(ro'yxatga olish raqami va ariza berilgan sana)
(imzo)
(F.I.Sh.)
To'lovchi tomonidan ingliz tilida to'ldirilishi kerak.
(Fill up by remitter)
To'lov topshirig'i № 1 __.09.2021 й.
Payment order: №1 dd: __.09.2021
To’lob holati
Oddiy (9.00-14.00)
Muddatli (15.00-17.00)
X
50. To'lovchining hisobi,
nomi va manzili
Remitter’s account and name
Acc.No. ________________________
Korxona nomi _________________
52. To'lovchining banki
Remitter’s bank
Private joint-stock commercial bank “Davr-Bank”
(P.J.S.C.B. “Davr Bank”)
МФО 01121 SWIFT code: DVRBUZ22
32. Valyuta va o'tkazma summasi
(raqamlarda, so'zlar bilan)
Currency amount (in figures, in words)
USD (so’zlar bilan)
56. Benefitsiar bankining o'tkazma
valyutasidagi
muxbiri
Correspondent of beneficiary’s
bank by currency of
transfer
57. Benefitsiar
bankining nomi
(manzil, shahar,
mamlakat va boshqa mavjud
ma'lumotlar)
Beneficiary’s bank (address, city, country, other details)
Bank nomlari
SWIFT: Xorijiy hamkor kodi
59. Benefitsiarning hisobi, nomi va manzili
Beneficiary’s account and name
Mijoz nomi
Acc: hisob raqami
70. To’lovning maqsadi
(benefitsiar uchun ma'lumot)
Details of payment (information details)
Prepayment according to the contract №
72. Maxsus o'tkazish
shartlari
(to'lovchining banki uchun ma'lumot)
Special terms of transfer.
(Information for beneficiary).
Hisobvaraqdan to'lovchi bankining komissiyalarini yechib olish:
Remitter’s bank charges to be written off the account: Acc. No.
71. Xorijiy bank komissiyasi quyidagi hisobidan:
To'lovchining
Dostları ilə paylaş: 
