KVB KUNLUN REMITTANCE APPLICATION FORM

¤ Please print ¤ Please mark with ☑ where mutiple choice applies

Please note we do not process remittance within the same currency (Eg: JPY → JPY)
Exchanging Currency Pair :
☐ JPY → NZD ☐ JPY → AUD
☐ NZD → JPY ☐ AUD → JPY
☐ Other: →

Amount remitting (approx) :

Main contact for KVB : ☐ Applicant ☐ Recipient

Name of Applicant : Client ID : If known

Applicant’s contact details

Ph no. : Mob no. :
Work ph no. : Fax no. :
E-mail : ☐ Register to mailing list
Address :

Name of Recipient : Client ID : If known

Recipient’s contact details

Ph no. : Mob no. :
Work ph no. : Fax no. :
E-mail : ☐ Register to mailing list
Address :

Method of exchange transaction: ☐ Automatic ☐ On Hold ( :★ )

★★
☐ The amount of remittance is above NZD/AUD$10,000 or equivalent, so I would like to place an order for the whole amount at the above desired exchange rate.

Name of sender : Date of remittance :

Remark / Message etc :

Receiving Method
☐ Transfer to bank A/C ☐ Cash ☐ Bank cheque/ Draft
Time required for prossesing, client pays necessary fees.
☐ KVB’s company cheque ☐ KVB holds until bank A/C opened

Recipient’s bank A/C name : Bank name :

Branch : City :
Bank A/C no :
BSB Number : Applies only for AUD A/C

Terms and Conditions

Fund must be creditted to the country you dealt with.
• All transaction with KVB will be processed only after we have confirmed that your money has
arrived in our account and is cleared.
• If we recieve the fund in the currency in which you wish to convert to, we will automaticly exchange it to the
base currency and buy back the exchanged currency.
• Automatic: The currency exchange will be processed soon after confirming that your money has arrived.
• On Hold: We can hold your money for up to 6 months for a more favorable exchange rate. We will inform you
when the money has arrived, quoting you the current exchange rate. If satisfied with the given rate, we will fix
it straight away, and proceed with the transaction.
• Commission for exchanging:
Less than 1 million JPY or $10,000 USD, EUR, GBP, : Can process up to 2 exchange deals.
1 million JPY or $10,000 USD, EUR, GBP or more: Can process up to 3 exchange deals.
• If you wish to receive your money from our office, please bring photo ID. If you fail to provide, you may be
refused.
• If we are still withholding your money after the limited period (six months), the remaining amount will be
automatically exchanged and transferred to your designated account, and we will send (E-mail, fax or post) the
transaction details to you.
★ Only for reference, does not guarantee that we will contact you, nor the exchange transaction being pro-
cessed when rate reaches.
★★ Please tick ONLY when you understand fully the terms and conditions for placing an order.

I have read and understood the above terms and conditions, and also request that KVB Kunlun perform the transaction.

Applicant signature: Date: DD / MM / YY

New Zealand Auckland Australia Sydney Australia Melbourne

Level10, The National Bank Tower, 205 Queen St., Auckland, New Zealand Level 18, Citigroup Centre, 2 Park St., Sydney NSW 2000, Australia Level 51, 101 Collins Street, Melbourne, VIC 3000, Australia
Tel: +64-9-359-8988 Fax: +64-9-359-8989 Tel: +61-2-8263-0186 Fax: +61-2-8263-0189 Tel: +61-3-9660-1886 Fax: +61-3-9660-1889 www.kvbkunlun.com
E-mail: jp@kvbkunlun.com E-mail : jpau@kvbkunlun.com E-mail : jpmel@kvbkunlun.com
SH261105