Amount to be remitted

£

We shall remit this amount converted to Taka at the rate on the day of cheque clearance.

Commission

TOTAL

Send cheque for this amount payable to Sonali Bank (UK) Ltd together with this completed form

Cheque Number

Drawn on

OR

If you require funds to be sent in £ sterling to a sterling account in Bangladesh, tick here

OR

Do you hold an account with
Sonali Bank (UK) Limited that
you authorise us to debit with the total amount in this
remittance?

If yes, please fill in your
Account Number *

For Sonali Bank (UK) Ltd Remittance Card holders, please fill in your Card Number, Surname and Forename.

Card Number

Gender

Date of Birth

Title

Surname *

Forenames *

Address *

City/Town *

Post Code *

Country

Home Telephone No

Mobile Number

Full name *

Advise and Pay   (Please complete this section if payment is to be made to a non-account holder)

Father's/Husband's name *

Address *

Bank Details   (Please complete this section if payment is to be made to an account holder)

Beneficiary's A/C Number *

Account Type *

Bank Name *

Branch Name *

Branch District

I accept the terms and conditions of the Sonali Bank (UK) Ltd remittance service