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1660 - 100016

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080 - 3020 - 7236 ( RATE )

070 - 1497 - 0431 ( INFO )

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Please be aware that the exchange rates are applied at the time of transaction, the transaction displayed is valid for the current day and time.

As of July 22

Currency	Symbol	Unit	Rate	Amount

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111-0053 Tokyo,
Taito-Ku, Asakusabashi 3-20-11,
M's Asakusabashi Bldg 5F
Tel: 03-6869-7511
Fax: 03-6868-3399
Mob: 070-1497-0431

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Remitter Beneficiary Transaction

Customer Id

Name

Mobile Number

Purpose of Remittance

Family Maintenance Saving or Investment Purchase of Property
Salary or Pension Business Capital Investment or Loan
Payment for goods services Other

Beneficiary Name

Mobile Number

Beneficiary Home Address

Beneficiary Relationship

Self or Spouse Children Parent Uncle or Aunt Sister Or Brother Nephew Or Neice Business Partner Friend Other

Amount

Bank

MUFJ MIZUHO JP SMBC

Source Of Funds

Current Income Deposit Or Savings Pension Assets Sale Investment Profit Other

Method Of Transfer

Door To Door Delivery Branch Or Agency Pickup Send To Bank Account

Branch

Account Number

Remitter Beneficiary Transaction

Family Name

Given Name

Middle Name

Photo

Address

DOB

Country

Mobile Number

Telephone Number

Fax Number

Occupation

Employee Student Housewife
Part-Time Worker Retired, Unemployed Executive (of Association)
Government Employee Self-Employed Other

Purpose of Remittance

Family Maintenance Saving or Investment Purchase of Property
Salary or Pension Business Capital Investment or Loan
Payment for goods services Other

Family Name

Given Name

Middle Name

Contact Number

Address

Beneficiary Relationship

Self or Spouse Children Parent Uncle or Aunt Sister Or Brother Nephew Or Neice Business Partner Friend Other

Bank

MUFJ MIZUHO JP SMBC

Source Of Funds

Current Income Deposit Or Savings Pension Assets Sale Investment Profit Other

Method Of Transfer

Door To Door Delivery Branch Or Agency Pickup Send To Bank Account

Branch

Account Number