International Bank Payment Request

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Title *

Given name(s) *

Surname *

University of employment/ Host University (if applicable)

Country where you are currently located *

Scholar/Fellow ID number (if applicable)

Email address * 🛈

Country where bank account is held *

Bank account holder's name *

Account holder's address (must be the address which is linked to the account) * 🛈

Please note that payments cannot be made in Ghanaian Cedis. You will need to provide an alternative bank account.

Bank name and address *

SWIFT code/BIC *

BSB code *

Transit code *

IBAN *

Account number *

23 digit account number *

Currency account held in *

Sort code *

IFSC number *

Branch code *

CNIC/SNIC *

Account holder's telephone number (optional)

Phone Number *

Tax ID-NTN *

Intermediary bank name and address (optional)

Intermediary bank SWIFT code (optional)