TEMPLATE MAINTENANCE - CREATE TEMPLATE - ADDITIONAL INFORMATION SCREEN

Please provide any additional information that is available and is related to this wire transaction.


Beneficiary information (ENTITY)
	Description	Optional/Mandatory
Telephone Number	Specify the telephone number of the entity Minimum of 12 characters and maximum of 20 characters including dashes*	If known
EXTN	Maximum 10 characters*	If known
Email	Specify the email address of the entity Maximum 50 characters*	If known
Account Open Date	Specify the date the account was opened Maximum 10 characters* MM/DD/YYYY	If known
Account Type	Specify the type of account for the beneficiary (entity) from the provided dropdown list Business Personl Trust Other (please specify maximum 60 characters* in the free format field.)	If known Free format field is Mandatory if 'Other' is selected as an option for Account Type.
Account Currency	Currency of the account you specified for the beneficiary (entity) Select the currency from the dropdown list	If known
Nature of Principal Business	Specify the nature of business based on its primary activities Maximum 60 characters*	If known
Authorized Signer Name (s)	Specify up to three individuals who would be considered signors on behalf of the entity Maximum 35 characters*	If known
Beneficiary Information (INDIVIDUAL)
Date of Birth	Specify the date of birth of the individual Maximum 10 characters* MM/DD/YYY	If known
Occupation	Specify the line of work for the individual Maximum 40 characters*	If known
Telephone Number	Specify the telephone number of the individual Minimum of 12 characters and maximum of 20 characters including dashes*	If known
EXTN	Maximum 10 characters*	If known
Email	Specify the email address of the individual Maximum 50 characters*	If known
Account Open Date	Specify the date the account was opened Maximum 10 characters* MM/DD/YYYY	If known
Username	Specify the individual's online handle Maximum 35 characters*	If known
Preferred Name	Specify the preferred name of the individual Maximum 35 characters*	If known
Name of Employer	Specify the name of the employer of the individual Maximum 35 characters*	If known
Country of Residence	Specify the country of residence of the individual from the provided dropdown list	If known
Account Type	Specify the type of account for the beneficiary (Individual) from the provided dropdown list Business Personal Trust Other (please specify up to 60 characters* in the free format field)	If known Free format field is Mandatory if 'Other' is selected as an option for Account Type.
Account Currency	Specify the currency of the account you selected for the beneficiary (Individual) Select the currency from the provided dropdown list	If known
Account Holder Name (S)	Specify the name of the account holder(s) (up to three) Maximum 35 characters*	If known
Beneficiary Information (ENTITY)
Entity's Information	Specify if the entity is Registered, Incorporated or Registered and Incorporated If the information is not known select not available from the provided dropdown list.	If known
Registration Number	If the entity is Registered, specify the registration number Maximum 30 characters*	If known
Jurisdiction of Issue (Country)	Specify the country where the entity is registered from the provided dropdown list	If known
Jurisdiction of Issue (Prov/State)	Specify the province or state where the entity is registered If CAN/US/MX, select from the provided dropdown Maximum 20 characters*	If known
Incorporation Number	If the entity is Incorporated, specify the incorporation number Maximum 30 characters*	If known
Jurisdiction of Issue (Country)	Specify the country where the entity is incorporated from the provided dropdown list	If known
Jurisdiction of Issue (Prov/State)	Specify the Province or State where the entity is incorporated If CAN/US/MX, select from the provided dropdown list Maximum 20 characters*	If known
Beneficiary Identity Information
Identification Type	Specify the type of identification document from the provided dropdown list If other, please specify in the free format field Maximum 60 characters*	If known Free format field is Mandatory if 'Other' is selected as an option for identification type.
Identification Number	Specify the number associated with the identification type Maximum 30 characters*	If known
Jurisdiction of Issue (Country)	Specify the country that issued the identification type from the provided dropdown list	If known
Jurisdiction of Issue (Province/State)	Specify the province or state of the Identification Type If CAN/US/MX, select from the provided dropdown Maximum 20 characters*	If known