FNB Namibia Logo including Customer Application to ... · Contract Account Payed to Number Name:...
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Customer Application to Purchase Foreign Currency (Bank Sale) in respect of: Transaction Type T T S Arcticnam Fishing (Pty) Ltd 85 Sam Nujoma Avenue, Unit 1 Walvis Bay City/Country Namibia N A Y Name DNB Bank Aker Brygge Stranden 1 0021 Oslo City/Country Norway Acc nº: Full Name (Surname First) Cape Cod FS Ltd 35, Riga Fereou Street, Kanika Fereos Apt 303 3095 Limassol Country Cyprus C Y N Invoices: If category 999 is selected, please supply the BoN reference (+264) 811287977 (+264) 64278321 [email protected] 2396, Walvis Bay You are authorised to treat this application as authority to debit my/our account at 281972 branch Date: Date Received___________________ Draft No.________________________ Received by_________________________ Time Received___________________ on___________________________________ Signed________________________ Date Covered____________________ Exchange provided in terms of Section paragraph of ExCon Rulings Time Covered___________________ or ExCon Approval No. ExCon reply dated Y Y Y Y MMD D 006/16, 016/16, 031/16, 033/16, 036/16, 041/16 2012/0526 IBAN: NO61 1250 0464 117 Country Code Resident Y/N 1250 04 64117 Tax No. Vat No. DNBANOKK 5781537 01 5 Name and Address of the Person/s requesting the Transfer Full Name (Surname First) Street Address (Not P.O. Box) including suburb Office use only FNB Namibia Logo including company registration no. 2002/0180 Instructing Party's Information ID No./Company Registration No./Temporary Resident No. Transaction Reference Number 2016-06-22 USD 918 431,41 Shaded areas are mandatory We, Arcticnam Fishing (Pty) Ltd, Account No.1-22462 (USD) at 281972 branch, apply to purchase Foreign Exchange for N$ ___________________ Value Date Cross Border Foreign Exchange Transaction Reporting Integrated Form Currency Foreign Amount It is understood that all liability for errors or delays in transmission, or for misinterpretation on receipt or for any loss or damage from whatever cause arising including failure to identify properly the person or persons mentioned in the message shall be on me/us and that I/we shall hold the bank harmless. DR = Draft & TT = Telegraphic Transfer (Swift) Details of Transaction informative to the Beneficiary e.g. invoice number, gift, study allowance etc. By Order of/Ordering Bank Swift address only In favour of (Beneficiary) Account Number Payable at or drawn on Swift address only Swift address only Name and Address of Bank/Branch at which payment is to be effected Address Receiver's Correspondent Bank Sender's Correspondent Bank Name and Address of Beneficiary Address Details of Payment Country Code Resident Y/N Balance of Payments Category Description Contractors Fee N$ equivalent Contact Person's Details Any one of the above is mandatory. P.O. Box may only be supplied where no Tel/Fax/E-mail available. Fax No. & Area Code E-mail P.O. Box Tel No. & Area Code Category Code Rate of Exchange See reverse of form for full category listing BoN reference Full description of transaction is required where category 901 was selected. I/We enclose my/our cheque Total Commission Postal or TT charge Bank Stamp of Authorised Dealer Documentary evidence viewed (where applicable) and endorsed "Exchange Provided" ________________ _______ Signature of applicant I/We declare that the aforegoing information is correct, that no part of the foreign currency applied for will be used for any purpose other than that indicated and that no foreign credit will directly or indirectly accrue to me/us, or to the best of my/our knowledge to any other resident of the Common Monetary Area as a result of this transaction without disclosure to the Exchange Control Authorities. I/We have not and will not duplicated/duplicate this application. _____________________________ 2016-06-22
Transcript of FNB Namibia Logo including Customer Application to ... · Contract Account Payed to Number Name:...
Customer Application to Purchase Foreign Currency
(Bank Sale)
in respect of: Transaction Type T T
S
Arcticnam Fishing (Pty) Ltd
85 Sam Nujoma Avenue, Unit 1
Walvis Bay City/Country
Namibia N A Y
Name DNB Bank
Aker Brygge Stranden 1
0021 Oslo
City/Country Norway
Acc nº:
Full Name (Surname First) Cape Cod FS Ltd
35, Riga Fereou Street, Kanika Fereos Apt 303
3095 Limassol
Country Cyprus C Y N
Invoices:
If category 999 is selected, please supply the BoN reference
(+264) 811287977 (+264) 64278321
2396, Walvis Bay
You are authorised to treat this application as authority to debit my/our account at 281972 branch
Date:
Date Received___________________ Draft No.________________________ Received by_________________________
Time Received___________________ on___________________________________ Signed________________________
Date Covered____________________ Exchange provided in terms of Section paragraph of ExCon Rulings
Time Covered___________________ or ExCon Approval No. ExCon reply dated Y Y Y Y M M D D
006/16, 016/16, 031/16, 033/16, 036/16, 041/16
2012/0526
IBAN: NO61 1250 0464 117
Country Code Resident Y/N
1250 04 64117
Tax No. Vat No.
DNBANOKK
5781537 01 5Name and
Address of the
Person/s
requesting the
Transfer
Full Name (Surname First)
Street Address (Not P.O. Box)
including suburb
Off
ice
us
e o
nly
FNB Namibia Logo including
company registration no. 2002/0180
Instructing Party's Information ID No./Company Registration No./Temporary Resident No.
Transaction Reference Number
2016-06-22 USD 918 431,41
Shaded areas are mandatory
We, Arcticnam Fishing (Pty) Ltd, Account No.1-22462 (USD) at 281972 branch, apply to purchase Foreign Exchange for N$ ___________________
Value Date
Cross Border Foreign Exchange Transaction Reporting
Integrated Form
Currency Foreign Amount
It is understood that all liability for errors or delays in transmission, or for misinterpretation on receipt or for any loss or damage from whatever cause arising including failure to identify properly the
person or persons mentioned in the message shall be on me/us and that I/we shall hold the bank harmless.
DR = Draft & TT = Telegraphic Transfer (Swift)
Details of Transaction informative to the
Beneficiary e.g. invoice number, gift, study
allowance etc.
By Order of/Ordering Bank
Swift address only
In favour of (Beneficiary) Account Number
Payable at or drawn on
Swift address only
Swift address only
Name and
Address of
Bank/Branch
at which
payment is to
be effected
Address
Receiver's Correspondent Bank
Sender's Correspondent Bank
Name and
Address of
Beneficiary
Address
Details of Payment
Country Code Resident Y/N
Balance of Payments CategoryDescription Contractors Fee
N$ equivalent
Contact Person's Details
Any one of the above is mandatory. P.O. Box may only be supplied where no Tel/Fax/E-mail available.
Fax No. &
Area Code
P.O. Box
Tel No. &
Area Code
Category Code
Rate of Exchange
See reverse of form for full category listing BoN reference
Full description of transaction is required where category 901 was selected.
I/We enclose my/our cheque
Total
Commission
Postal or TT charge
Bank Stamp of Authorised Dealer
Documentary evidence viewed (where applicable)
and endorsed "Exchange Provided" ________________ _______
Signature of applicant
I/We declare that the aforegoing information is correct, that no part of the foreign currency applied for will be used for any purpose other
than that indicated and that no foreign credit will directly or indirectly accrue to me/us, or to the best of my/our knowledge to any other
resident of the Common Monetary Area as a result of this transaction without disclosure to the Exchange Control Authorities. I/We have not
and will not duplicated/duplicate this application.
_____________________________ 2016-06-22
Name Swift No IBAN No AmountGuðlaugur Jónasson NBIIISRE IS440154381001781209663759 USD 8 600
Guðlaugur Jónasson BSABESBB ES3300810284950079840306 USD 10 000
Hallgrímur Kristensson 071256-3409 IS390166381002350712563409 USD 26 350
Hlynur Arsaelsson BGLLLULL LU15 0030 4225 0310 1000 USD 18 600
Sævar Guðjónsson USD 27 900
Vilhelm Þór Harðarson GLITISRE IS030556144016954303140170 USD 11 200
Alexej Cerepanov HABALT22 LT587300010002155031 USD 5 225
Sub-Total 107 875
Bank Costs 58,48
Total 107 933
CALCULATIONS - CAPE COD FS LTD INV NO 006/16
Name Swift Code IBAN No AmountÁgúst Sigurðsson 170163-3549 IS420161381000701701633549 USD 17 400Guðlaugur Jónasson BSABESBB ES3300810284950079840306 USD 2 400Hallgrímur Kristinsson CAIXESBBXXX ES57 2100 6003 0172 0030 6075 USD 3 400
Hlynur Arsaelsson BGLLLULL LU15 0030 4225 0310 1000 USD 2 400
Ingibergur Sigurðsson 271061-6419 ES6800810284900079550376 USD 24 650Ivan Brynjarsson GLITISRE IS15 056638100 282 140164 5269 USD 26 100Stefán Jónasson NBIIISRE IS65 0140 3810 0187 1507 6248 09 USD 8 700Stefán Jónasson BSABESBB ES73 0081 0284 9000 7985 0307 USD 8 700Sævar Guðjónsson ESJAISRE IS76 0348 0301 7763 0701 6729 89 USD 3 600Vilhelm Þór Harðarson GLITISRE IS030556144016954303140170 USD 20 300
Sub Total 117 650
Bank Costs 36,93
Total 117 687
CALCULATIONS - CAPE COD FS LTD INVOICE NO 016/16
Name Swift Code IBAN No AmountÁgúst Sigurðsson 170163-3549 IS420161381000701701633549 USD 18 600
Guðlaugur Jónasson BSABESBB ES3300810284950079840306 USD 2 400
Hallgrímur Kristinsson CAIXESBBXXX ES57 2100 6003 0172 0030 6075 USD 3 400
Ingibergur Sigurðsson 271061-6419 ES6800810284900079550376 USD 26 350
Ivan Brynjarsson GLITISRE IS15 056638100 282 140164 5269 USD 27 900
Stefán Jónasson NBIIISRE IS65 0140 3810 0187 1507 6248 09 USD 2 500
Stefán Jónasson BSABESBB ES73 0081 0284 9000 7985 0307 USD 16 100
Vilhelm Þór Harðarson GLITISRE IS030556144016954303140170 USD 21 700
TOTAL 118 950
CALCULATIONS - CAPE COD FS LTD INVOICE NO 031/16
Contract Account Payed to
Number Name: Republic Swift number bank account
1 50885 Pyotr Efimov Tallinn Estonia NDEAEE2X EE56 1700 0170 0109 0219 17272
2 50504 Eduard Filimonov Tallinn Estonia HABAEE2X EE70 2200 2210 1727 8468 16899
3 50977 Mikhail Dyachin Kaliningrad Russia HABALT22 LT96 7300 0100 8018 0565 13758
4 50841 Pavel Erohha Tallinn Estonia HABALT22 EE51 1700 0170 0258 7213 11386
5 50886 Grigory Shlyakhtich Tallinn Estonia HABAEE2X EE58 2200 2210 1521 6561 10322
6 50930 Ilya Bykov Kaliningrad Russia SABRRU2P920 4081 7840 4550 0305 7517 15101
7 50960 Vasily Neshukaytis Kaliningrad Russia SABRRU2P 42307 840 1 2001 0136467 48 11730
8 50853 Evgeny Proskuryakov Tallinn Estonia HABAEE2X EE13 2200 2210 1125 4048 12987
9 50851 Vladimir Zabski Tallinn Estonia EE71 2200 2210 0744 8761 9702
10 50134 Nikolay Lunin Tallinn Estonia HABAEE2X EE70 2200 2210 0642 3198 13262
11 50775 Vladimir Antonenko Tallinn Estonia HABAEE2X EE41 2200 2210 1991 7390 11092
12 50212 Nikolay Vlasov Tallinn Estonia HABAEE2X EE50 2200 2210 1900 4070 8332
13 50778 Anton Bessonov Tallinn Estonia HABAEE2X EE58 2200 0011 0538 7384 7694
14 50975 Sergej Matusevic Minsk Belarussia HABALT22 LT427300010088989234 8165
15 50999 Nikolai Zakharov Kalingrad Russia PNBPUS3NNYC 40817840708360002696 9724
16 50855 Oleg Savlis Tallinn Estonia HABAEE2X EE66 2200 0011 0030 5701 8127
17 50979 Sergey Ponomarev Kaliningrad Russia SABRRU2P 4230 7840 3200 1500 0220/48 10831
18 50730 Anatoly Sidorov Tallinn Estonia NDEAEE2X EE85 1700 0170 0366 2331 10716
19 50924 Andrej Vardenko Palanga (or Vilnius) Lithuania HABALT22 LT 607300010071575082 8178
20 50234 Andrei Botalov Tallinn Estonia HABAEE2X EE40 2200 2210 1346 3222 8130
21 50146 Konstantin Kolosov Tallinn Estonia HABAEE2X EE41 2200 2210 1826 6547 7844
22 50613 Juri Leusin Tallinn Estonia HABAEE2X EE32 2200 2210 1174 1519 7545
23 50130 Nikolay Punda Tallinn Estonia HABAEE2X EE40 2200 2210 0642 3156 7722
24 50994 Pavel Iurkov Kaliningrad Russia SABRRU2P920 4230 7840 7201 8325 0104 7865
25 50105 Stepan Karabtsuk Tallinn Estonia HABAEE2X EE48 2200 0011 0427 0803 4897
26 50976 Janis Salmins Tallinn Estonia HABAEE2X EE102200221026808052 11693
27 50997 Vitaly Kovsh Tallinn Estonia NDEAEE2X EE191700017002713016 9915
28 50898 Andrii Ostapenko Kiev Ukraina PBANUA2X 5457082054149161 7714
29 50948 Ruslan Miliumerov Simferopol Russia SABRRU2P920 4081 7840 2208 6000 1338 7509
30 50738 Andrei Blinov Tallinn Estonia HABAEE2X EE89 2200 2210 1197 6591 7292
31 50895 Alexander Kuldeshev Tallinn Estonia HABAEE2X EE89 2200 2210 1413 9788 8084
32 50990 Vadym Shpak Kiev Ukraina PBANUA2X 5168757291656421 7908
33 50983 Gintaras Verseckas Vilnius Lithuania HABALT22 LT827300010036811244 7917
34 50969 Sergey Patsienko Kaliningrad Russia SABRRU2P 4081 7840 2550 0304 4759 7881
35 50869 Aleksei Karev Tallinn Estonia HABAEE2X EE74 2200 0011 0949 3106 6743
36 50233 Andrey Nazarov Tallinn Estonia HABAEE2X EE30 2200 2210 0846 9163 6356
37 50957 Andriy Antonenko Kiev Ukraina PBANUA2X 5168 7423 1822 2118 7916
38 50891 Anton Sychugov Tallinn Estonia HABAEE2X EE35 2200 2210 2765 1114 6339
39 51004 Andrei Mihhailov Tallinn Estonia HABAEE2X EE54 2200 2210 2800 1815 6543
40 50867 Vladimir Turkulets Tallinn Estonia HABAEE2X EE08 2200 0011 0728 8999 6911
41 50844 Denis Dorofejev Tallinn Estonia HABAEE2X EE84 2200 2210 1317 5989 6533
42 50424 Yury Kondankin Tallinn Estonia HABAEE2X EE42 2200 2210 0413 4890 7244
43 51005 Vyacheslav Lavrentiev Tallinn Estonia HABAEE2X EE82 2200 2210 1679 4804 6633
44 50978 Aleksandr Vroblevskii St-Petersburg Russia SABRRU2P 4230 7840 6558 6000 8509 11876
45 50887 Ruslan Lysenko St-Petersburg Russia SABRRU2P 4081 7840 5550 0305 4012 9626
46 50834 Tatiana Ashgalieva Tallinn Estonia HABAEE2X EE76 2200 0011 0097 3366 6830
47 50607 Tamara Matveenkova Tallinn Estonia HABAEE2X EE34 2200 2210 1581 8684 6903
48 52000 Igor Grygorovych Ukrainian Pay Cash Walvis Bay 0
49 52001 Sergeiy Golotvin Ukrainian Pay Cash Walvis Bay 0
431 647
CALCULATIONS - CAPE COD FS LTD INVOICE NO 033/16
Name Swift No IBAN No AmountGuðlaugur Jónasson BSABESBB ES3300810284950079840306 USD 18 000
Hallgrímur Kristensson 071256-3409 IS390166381002350712563409 USD 25 500
Sævar Guðjónsson ESJAISRE IS76 0348 0301 7763 0701 6729 89 USD 4 500
Vilhelm Þór Harðarson GLITISRE IS030556144016954303140170 USD 26 100
Alexej Cerepanov HABALT22 LT587300010002155031 USD 8 250
TOTAL 82 350
CALCULATIONS - CAPE COD FS LTD INVOICE NO 036/16
Name Swift No IBAN Number Amount
Ivan Brynjarsson GLITISRE IS15 056638100 282 140164 5269 USD 33 511
Sævar Guðjónsson ESJAISRE IS76 0348 0301 7763 0701 6729 89 USD 26 353
Total 59 864
CALCULATIONS - CAPE COD FS LTD INVOICE NO 041/16
