IBC Client Template– 10/24/2011 v.1.00
TO : International Business Centre FAX: 403-292-3820/1-866-260-3820
Date of Fax:
FOR SAME DAY PROCESSING, YOUR INSTRUCTIONS TO US MUST BE RECEIVED BY THE ESTABLISHED CUT OFF TIMES
Fax Confirmation required: NO (
) YES (X )
Fax Number: 306-966-8317
RBC Office Use Only:
RBC Template ID:
Booked RATS ID (if applicable):
Effective date of payment
(dd/mm/yy):
Client Name:
Destination Country:
Br to Br Wire 
Amount:
Currency:
UNIVERSITY OF SASKATCHEWAN
Booked/Offset:
Booking Bank SWIFT BIC:
Client Number:
Debit Transit:
07378
DR on Value Date :
Charges: (X) debit account OR
(
) other
Paid by Chq: Yes
Account:
Amount:
57a:
Currency:
Amount in Words:
56a:
/100
Y
N
/ No
Add. Info:
Details of Payment:
Beneficiary Client’s Account #:
Beneficiary Client Name (as it appears on their account):
Or Notify & Pay (
)
Note: Where IBAN or CLABE is required, $25 charge applied if not provided)
Beneficiary Client Street Address:
City:
State/Province:
Country:
57a Beneficiary Bank Name:
Bank Code (Destinations: 1=International; 2 = U.S.A.; 3 = Canada):
Postal/Zip Code:
Beneficiary Bank Street Address:
1. SWIFT BIC:
City:
State/Province:
2. FED ABA or CHIPS ABA:
Country:
Postal/Zip Code:
3. Sort Code (Bank Code & Transit):
Intermediary Bank (Optional for foreign/overseas only):
SWIFT BIC:
SIGNATURE(S) OF SIGNING OFFICERS:
Date of Signature:
Date of Signature:
1) _________________________________________
2) ______________________________________