to the CWC business contact owner
and they will forward to the appropriate department to update the system.

November 12, 2019