ࡱ> G 1(bjbjَ `2]d\t0 dk $v   W tW W W   W W :,X /x5 " HSBC Bank Middle East LimitedSTANDING INSTRUCTIONS (SI) FORM Date  FORMTEXT       Note : Please complete form in BLOCK letters and tick where applicable. Demand Drafts/Cashier s Orders will be dispatched directly to the beneficiary bank.I/We wish to apply for  FORMCHECKBOX  New SI  FORMCHECKBOX  Amendment/SI no.  FORMTEXT      FORMCHECKBOX  Cancellation/SI no. FORMTEXT    Mode of Payment FORMCHECKBOX  Telex Transfer  FORMCHECKBOX  Demand Draft  FORMCHECKBOX  Cashier s Order  FORMCHECKBOX  Internal TransferREMITER S ACCOUNT DETAILSDebit Account Number  FORMTEXT     -  FORMTEXT       -  FORMTEXT    Account Name :  FORMTEXT      REMITTANCE DETAILS (please tick only one box)Remittance Currency FORMCHECKBOX  UAE Dirham  FORMCHECKBOX  US Dollar  FORMCHECKBOX  Pound Sterling  FORMCHECKBOX Euro  FORMCHECKBOX  Indian Rupee  FORMCHECKBOX  Other :  FORMTEXT      Amount in figures (Please specify currency) FORMCHECKBOX  Remittance currency OR  FORMCHECKBOX  Other currency  FORMTEXT    , FORMTEXT     , FORMTEXT     , FORMTEXT     .  FORMTEXT    Amount in words FORMTEXT      Frequency FORMCHECKBOX  Daily  FORMCHECKBOX  Weekly  FORMCHECKBOX  Fortnightly  FORMCHECKBOX  Monthly  FORMCHECKBOX  Every 2 Months  FORMCHECKBOX  Quarterly  FORMCHECKBOX  Half-yearly  FORMCHECKBOX  YearlyEffective DateFirst Payment Date  FORMTEXT       Regular Payment Date  FORMTEXT      SI expiry FORMCHECKBOX  Total number of payments  FORMTEXT       OR  FORMCHECKBOX  Until further noticeLimits (Minimum/Maximum A/c Balance)Higher Limit  FORMTEXT      ,  FORMTEXT      ,  FORMTEXT      ,  FORMTEXT       Lower Limit  FORMTEXT      ,  FORMTEXT      ,  FORMTEXT      ,  FORMTEXT      Charges (only for TTs)Sending bank FORMCHECKBOX  Charge my account  FORMCHECKBOX  Charge from remittance amountOther bank FORMCHECKBOX  Charge my account  FORMCHECKBOX  Charge from remittance amountBENEFICIARY DETAILSName : FORMTEXT      Account Number : FORMTEXT      Bank : FORMTEXT      Branch : FORMTEXT       City : FORMTEXT      State/County/Province : FORMTEXT       Country :  FORMTEXT      Bank Code* : FORMTEXT       (*SWIFT/Sort Code/Fedwire/ID/CHIPS UID/etc.Beneficiary address (Personal or Business) FORMTEXT      Payment details : FORMTEXT       FORMTEXT      Other Instructions to BankREMITTER S DETAILSContact Numbers : FORMTEXT      Mobile : FORMTEXT      Office/Residence : FORMTEXT       E-mail : FORMTEXT      I/We agree to the Terms & Conditions given herewith Customer Signature : S.V. Bank Staff Name & SignatureBANK USE ONLYSI TYPE (BSI, DSI, TSI)CHARGE CODECHARGE TYPETo BankBenf Bank MakerAuthorised Signature Save time and money by transacting through our Electronic Banking Channels. For more details, please call 800 HSBC (800 4722) or your Relationship Managers. TERMS & CONDITIONS The Terms and Conditions set forth herewith govern standing instructions and are in addition to any other agreements, account documentation and the Banks General Terms and Conditions for the operation of the accounts. I/We understand that a charge (as stated in the Schedule of Services and Tariffs) will be debited from my/our account for each of the above arrangements; and for each payment requiring manual handling, a transaction charge will also be debited from my/our account. A charge will be levied for any new standing order and for each subsequent amendment. I/We understand that I/We should maintain sufficient funds in the account one day before the payment date for the above arrangement and that a charge may be levied, at the Banks discretion, on each standing instruction payment returned due to insufficient funds, and that the bank may cancel the above instruction without advice to me/us if the payment has been returned thrice consecutively due to insufficient funds on my/our account. I/We understand that the Bank will not be liable for any delay or failure to carry out the standing instructions where such delay or failure is attributable (whether directly or indirectly) to any cause beyond the Banks control including any equipment malfunction or failure and under no circumstances shall the Bank be responsible to me/us for any consequential or indirect losses arising out of or in connection with the carrying out or otherwise of my/our instructions. I/We understand that if the payment date falls on a bank holiday, the standing instruction will be effected on the last working day, before the holiday. I/We understand that the standing order shall remain in full force and effect until advised in writing by I/Me that no further payment is required. I/We understand that any amendments or cancellations of this standing order by Me/Us should be in writing and reach the Bank at least one week before the next successive payment is due. I/We understand that neither the Bank, nor its Branches, Correspondents, or Agents are responsible for any loss, delay, error, or omission arising out of any mode of communication used for effecting those payments. I/We understand that the Bank will not be liable for any hold or delay in my/our payments if the Bank at any time subsequently, is of the opinion that the information is incomplete or insufficient or does not meet any act of a regulatory authority / Government agency. I/We understand that a charge will be made for enquiries received in respect of any standing order payments where the Bank is not at fault, e.g., refunds, cancellations, amendments, duplicate advices, fate of funds, copies of cleared payments, etc. (a charge will be made per payment instruction).  DFHLN02NPRݶꩲꩲyh!j 5>*CJOJQJU5>*CJOJQJj5>*CJOJQJUjv 5CJUj 5CJUj5CJU5CJj5CJOJQJUmHjz5CJOJQJU5CJOJQJj5CJOJQJUCJCJ5CJhnH 5 jU% FHJLNˀ da$1$$lP40Q* 1$$lk40Q* $$1$$l40Q*`$  FHJLNV0 L h j  D x   4 6 @ B d f h $&:2Znop{            UV00$$l4u*$$$lu* & F$$$($$l4u*  (*FHJrt  (*,VXtvxL N b Ừޝymaޝj 5CJUj 5CJUj 5CJUj2 5CJOJQJU5CJOJQJj5CJOJQJU!j 5>*CJOJQJU5>*CJOJQJjT 5CJU5CJj5CJUCJj5>*CJOJQJUj5>*CJOJQJUmH% L h j  ll$$l4u* $$l4 Vu*$$$$l4u* $$$l4u* b d f l n t v   0  * ȸȨȥȕХЀtj^5CJUj5CJUj5CJUjd5CJOJQJUCJj 5CJOJQJUjx 5CJOJQJU5CJOJQJ5CJj5CJOJQJUmHj5CJOJQJUj 5CJOJQJU)* , . 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