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TAAAAA TENEEPT14H AAANTABAP
INTERNATIONAL REMITTANCE ORDER

32: MeHroH.ri

50:
lt
rsrx / Currenq

tllhnxyyrDr'{/Ordering (unomci:
Monre8AyH ycrrrp /Amount in wordt

l MsHrsH Ayn rooroop / Amount

il 1i I

6inH,p urrnxyynrr'
Cash' tr lpx3nI3r yHAcaH

lyi8yynar,r 6a xynr]H
yin axrnnaraa, 6aipurr,r/Ma
aBaFr!4nN
n occopdr ion or b!!
xon6oo/Relanonshrp beMeen senderand recever
nes5 and addret!

Hrp/Name -- -- NJ Nl Pe.rcrprnH AyraaplchDen orTax Drl rtnorl


XaFTrddres5 -------- 11qq t)
59: XyrrrH.t r./B€nefi d.ry:
Xynsrf aBarqviH
Eerehclary s
aaHcHbr ayraap:
accounr number (l8AN) DE t1t q I .*J;|(\Oog \ .,
Hrp'/fbm€:

57: xy rrHa.arqrnH 6aHx /Seneficiary't b.6k

t L t, t I .t Bank code:

6aHKHH Hrp, caa6aF,/Bank name, blan h:

55: A.rxyyr.rq 6aHn / lnt.rmedlar, bank:

Iarryyn ru 6aH&aHA 6anpunx xynrrH aBarc 6aHKHbr AaHCHB Ayraapl


Benefidary bank account number in intermediary bnnk:

70: fyirrar,rrt yrralPayment purporc:

S.p.llriotrnrodu.E lmforr t., !b h !.p6H o..!irrir :rr.li .,t5rm..r


tr 2l I I . XyHcxrn 6.p& 6tr)rAlyyN,4@d p@du.is
.rypriH
tr 2l l2 )Ar.)rBn 6ap.i 6yrrrrAnylvPer $abre
mn food consumer prcduct5
C 2l llr. rrauri ErH,( loxq rere9.rr(M&hryy a.d

B 2I 14 - CyyA,uH *l!Eu,h. (r6,rc.r (ar p.(5


O 2l15- rle44dH 6yBrArrlt, rcrcpaH rc
r€@r@r'Petdeum plodu<ls ooro,.rl
tr 2116 YAa.H rAr.,rrrn xrprrnr*rn
6rrrr.arxwdco.sumer gtuds and prod!.rs
C ,l17 . 6.$nraH sEp,atu,.
D 2 rr3 . ,* VrrA6rpriH 6lerA3rlvHr, opu/lnd!{ra

Yrrwr'frr.rP6.rne-Tr.n{En
tr 221 I - Aq& E$rq,Dehvery .nd nan5por(ans
o 2212 L!.rx.q rr*rPublrc ran5ron {palrnqer)
O 221l . Hasvraun, uryaaN xypBnr, 6yGA l.idvigar on, post
del'wry, orhe6

Ytucrrrfrrriro I. r.r/!.NleP.nrlo.r, loru..@ urryp oy. opi )ro ind rc.l,i.ome


tr ?221 . xypaae,/Charqe5
tr 2222 f€teH .en6€dc@penor on
tr 2213. AaBrapAaara,/ne-in5ur...e
E 2224 Inrr6oniH l&rr.dpe^sio^ r.tura(e

7l : UtrrTrrrrift Hoxq.r/Ch.r9.5: 72: HrMrrr i.rat3rrr/Olher render to re{eiver iniormalion:


sHA lla,xyyi.tu 6.n(rAr! xr9.M u,M/y^tntu AyN, rx (ylrraril.xa
wl dedu(ed Fon ihe,emti..e arnounr

i,
Allremrttance fe6.h.roed byinremedary brnkr be

OilS ' lrH*n 6adqd d,(Emir omrv.fnrrq xapryu$


aidrraB erF..b utrA(ri x,r
F6r .q@spond€nt benking .halgn ourlide of Mongolo ro be bome by rhe ode, r{!n., r,1 H.ve you dohethe remlrtan.. betor.?
'

rcUB - 6!a a.ffitynarc 6aHGd ur{rrrrir uv,xyynJr xap,y'rnr (-..?


Arl banlnq .h.'qs to be borre b' the dd€ nq cu5tomer

"'r.A..A u.rxw^ rr rrirA.p..r x.iq.^yir6ria.rraayyni6ryr. \ rir '" her.by.<(.pr th. lollowmg cond*'onr ror p(trcs!ngth.r.mirran<.;

rapbrH y(]r/Signaiure: 6aHxHd DMArrnrrJr /For Bank ute only

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