Request for Payment

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Name*

First Last

Your name, not company name.

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From account number

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From account name

Reference

Supplier / Customer

Beneficiary account number

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Beneficiary sub-account number

Branch code

Beneficiary / Recipient name

Company name

Beneficiary Reference

Smart Idea + Invoice Number

Amount

Reason for Payment

File Upload

Max. file size: 2 MB.

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