Ific Rtgs Form
Ific Rtgs Form
Ific Rtgs Form
Date
Branch Manager/OIC,
-------------------------------------------------------- Branch/Uposhakha,
IFIC Bank Limited
Required Service
□ Account to Account Fund Transfer
□ Real Time Gross Settlement (RTGS) (charge applicable)
□ Electronic Fund Transfer (EFT) □ Debit Instruction* □ Credit Instruction
*For Debit Instruction, customer must have arrangement (written instruction or agreement) with the receiver bank
Debit Account Details
Account Name
Account Number
Contact Number
Bank Name □ IFIC Bank Limited □ Other Bank (Mention Please)
✔
Branch name Routing Number**
**For EFTN and RTGS only
Credit Account Details
Beneficiary Name
Bank Name Branch Name
Account Number Routing Number**
*Customs Office Code *Customs Reference
*Declarant *Phone Number
*Required for customs payments only
Transaction Details
Currency □ BDT □ USD □ GBP □ EUR □ CAD □ JPY
Amount (In Figure) Transaction Time □ AM □ PM
Amount (In Words)
Purpose of Transaction Reference No. (If any)
□ I/We authorize IFIC Bank to initiate the Fund Transfer by debiting my/our above-mentioned account. I am/we are fully aware that this transaction is irrevocable and will
be posted to the bank account mentioned in this form. I/we shall be solely liable for any error regarding wrong transaction due to inserting wrong account number as well as
routing number in the above as transaction will be done within shortly. I/We also confirm that transactions under this instruction will be subject to the Operating Rules of
Bangladesh Bank of Bangladesh Electronic Fund Transfer Network (BEFTN) and Bangladesh Real Time Gross Settlement (BD RTGS) as applicable from time to time.
1st Applicant’s Signature 2nd Applicant’s Signature
Signature Signature
Name: Name:
Bank Use Only
□ Customer account information is found correct and has sufficient balance for the transaction
□ Signature(s) of the customer matches with account’s signature card
□ Reference number entered in system (transaction details)
Initiating Official’s Signature Approving Official’s Signature
Signature Signature
Name: Name:
-------------------------------------------------------------------------------------------------------------------------------------------------------
- Bank’s Acknowledgement Slip
Date
Fund Transfer Request has been received for ☐ IFIC Account to Account ☐ EFT ☐ RTGS
Amount (In figure) In words
Account Number (Debit) Account Number (Credit)
Bank Name Bank Name
Name:
Bank Official’s Signature
EID: