INTERNATIONAL MONEY TRANSFER

APPLICATION

If you need assistance to complete this application, please ask, or ring 0800 863 863. We are happy to help.
APPLICANT DETAILS
Full name Daytime phone ( )
Address (must be a physical address)

ACCOUNT TO DEBIT
I/We authorise the Bank to debit my/our account shown below with the NZD equivalent.
Bank Branch Account number Suffix Account code Currency Suffix

Account number FCA account

CHARGES
I/We authorise the Bank to debit my/our account shown below with any charges indicated below for this payment.
Overseas Bank charges are for the beneficiary’s account (SHA) Yes This means charges will be deducted from the beneficiary’s payment.
This will result in the beneficiary receiving a lesser amount.
Overseas Bank charges are for my/our account (OUR) Yes All charges including some Overseas Bank charges are paid by you/debited to your account.
Please see the attached Terms and Conditions for details.
Bank Branch Account number Suffix Account code Currency Suffix

Account number FCA account

OVERSEAS PAYMENT DETAILS

Currency Beneficiary’s Bank
Currency amount in figures Branch
Currency amount in words Address

Date payment to be made Country

Beneficiary full name
Beneficiary address (must be a physical address) OR Bank SWIFT Address (if known)

City Country

Account Number/IBAN
BSB, Sort Code, Clearing Code, Routing/ABA/Fedwire
This is the equivalent of the Bank and Branch code in New Zealand. BSB (Australia), Sort Code (United Kingdom),
Clearing Code (Canada) Routing/ABA/Fedwire (United States) NPS (South Africa) IFSC (India).

Purpose of Payment
Details for Beneficiary (e.g. reference number)
Special instructions if any
Applicant signature

Date 2 0
I have read, understood and accept the Terms and Conditions overleaf.

BANK USE ONLY Call back verification Payment verification

Person spoken to Funds (available & clear)
NZD equivalent $ How client identified Mandate checked
ANZ fee $ Phone number called Call back verification completed
Other costs $ Date/Time Additional signoff completed (if req)
NZD total $ Completed by Transfer completed by
Exchange rate Signature Transfer verified by

ANZ Bank New Zealand Limited 06/19 13341

INTERNATIONAL MONEY TRANSFER APPLICATION

INTERNATIONAL MONEY TRANSFER International Money Transfer is processed. Due to exchange rate movements, the amount credited
to your nominated account in respect of a returned International Money Transfer may be less
TERMS AND CONDITIONS or more than the amount debited from your account when it was originally made. Where local
Conditions of Use exchange control regulations exist in the beneficiary’s country there may be an additional delay
in the return of funds.
These International Money Transfer Terms and Conditions apply to payments of a foreign
currency or of New Zealand dollars to a beneficiary with an overseas bank account (International Where you request us to stop or cancel an International Money Transfer, we may charge you
Money Transfer). additional fees. The fees are applicable regardless of whether or not we are successful in stopping
or cancelling the International Money Transfer. You acknowledge that Correspondents may also
These terms and conditions are to be read in conjunction with the General Terms and Conditions.
charge a fee and that this will be deducted from the returned funds.
If there is any inconsistency between the General Terms and Conditions and these terms and
conditions, these terms and conditions will prevail for all International Money Transfers. Commissions, Fees and Charges
In these terms and conditions, “you” means the person or persons authorising this request. If more The fees payable in connection with your International Money Transfer request are set out in the
than one person is authorising this request, then “you” means all of them together and each of application form.
them individually. “We”, “us” and “The Bank” means ANZ Bank New Zealand Limited. In addition, a Correspondent may charge commissions, fees or charges in making an International
Appointment Money Transfer to a beneficiary’s account. We have no control over such commissions, fees or
charges. Where more than one Correspondent is used to make a payment in another country they
You hereby appoint us as your agent to send your International Money Transfer instruction to
may each separately charge commissions, fees or charges in respect of the same International
another bank or agent used by us to make an International Money Transfer directly or indirectly to
Money Transfer.
a beneficiary and includes any intermediary correspondent and beneficiary bank (Correspondent)
to make a payment in another country. You acknowledge and agree such commissions, fees and or charges may be:
You hereby authorise us to appoint a Correspondent as your agent to process your International • ”for my / our account”: all fees and charges are paid by you to us in accordance with the fee
Money Transfer instruction in accordance with your payment authority granted under these terms structure determined by us from time to time in addition to and separate from the funds paid
and conditions. You acknowledge that you do not rely on our skill or judgement in appointing a to the beneficiary; or
Correspondent for the purpose of giving effect to your instructions. More than one Correspondent • “shared”: our fees (and local charges) are paid by you in addition to and separate from the funds
may be used to make a payment in another country. paid to the beneficiary and any Correspondent fees and charges applicable to the currency
You acknowledge and agree that a Correspondent may at any time convert an International of your International Money Transfer will be paid by the beneficiary and deducted by the
Money Transfer to its own preferred currency before effecting the payment. We will not be Correspondent from the funds paid to the beneficiary’s account by you, so that the beneficiary
liable for any loss or damage incurred by you and/or the beneficiary as a result of any delay will receive less than the value amount specified in your instruction.
in, or failure of processing your instructions by a Correspondent or any other act or omission You acknowledge and agree where we provide you with the option to elect how commissions,
of a Correspondent. fees and charges are to be paid, we may not be able to implement such election on all occasions.
Foreign Currency We may receive a commission from a Correspondent for the Bank’s role in processing an
You acknowledge and agree that your ability to send an International Money Transfer in a International Money Transfer instruction.
particular currency is subject always to the availability to us of that currency.
Anti-Money Laundering and Sanctions
For an International Money Transfer denominated in the currency of a developing country or You agree that we may delay, block or refuse to process any International Money Transfer without
market, you should note that such currency may be subject to fluctuating currency exchange incurring any liability and without informing you of the reasons if we suspect that:
rates, may not be freely convertible and/or may lack a published conversion rate. An International
Money Transfer denominated in the currency of a developing country or market may be subject • an International Money Transfer may breach any law or sanction or requirement of any
to legal and regulatory, and other policy, requirements and restrictions and may be affected by competent authority;
wider political and economic instability, disruption events or government intervention, any of • an International Money Transfer involves any person, country, product or entity that is itself
which may change from time to time. sanctioned or is connected directly or indirectly to any person, country, product or entity that
Payment Instructions is sanctioned under any sanction; or
You agree that we may refuse at any time to process or act on an International Money Transfer • an International Money Transfer may directly or indirectly involve the proceeds of, or be applied
instruction, if we have a good reason to do so, including where there are insufficient funds in your for the purposes of, conduct which is unlawful.
account to act on your instruction. You will provide all information to us which we reasonably require in order to manage money
You declare and undertake to us that your International Money Transfer does not breach any law, laundering or terrorism-financing and economic and trade sanctions risks or to comply with any
sanction or requirement of any competent authority and you will not make or allow to be made law or sanction or requirement of any competent authority.
any International Money Transfer for any illegal or fraudulent purpose. You acknowledge that your personal and other information may be held and processed by the
Your International Money Transfer instruction must include the correct beneficiary details. You Bank and its affiliates, branch and representative offices in any jurisdiction, including Australia and
acknowledge that if you do not provide some or all of the information requested, we may be New Zealand Banking Group Limited (Bank Group). Members of the Bank Group are subject to
unable to process the instruction. anti-money laundering laws in force in New Zealand, Australia and certain other countries which
You acknowledge that it is your responsibility and not our responsibility to review or check the may prohibit us from entering or concluding transactions involving certain persons or entities. You
identity or accuracy of the details or amounts contained in your International Money Transfer agree that we and any other member of the Bank Group may disclose any information concerning
instructions. We may require confirmation from you before acting on your instructions. We will not you or the transaction to the New Zealand Police or Australian Federal Police or equivalent
be liable for any costs and expenses, losses, damages or delay arising from a delay while obtaining authority in any other country in order to ascertain whether such laws apply to any transaction or
confirmation from you or refusing to act where we are unable to obtain confirmation from you. otherwise in compliance with laws directed to the prevention and detection of terrorist financing,
in the reasonable belief that a transaction may contravene any such law and that we and any other
You are responsible for the validity of all International Money Transfer instructions submitted
member of the Bank Group will not incur any liability to you as a result of such actions.
and for the correction of any of your errors, including duplicated or erroneous payments. You
acknowledge if a payment has been made in error it may only be able to be recovered from the In this clause, “money laundering” includes any dealing with the proceeds of criminal activity and
beneficiary account with the consent of that beneficiary. any dealing with funds or assets of any person or entity suspected of involvement in terrorism or
any terrorist act.
Payment Authority
You hereby authorise us to debit your selected account with the total cost of the International Liability
Money Transfer requested (including the New Zealand Dollar equivalent of the amount of the To the extent permitted by law, we will not be liable for any direct or indirect loss or damage
transfer and any fees disclosed in your request), and each other amount referred to in these arising in connection with any International Money Transfer.
terms and conditions on the date we process your request (which may differ from your specified To the extent permitted by law, all terms, conditions, warranties, undertakings, inducements or
payment date). representations whether express, implied, statutory or otherwise are excluded.
International Money Transfers Your Indemnity and Acknowledgement
We will not accept and process your International Money Transfer instruction on a non-Business To the extent permitted by law, you agree to indemnify and hold us harmless for any loss or
Day. If an International Money Transfer instruction is received on a non-Business Day we will, unless damage suffered by us or our customers or a third party, and for any claim or action which may
otherwise agreed in writing by us, accept and process your International Money Transfer on the be brought against us by a customer or third party, which results from your International Money
next Business Day. Transfer, including cancellation or attempting cancellation.
Where the payment funds are to be transferred and paid in a currency other than the currency of Your Personal Information
your selected payment account, we will convert the payment funds into the payment currency at Our privacy statement is contained in the General Terms and Conditions. You agree that it also
the exchange rate quoted and agreed with ANZ at the time when your request for an International applies to any information you provide to us in connection with these terms and conditions
Money Transfer is processed. and any International Money Transfer. The General Terms and Conditions are available from any
You acknowledge and agree the payment of an International Money Transfer into a beneficiary’s of our branches or online at anz.co.nz.
account is the responsibility of the Correspondent and beneficiary bank and outside our control. Complaints
You may contact us to request that an International Money Transfer be recalled or cancelled. We Our complaints procedure is contained in the General Terms and Conditions. The General Terms
will use all reasonable endeavours to recall or cancel an International Money Transfer but will not and Conditions are available from any of our branches or online at anz.co.nz.
be responsible if it has already been processed or there is not enough time to act on your request.
You acknowledge that if you request us to stop or cancel an instruction for an International Governing Law
Money Transfer, we will not return the funds to you until they are received in full by us from the These terms and conditions and the contract between you and us in connection with any
Correspondent and we have received confirmation that the International Money Transfer is unpaid. International Money Transfers are governed by New Zealand law and the New Zealand courts
You can claim a refund of only the original currency dollar value of the International Money have jurisdiction.
Transfer at the time of the refund. Consumer Guarantees Act 1993
You acknowledge and agree that, where an International Money Transfer is returned to us in If your use of International Money Transfer is for the purpose of a business, to the extent allowed
a currency other than the currency of your nominated account, we will convert the returned by law, the provisions of the Consumer Guarantees Act 1993 will not apply.
International Money Transfer at our current exchange rate, applicable on the day the returned

ANZ Bank New Zealand Limited 06/19 13341