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お
申
込
人 |
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おところ(ADDRESS) |
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1-1-1 JAPAN
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お電話(TEL) |
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0345678900
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おなまえ(SIGNATURE AND NAME IN BLOCK LETTERS) |
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ABC TRADING CO., LTD. |
様 |
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送金人名(REMITTER)
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ABC TRADING CO., LTD.
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送金人住所(ADDRESS) |
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1-1-1 JAPAN
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受取人名(BENEFICIARY'S NAME) |
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受取人住所(ADDRESS)
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100 NORTH AVE. LOS ANGELES
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国名(COUNTRY)
UNITED STATES OF AMERICA
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国名(本店所在国) UNITED STATES OF AMERICA |
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受取人口座番号(BENEFICIARY'S ACCOUNT NO.)
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CC1234567
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支払銀行名(PAYING BANK NAME)
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支店名(BRANCH NAME)
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BIC CODE |
国名(COUNTRY) 海外向 UNITED STATES OF AMERICA
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