7/27/2019 Notice of Remttance Form - Sg

1/1

TO : INTERNATIONAL MARKETING GROUP Prepared by :

ATTN : MS. JINKY MARTINEZ

MS. JENNIFER YUNZAL

Please be informed that I / we had effected the following remittance to IMG's account at :

Date Remitted :

Remittance Details : For IMG Membership (In SGD)

No. Amount (SGD)

1

2

3

4

56

7

Remittance Details : For Premium Payments (In Pesos)

No. Amount (Pesos) Provider Policy/Plan No. Mode of Payment Remarks

Total payment

Allocation for Bank Charges In SG $ In PHP

TOTAL AMOUNT REMITTED

Note: Please make one Notice of Remittance for each remittance receipt.

SG$ to PHP

Current Exchange rate Total Remitted Amount

8

7

6

5

4

3

2

Planholder's Name

1

Remittance Reference No.:

New Member Name Recruited by REMARKS

NOTICE OF REMITTANCE

Phil ippin e National Bank, Gil Puyat, SA No. 140091600027

Remitter's Name

Remitting Bank :