F1-M-003

Application Detail Fund Transfer

[Common Information] No.: 98-1

Type Telegraphic (Overseas) Holder Name EARTH TAMURA ELECTRONIC
Creator NYEINNYEIN Delete
S/M Single Checker 1 Approver 1
Value Date 19/10/2018 (DD/MM/YYYY) Checker 2 Approver 2
Debit Bank & Branch SMBC YANGON Checker 3 Approver 3
Debit A/C SA 10004902 USD Cancel Request By
Charge A/C SA 10004902 USD Cancel Request Time
Debit Type Data ID YA31R-S8AF9FF1GL-F1
Ref. Sent Time
Total Amount USD 1,368.00 Cheque No.
Env. Status Creating Clearing Date
Inst. Status Creating
Other Info.
[Payee Information]
Name GREENWARE TECHONOLOGIES-TAL ROZENTA

Bank Name BANK HAPOALIM B.M.

Branch Name TEL-AVIV
Bank Code POALILITXXX Bank Country ISRAEL
Local Code
A/C No. 506500 Payee No.
Attention
WHT Form ID WHT Ref
Payee Country Payee Code/WHT ID/Card ID
Payee Address KIBBUTZ ALUMOT 1522300,ISRAEL.

Business Reg No. New IC

Passport No. Old IC
Payable Location
Bank Address
[Payment Information]
Amount USD 1,368.00 Remit.Currency USD
+ Invoice Amount
+ VAT Amount VAT Rate (%)
- WHT Amount Our Bank Charge Applicant
- Discount Amount Bene. Bank Charge Beneficiary

[Forex]
Debit A/C Exchange Type Contract No. Exchange Rate Amount You Use
SA 10004902 USD NO EXCHANGE 1,368.00
[Other]
Purpose MONITORS ANY WHERE

Merchandise License/Inst.Ref.
/WHT Ordering No. Origin /Inst.Ref2
Payee Notification - Fax
Payee Notification - e-mail

Remarks

Printed 18/10/2018 12:26:25 UTC +06:30 Yangon Page 1 of 1