Application
for Remittance with Declaration (By facsimile)
To:
State Bank of
7-1, Yurakucho 1-Chome Chiyodaku
FAX No. 03-3201-5750
Date:
Attn: Remittance Section
We/I hereby request you to effect the following remittance and declare the required items pursuant to Article 3 of the “Law on reporting requirements on cross border payments and receipts for the tax law compliance” as follows.
Applicant Name: Signature:
Address:
Tel :
Account No. (with SBI, Tokyo Branch)/Registration No. :
Mode of Remittance: Demand Draft/ Telegraphic Transfer
Amount of Remittance :
(The kind of currency to be designated :US$/INR etc)
Payee’s Name & Address :
Name of Payee’s Bank & Branch:
Account No：.
Purpose of Remittance:
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Note:
1. In
case of remittance in Foreign Currencies (US$/INR etc), the exchange rate to be
confirmed in advance with Remittance Section (Tel. No. 03-3284-0198). Also, in case of remittance in currencies
other than INR, the name of the branch of State Bank of
2. To cover the fund for this remittance,
the fund in JPY to be remitted to State Bank of
3.
Bank Charges
|
Type of
Transaction |
Schedule of
Charges |
|
TTs & Drafts
issued (Exchange:Yen
to USD/INR) |
JPY 4000 (inclusive of JPY
1000 towards swift charges) |
|
TTs & Drafts issued (No exchange: Yen to Yen
basis) |
0.1% of the amount of
remittance with a minimum of JPY 6000 (inclusive of JPY 1000 towards swift
charges) |
|
TTs & Drafts issued (No exchange: Dollar to
Dollar basis) |
JPY 4000 (inclusive of JPY
1000 towards swift charges)plus lifting charge of JPY 1 per USD rounded off
to the nearest 100 |