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Customer Declarations

Declaration for Missing or Unavailable Supporting Document

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Fill this form by hand after printing, or type into it before printing.
Document Not Available:
Return ticketOnward ticketVisa copyHotel bookingInvitation letterAdmission letterFee invoiceEmployment letterOriginal address proofOriginal cash memoRelationship proofOther:

I declare that:

  1. The transaction is genuine and is being undertaken for the stated permitted purpose.
  2. The unavailable document has not been withheld to conceal any material information.
  3. The alternative documents and explanations submitted by me are genuine.
  4. I undertake to provide the unavailable document if it becomes available or is subsequently requested.
  5. I understand that submission of this declaration does not create an automatic right to purchase or remit foreign exchange.
  6. The company may defer, restrict or decline the transaction if the available information is insufficient or inconsistent.
  7. I accept responsibility for any incorrect statement or non-disclosure.
Branch Assessment
Transaction found reasonable:YesNo
Enhanced verification completed:YesNoNot Applicable
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