Interbank Placement Instruction Form
1. Placement Details
Value Date
Currency
Amount
Tenor
Maturity Date
Interest Rate (%)
Interest Amount
Principal & Interest Payment Instructions
2. Beneficiary Bank Details
Bank Name
Bank Address
SWIFT/BIC Code
Beneficiary Account Name
Beneficiary Account Number/IBAN
3. Additional Instructions
Instructions
4. Authorisation
Authorised Signatory 1
Authorised Signatory 2
Date