Kapruka The Tree of Wealth

Remittance Details Form

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Please fill in the form below and press the Submit button to send an email with your remittance details to us.

Kapruka The Tree of Wealth

Remittance Details Form

 Home                         Products                         Contact Us

If you are a new customer, please fill in the form below and press the Submit button to send an email with your remittance details to us. If you have already used our services do not use this form.  Click on the Deposit notice button on our home page for the correct form. We will get back to you with your Customer ID by phone or email during the course of the following working day.

Remitter Details

Name of your bank (If internet transfer)

 

Deposited in which Bank? (Please fill this only after you have registered with us and received a customer ID)

 Customer ID   

                     

Sender's Name:

Amount to be Remitted (A$)

 

Address in Australia:

Charges:

 

Phone:

 

Mobile

 

Total amount paid (A$)

 

Fax:

 

BH Phone

 

Email:

Date Deposited

Receipt No.

New Customers from 01.01.2008

(Please send certified copy for our records by mail - see list under Our Bank Details)

 Drivers Licence or Passport

ID No:

Date of Issue

Expiry Date

 Date of Birth: Occupation:(Post) Source of funds: Relationship to Beneficiary:

Please enter your beneficiary's details below

Beneficiary Details

Country

Beneficiary Account Details

(Please Note: People's Bank and Seylan Bank A/c Numbers have 15 digits, NSB and Sampath Bank have 12 digits, Commercial Bank 10 digits.)

Name of Recipient

Account No:

Address

Bank

Branch

Phone (country & area codes)

Mobile

If there is no bank account   ID card number

Payment Method

If submit button does not work, please paste above details into an email and send to kapruka@bigpond.com