; Third Party Funds Transfer
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Third Party Funds Transfer


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  HSBC Bank Middle East Limited
                                                                                                  ‫ﺑﻨﻚ إﺗﺶ إس ﰊ ﺳﻲ اﻟﺸﺮق اﻷوﺳﻂ اﶈﺪود‬

Third Party Funds Transfer* - Application Form                                                          ‫ﳕﻮذج ﻃﻠﺐ - * دﻓﻌﺎت ﻷﻃﺮاف أﺧﺮى‬

Name: _________________________________________

Personal Banking Number: _________________________                      _______________________‫اﻟﺮﻗﻢ اﳌﺼﺮﰲ اﻟﺸﺨﺼﻲ‬

I hereby request and authorise the Bank to grant me the            ‫ﺬا أﻃﻠﺐ و أﻓﻮض اﻟﺒﻨﻚ ﳌﻨﺤﻲ إﻣﻜﺎﻧﻴﺔ ﲢﻮﻳﻞ اﻷﻣﻮال ﻷﻃﺮاف أﺧﺮى *ﰲ ﺣﺪود )وﻓﻘـﺎ‬
ability to make Third Party Funds Transfers* to the extent         ‫ـﺔ‬‫ﻟﻠﻤﺒﻠﻎ اﻟﻴﻮﻣﻲ اﶈﺪد أدﻧﺎه( ﺣﺴﺒﻤﺎ ﻳﺴﻤﺢ ﺑﻪ اﻟﺒﻨﻚ ﻣﻦ وﻗﺖ ﻵﺧﺮ ﻋﻨﺪ إﺳﺘﻌﻤﺎل اﳋﺪﻣـ‬
(as per the daily amount specified below) from time to time
permitted by the Bank when using Personal Internet
                                                                    ‫اﳌﺼﺮﻓﻴﺔ اﻟﺸﺨﺼﻴﺔ ﻋﱪ اﻹﻧﺘﺮﻧﺖ و/أو اﳋﺪﻣﺔ اﳌﺼﺮﻓﻴﺔ اﳍﺎﺗﻔﻴﺔ أو أي ﺧﺪﻣﺔ أﺧﺮى ﻣﺘﺼﻠـﺔ‬
Banking or / and Phone Banking Services, or any other                          ..‫ﺎ( ﺣﺴﺒﻤﺎ ﻗﺪ ﻳﺘﻢ ﺗﻌﺪﻳﻞ أو إﺳﺘﺒﺪال أو ﺗﻐﻴﲑ ﻫﺬه اﳋﺪﻣﺔ ﻣﻦ وﻗﺖ ﻵﺧﺮ‬
relevant service (as such service may be amended, replaced
or varied from time to time).

I acknowledge that I have received the General Terms and
Conditions for the Operation of Accounts and Electronic            ‫و أﻗﺮ ﺑﺄﻧﲏ ﻗﺪ ﺗﺴﻠﻤﺖ اﻟﺒﻨﻮد و اﻟﺸﺮوط اﻟﻌﺎﻣﺔ اﳋﺎﺻﺔ ﺑـﺈدارة اﳊﺴـﺎﺑﺎت و اﳋﺪﻣـﺎت‬
Banking Services, and I am governed by the relevant terms                          ‫ـ‬
                                                                   ‫اﳌﺼﺮﻓﻴﺔ اﻹﻟﻜﺘﺮوﻧﻴﺔ و إﻧﲏ ﻣﻠﺘﺰم ﺑﺘﻄﺒﻴﻖ اﻟﺒﻨﻮد و اﻟﺸﺮوط اﳋﺎﺻﺔ ﺑﺎﻹﺳـﺘﺨﺪام اﻟﻨـﺎﻓﺬة و‬
and conditions of use in force at the relevant time.
                                                                                                                                    .‫ﺎ ﰲ ﺣﻴﻨﻪ‬ ‫اﳌﻌﻤﻮل‬
I note that if I elect to use Personal Internet Banking service,
I will be required to accept the relevant Personal Internet                    ‫اﻹﻧـ‬
                                                                     ‫إﻧﲏ أدرك أﻧﻪ إذا إﺧﺘﺮت إﺳﺘﻌﻤﺎل اﳋﺪﻣﺔ اﳌﺼﺮﻓﻴﺔ اﻟﺸﺨﺼﻴﺔ ﻋﱪ ـﺘﺮﻧﺖ ﻓﺴـﻮف‬
Banking service terms and conditions on-line. I agree that
where I accept the Personal Internet Banking terms and                ‫أﻛﻮن ﻣﻄﺎﻟﺒﺎ ﺑﻘﺒﻮل اﻟﺸﺮوط و اﻟﻘﻮاﻋﺪ اﳋﺎﺻﺔ ﺑﺎﳋﺪﻣﺔ اﳌﺼﺮﻓﻴﺔ اﻟﺸﺨﺼﻴﺔ ﻋﱪ اﻹﻧﺘﺮﻧﺖ‬
conditions on-line, I will be agreeing to accept and be bound                 ‫ﻗﺒـ‬
                                                                     ‫ﻣﻦ ﺧﻼل اﳌﻮﻗﻊ. و أواﻓﻖ ﻋﻠﻰ أن ﻗﺒﻮﱄ ﻟﺘﻠﻚ اﻟﺸﺮوط و اﻟﻘﻮاﻋﺪ ﻳﻌﲏ ـﻮﱄ ﳍـﺎ و‬
by them and any subsequent amendments whether set out in
English and / or Arabic.                                             .‫ﺎ و ﺑﺄي ﺗﻌﺪﻳﻼت ﻻﺣﻘﺔ ﺗﻄﺮأ ﻋﻠﻴﻬﺎ ﺳﻮاء ﺑﺎﻟﻠﻐﺔ اﻟﻌﺮﺑﻴﺔ و/ أو ﺑﺎﻟﻠﻐﺔ اﻹﳒﻠﻴﺰﻳﺔ‬ ‫إﻟﺘﺰاﻣﻲ‬

The Third Party Funds Transfer Limit I require is:
                                                                                               :‫ﺣﺪ اﻟﺘﻤﻮﻳﻞ اﻟﺬي أرﻳﺪه ﻻﺟﺮاء دﻓﻌﺎت ﻷﻃﺮاف أﺧﺮى‬
(Not to exceed the equivalent of QAR 50,000 limit per day)                                  (‫) اﳊﺪ اﻟﻴﻮﻣﻲ ﻻ ﻳﺘﺠﺎوز ﻣﺎ ﻳﻌﺎدل ٠٠٠,٠٥ رﻳﺎل ﻗﻄﺮي‬

* Third Party Funds Transfer - defined as any funds
transfer other than transfers between my own accounts held         ‫*ﲢﻮﻳﻞ اﻷﻣﻮال ﻷﻃﺮاف أﺧﺮى – أي ﲢﻮﻳﻞ ﻟﻸﻣﻮال ﲞﻼف اﻟﺘﺤﻮﻳﻼت اﻟﱵ ﺗﺘﻢ ﺑـﲔ‬
with HSBC Qatar or to effect bill payments within the State
of Qatar.                                                          ‫ﺣﺴﺎﺑﺎﰐ اﳋﺎﺻﺔ و اﳌﻮﺟﻮدة ﻟﺪى إﺗﺶ إس ﰊ ﺳﻲ ﻗﻄﺮ، أو اﻟﱵ ﺗﺴﺘﺨﺪم ﻟﺴﺪاد ﻓﻮاﺗـﲑ ﰲ‬
                                                                                                                                   .‫دوﻟﺔ ﻗﻄﺮ‬

Signature: ______________________________________                     ________________________________:‫اﻟﺘﻮﻗﻴﻊ‬
Date: __________________________________________
                                                                                __________________________________ : ‫اﻟﺘﺎرﻳﺦ‬

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