| To: | Bank Name: | UBS ZURICH | ||
| Field 56 | Swift Code / BIC : | UBSWCHZH80A | ||
| (Intermediary bank) | Bank Clearing Code | |||
| For credit to: | Account Number: | 02300000036653050000D | ||
| Field 57 | Beneficiary Bank : | ICICI Bank Ltd., Mumbai (India) / Any other bank in India (complete branch address and IFSC code) / Any other bank in India (complete branch address and IFSC code) | ||
| Additional details required for crediting an Account: | ||||
|---|---|---|---|---|
| Field 70/72 | Purpose of remittance: | |||
| Additional details required for opening a Fixed Deposit: | ||||
| Field 59 | Customer ID: | ________________ (Customer ID with ICICI Bank) | ||
| (Ultimate Beneficiary) | Account Name : | ________________ (Beneficiary's 12 digit A/c No. with ICICI Bank/Any other bank in India – complete account number) | ||
| Field 72 | Type of Fixed Deposit: | ________________ (Resident / NRE / NRO / FCNR) | ||
| Fixed Deposit details: | Tenure of Deposit: | ________________ | ||
| (Additional information) | ||||
| Mention the Purpose of remittance in Field 72 | ||||