CENTRAL BANK OF NIGERIA
109 TINUBU SQUARE AVENUE,
VICTORIA ISLAND, LAGOS NIGERIA.
REMITTANCE DEPARTMENT OFFICE
TELEGRAPHIC TRANSFER FORM (K.T.T. FORM)
PLEASE CAREFULLY FILL IN THE APPROPRIATE INFORMATIONS IN THE SPACES PROVIDED. USE CAPITAL LETTERS THROUGHOUT THIS FORM
1. BENEFICARY NAME: ………………………………………. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. ADDRESS: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. COMPANY NAME: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .…………..
4. ADDRESS: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...
5. AGE…. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..………………
6. AMOUNT APPLIED (IN WORDS): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .…………….
7. RECEIVING BANK NAME: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
8. RECEIVING BANK ADDRESS: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...……….
9. BANK TELE NO…………………………………..BANK FAX NO…………………………………………….
10. YOUR BANK A/C NO: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...
11. SWIFT CODE IF ANY: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...
BENEFICIARY’S DECLARATION
I/WE DECLARE THAT ALL INFORMATION GIVEN IN THIS FORM IS AUTHENTIC AND VALID AND THAT THE AMOUNT FOR REMITTANCE IS FOR THE PURPOSE STATED IN ACCORDANCE WITH THE EXCHANGE CONTROL ACT OF 1968.
BENEFICIARY’S SIGNATURE: . . . . . . . . . . . . . . . . . . . . . . . DATE: . . . . . . . . . . . . . . . . . . . . .
OFFICIAL USE ONLY
A. APPROVED BY: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..……….
B. CHECKED & PASSED FOR REMITTANCE.
BY: . . . . . . . . . . . . . . . . . . . . . . . . . . ..TOTAL AMOUNT APPROVED. . . . . . . . . . . . . . . . . . . . ...