APPLICATION FOR FUNDS TRANSFER

Citibank, N.A. India

* Denotes Mandatory Field
Date (DD/MM/YYYY) 20/09/2018 ✔ Alert For Format Validation Errors Customer Ref.

Overseas Telegraphic Transfer Internal Draft

*Transfer Type

*Payment Value Date (F32) *Currency (F32) *Transfer Amount (F32) Amount in Words

*DD/MM/YYYY 20/09/2018 USD 17,444.99 USD Seventeen thousand Four hundred Forty Four POINT Ninety
Equivalent Ccy SELECT Equivalent Amt. Nine
Fx Rate Contract# Contract Date

*Account Number to be Debited (F53) *Beneficiary Account Number (F59)

0340280059 ES26 2100 0039 9120 0103 5994

*Applicant Name (F50) *Beneficiary Name & Address (F59)

INTERPORT GLOBAL LOGISTICS PVT. LTD CONTINENTAL WORLDWIDE LOGISTICS S.L

901, VIKAS CENTRE, DR. C. G. ROAD, CALLE ARQUITECTO ALFARO 53,
OPP. BOMBAY PRESIDENCY GOLF CLUB, ZIP CODE: 46011,VALENCIA, SPAIN
CHEMBUR, MUMBAI:400074
*Beneficiary Bank (F57) *Purpose Code & Payment Purpose (F70)

Bank Description S0204 FREIGHT ON EXPORTS-

LA CAIXA SHIPPING COMPANIES
L' HOSPITALET DE LLOBREGAT PL.
AJUNTAMENT,34 08901 L'HOSPITALET
DE LLOBREGAT, SPAIN
Intermediary Bank (F56) Bank to Bank Information (F72)

SWIFT CAIXESBBXXX /ACC/

*Select Charges Option (F71A)

OUR - All charges to be paid by Remitter SHA - Charges shared by

both sides
BEN - All Charges to be paid by Beneficiary

*Charges to be Debited from the Account

0340280059
EEFC Account number to be Debited Amount Percentage

USD.17444.99

Stamp Signature
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