balance of payment form bank purchase from customer · balance of payment form bank purchase from...

Bidvest Bank Limited (Reg No 2000/006478/06) is a licensed financial services and registered credit provider, NCRCP17.

Balance of Payment FormBank purchase from customer

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APPLICATION TO SELL FOREIGN CURRENCYBALANCE OF PAYMENTS (BOP) REPORTING

Date

Name of entity

or Name and surname of individual

or Name and surname of individual

Registration number of entity

Country code

VAT/Tax no. of applicant

RSA resident

RSA resident

Identification number of individual

Customer number

Full residential or

Country

Applicant telephone

Transaction type

Name of entity

Unique Consignment Reference (UCR)

Authorised signatory or initial

Address

Country

Details of transfer

Value date

Exchange rate

Settlement currency

Account to be credited

*Settlement currency in ZAR or the denomination currency of the CFC account being credited if the CFC account has been selected

T.T Fee

Payment currency Payment amount

Settlement amount

.

.

. .

Telegraphic transfer

Current account or CFC account

Contact name of entity

Wish to sell foreign currency

Remitter Details

Beneficiary Details (Receiver)

Reserve Bank Reporting

Fax/email

Business address(Not PO Box number)

Branch name Branch number

(INWARD PAYMENT FLOWS)

Y / N

Y / N

D D M M Y Y Y Y

A Z A N N N N N N N N I N V N N N N N N N N N N N N



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Insert “X” in applicable box

A. MERCHANDISE

B. INTELLECTUAL PROPERTY AND OTHER SERVICES

100

200

240

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260

265

270

271

272

273

270

271

272

273

270

271

272

273

270

271

272

273

251

256

261

266

252

240

240

240

240

240

240

240

240

241

242

243

210

220

225

230

211

221

226

231

212

213

201

202

203

204

205

101

103

105

107 232

233

234

235

236

108

109

109

109

109

109

109

109

109

109

109

110

111

112

101

103

101

103

101

103

101

103

101

103

101

103

101

103

101

103

101

103

101

103

102

104

102

104

102

104

102

104

102

104

102

104

102

104

102

104

102

104

102

104

102

104

106

Adjustments / Reversals / Refunds applicable to merchandise

Adjustments / Reversals / Refunds applicable to intellectual property and service related items

Fees for processing - processing done on materials (excluding gold, platinum, crude oil, refined petroleum products, diamonds, steel, coal and iron ore)

Travel services for non-residents - business travel

Travel services for residents - business travel

Proceeds for travel services in respect of third parties - business travel

Proceeds for telecommunication services

Proceeds for passenger services - road

Proceeds for freight services - road

Proceeds for other transport services - road

Proceeds for postal and courier services - road

Proceeds for passenger services - sea

Proceeds for freight services - sea

Proceeds for other transport services - sea

Proceeds for postal and courier services - sea

Proceeds for passenger services - rail

Proceeds for freight services - rail

Proceeds for other transport services - rail

Proceeds for postal and courier services - rail

Proceeds for passenger services - air

Proceeds for freight services - air

Proceeds for other transport services - air

Proceeds for postal and courier services - air

Travel services for non-residents - holiday travel

Travel services for residents - holiday travel

Proceeds for travel services in respect of third parties - holiday travel

Proceeds for information services including data, news-related and news agency fees

Foreign exchange accepted by residents from non-residents

Fees for processing - processing done on gold

Fees for processing - processing done on platinum

Fees for processing - processing done on crude oil

Fees for processing - processing done on refined petroleum products

Fees for processing - processing done on diamonds

Fees for processing - processing done on steel

Fees for processing - processing done on coal

Fees for processing - processing done on iron ore

Repairs and maintenance on machinery and equipment

Architectural, engineering and other technical services

Agricultural, mining, waste treatment and depollution services

Disposal of patents and inventions

Proceeds received for research and development services

Sales of original manuscripts, sound recordings and films

The outright selling of ownership rights of software

Disposal of patterns and designs (including industrial processes)

Funding received for research and development

Receipt of funds relating to the production of motion pictures, radio and television programmes and musical recordings

Computer-related services including maintenance, repair and consultancy

Disposal of copyrights

Disposal of franchises and trademarks

Rights assigned for licences to reproduce and/or distribute

Rights assigned for using patents and inventions (licensing)

Rights assigned for using patterns and designs (including industrial processes)

Rights assigned for using copyrights

Rights assigned for using franchises and trademarks

Export advance payment (excluding capital goods, gold, platinum, crude oil, refined petroleum products, diamonds, steel, coal, iron ore and goods exported via the South African Post Office)

Export payment (excluding capital goods, gold, platinum, crude oil, refined petroleum products, diamonds, steel, coal, iron ore and goods exported via the South African Post Office)

Consumables acquired in port

Export proceeds where the Customs value of the shipment is less than R500

Commercial sales of customised software and related licences for use by customersCommercial sales of non-customised software on physical media with periodic licence to useCommercial sales of non-customised software provided on physical media with right to perpetual (on-going) useCommercial sales of non-customised software provided for downloading or electronically made available with periodic licenceCommercial sales of non-customised software provided for downloading or electronically made available with single payment

Export payments where goods were declared as part of passenger baggage and no UCR is availableProceeds for goods purchased by non-residents where no physical export will take place (excluding gold, platinum, crude oil, refined petroleum products, diamonds, steel, coal and iron ore as well as merchanting transactions)Proceeds for gold purchased by non-residents where no physical export will take place, excluding merchanting transactionsProceeds for platinum purchased by non-residents where no physical export will take place, excluding merchanting transactions

Proceeds for refined petroleum products purchased by non-residents where no physical export will take place, excluding merchanting transactions

Proceeds for steel purchased by non-residents where no physical export will take place, excluding merchanting transactions

Proceeds for crude oil purchased by non-residents where no physical export will take place, exclud-ing merchanting transactions

Proceeds for diamonds purchased by non-residents where no physical export will take place, excluding merchanting transactions

Proceeds for coal purchased by non-residents where no physical export will take place, excluding merchanting transactionsProceeds for iron ore purchased by non-residents where no physical export will take place, excluding merchanting transactionsNot allocated

Merchanting transaction

Not allocated

Not allocated

Export advance payment - capital goods

Export payment - capital goods

Export advance payment - gold

Export payment - gold

Export advance payment - platinum

Export payment - platinum

Export advance payment - crude oil

Export payment - crude oil

Export advance payment - refined petroleum products

Export payment - refined petroleum products

Export advance payment - diamonds

Export payment - diamonds

Export advance payment - steel

Export payment - steel

Export advance payment - coal

Export payment - coal

Export advance payment - iron ore

Export payment - iron ore

Not allocated

Not allocated

Not allocated

Not allocated

Not allocated

Not allocated

Not allocated

Not allocated

Not allocated

Not allocated

Not allocated

Not allocated

Not allocated

Not allocated

Not allocated

Not allocated

Not allocated

Not allocated

Not allocated

Not allocated

Not allocated

Not allocated

Trade finance repayments in respect of exports

Export advance payment - goods exported via the South African Post Office

Export payment - goods exported via the South African Post Office

1

1

1

1

1

1

1

1

1

1

1

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3

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2

2

4

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4

1

1

1

1

1

2

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4

5

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8

9

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1 1

1

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1

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1

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1

TRANSACTION ADJUSTMENTS


TECHNICAL RELATED SERVICES

TRAVEL SERVICES FOR NON-RESIDENTS

TRAVEL SERVICES FOR RESIDENTS

TRAVEL SERVICES IN RESPECT OF THIRD PARTIES

TELECOMMUNICATION AND INFORMATION SERVICES

TRANSPORTATION SERVICES

DISPOSAL OF INTELLECTUAL PROPERTY (EXCLUDING COMPUTER-RELATED AND AUDIO-VISUAL)

RESEARCH AND DEVELOPMENT

AUDIO-VISUAL AND RELATED ITEMS

COMPUTER SOFTWARE AND RELATED ITEMS

CHARGES FOR THE USE OF INTELLECTUAL PROPERTY

EXPORTS: ADVANCE PAYMENTS

EXPORTS: PAYMENTS

EXPORTS: OTHER



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275

280

281

285

287

400

600

601

601

511

511

511

511

511

511

511

511

500

501

510

512

530

512

530

512

530

512

530

531

512

530

512

530

512

530

512

513

516

517

530

532

502

510

503

504

401

403

402

404

405

406

407

408

409

410

411

411

411

412

416

413

417

414

418

415

419

300

301

302

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305

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307

308

309

310

309

310

309

310

309

310

309

311

312

309

311

312

309

311

312

309

311

312

313

314

315

291

289

293

296

298

288

292

295

290

294

297

299

282

276

Commission and fees

Proceeds for construction services

Proceeds for government services

Tuition fees

Proceeds for legal services

Adjustments / Reversals / Refunds related to transfers of a current nature

Adjustments / Reversals / Refunds related to financial investments/disinvestments and prudential investments

Investment in listed shares by a non-resident

Investment in non-listed shares by a non-resident

Disinvestment by a resident individual - shares

Disinvestment by a resident individual - mutual funds / collective investment schemes

Disinvestment by a resident individual - money market instruments

Disinvestment by a resident individual - other

Disinvestment by a resident individual - bonds

Disinvestment by a resident individual - property

Disinvestment by a resident individual - deposits with a foreign bank

Not allocated

Adjustments / Reversals / Refunds related to capital transfers and immigrants

Donations to SA Government for fixed assets

Investment into property by a non-resident individual

Not allocated

Immigration

Not allocated

Not allocated

Not allocated

Not allocated

Not allocated

Not allocated

Not allocated

Not allocated

Not allocated

Not allocated

Not allocated

Not allocated

Not allocated

Not allocated

Not allocated

Repatriation, on instruction by the Financial Surveillance Department, of a foreign investment by a resident individual in respect of cross-border flows

Repatriation, on instruction by the Financial Surveillance Department, of a foreign investment by a resident individual originating from an account conducted in foreign currency held at an Authorised Dealer in South Africa

Not allocated

Not allocated

Donations to corporate entities - fixed assets

Investment by a non-resident individual - other

Investment into property by a non-resident corporate entity

Disinvestment of property by a resident corporate entity

Gifts

Contributions in respect of social security schemes

Annual contributions

Contributions in respect of charitable, religious and cultural (excluding research and development)

Other donations / aid to government (excluding research and development)

Other donations / aid to private sector (excluding research and development)

Pensions

Annuities (pension-related)

Inheritances

Alimony

Tax - Income tax

Tax - VAT refunds

Tax - Other

Insurance premiums (non-life/short-term)

Migrant worker remittances(excluding compensation)

Insurance claims (non-life/short-term)

Foreign national contract worker remittances (excluding compensation)

Insurance premiums (life)

Not allocated

Insurance claims (life)

Not allocated

Adjustments / Reversals / Refunds related to income and yields on financial assets

Dividends

Branch profits

Compensation paid by a non-resident to a resident employee temporarily abroad (excluding remittances)

Compensation paid by a non-resident to a non-resident employee in South Africa (excluding remittances)

Compensation paid by a non-resident to a migrant worker employee (excluding remittances)

Compensation paid by a non-resident to a foreign national contract worker employee (excluding remittances)

Commission or brokerage

Rental

Interest received from a resident temporarily abroad in respect of loans

Income in respect of inward listed securities equity individual

Interest received from a non-resident in respect of individual loans

Income in respect of inward listed securities equity corporate

Interest received from a non-resident in respect of study loans

Income in respect of inward listed securities equity bank

Interest received from a non-resident in respect of shareholders loans

Income in respect of inward listed securities equity institution

Interest received from a non-resident in respect of third-party loans

Income in respect of inward listed securities debt individual

Income in respect of inward listed securities derivatives individual

Interest received from a non-resident in respect of trade finance loans

Income in respect of inward listed securities debt corporate

Income in respect of inward listed securities derivatives corporate

Interest received from a non-resident in respect of a bond

Income in respect of inward listed securities debt bank

Income in respect of inward listed securities derivatives bank

Interest received not in respect of loans

Income in respect of inward listed securities debt institution

Income in respect of inward listed securities derivatives institution

Income earned abroad by a resident on an individual investment

Not allocated

Not allocated

Proceeds for advertising and market research services

Proceeds for management consulting services

Proceeds for medical and dental services

Proceeds for cultural and recreational services

Not allocated

Not allocated

Proceeds for accounting services

Proceeds for managerial services

Operational leasing

Proceeds for public relation services

Proceeds for educational services

Proceeds for other business services not included elsewhere

Diplomatic transfers

Proceeds for financial services charged for advice provided

1

1

1

1

1

1

1

1

2

1

5

3

7

2

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4

8

1

1

1

1

1

5

5

3

3

7

7

1

2

2

6

6

4

4

8

1

1

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8

1

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2

1

1

1

1

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1

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8

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4

1

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1

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1

1

1

1

FINANCIAL SERVICES PROVIDED

CONSTRUCTION SERVICES

GOVERNMENT SERVICES

STUDY-RELATED SERVICES

OTHER BUSINESS SERVICES RENDERED

D. TRANSFERS OF A CURRENT NATURE

FINANCIAL INVESTMENTS/DISINVESTMENTS AND PRUDENTIAL INVESTMENTS

CAPITAL TRANSFERS BY SOUTH AFRICAN RESIDENT INDIVIDUALS

E. TRANSFERS OF A CAPITAL NATURE



FINANCIAL INVESTMENTS/DISINVESTMENTS (EXCLUDING LOCAL INSTITUTIONAL INVESTORS)

INVESTMENT BY A NON-RESIDENT

DISINVESTMENT BY RESIDENT INDIVIDUALS

CAPITAL TRANSFERS AND IMMIGRANTS


CAPITAL TRANSFERS RELATING TO GOVERNMENT / CORPORATE ENTITIES (EXCLUDING LOANS)

CAPITAL TRANSFERS BY NON-RESIDENT INDIVIDUALS

DISINVESTMENT IN TERMS OF INVESTMENT ALLOWANCE

IMMIGRANTS

CURRENT PAYMENTS

C. TRANSACTIONS RELATING TO INCOME AND YIELDS ON FINANCIAL ASSETS


INCOME RECEIPTS



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701

702

703

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707

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610

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611

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613

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603

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610

615

611

612

613

605

603

605

610

615

611

612

613

605

610

615

615

616

617

618

611

612

613

605

605

604

605

605

Investment into money market instruments by a non-resident

Options - listed

Futures - listed

Warrants - listed

Gold hedging - listed

Derivative not specified above - listed

Options - unlisted

Futures - unlisted

Warrants - unlisted

Gold hedging - unlisted

Derivative not specified above - unlisted

Not allocated

Not allocated

Disinvestment of shares by resident - agriculture, hunting, forestry and fishing

Inward listed securities equity individual buy-back

Disinvestment by resident institutional investor - Asset Manager

Inward listed securities debt individual redemption

Inward listed securities derivatives individual proceeds

Not allocated

Disinvestment of shares by resident - construction

Investment into listed bonds by a non-resident (excluding loans)

Disinvestment of shares by resident - mining, quarrying and exploration

Inward listed securities equity corporate buy-back

Disinvestment by resident institutional investor - Collective Investment Scheme

Inward listed securities debt corporate redemption

Inward listed securities derivatives corporate proceeds

Not allocated

Disinvestment of shares by resident - wholesale, retail, repairs, hotel and restaurants

Investment into non-listed bonds by a non-resident (excluding loans)

Disinvestment of shares by resident - manufacturing

Inward listed securities equity bank buy-back

Disinvestment by resident institutional investor - Retirement Fund

Inward listed securities debt bank redemption

Inward listed securities derivatives bank proceeds

Not allocated

Disinvestment of shares by resident - electricity, gas and water supply

Inward listed securities equity institution buy-back

Disinvestment by resident institutional investor - Life Linked

Disinvestment by resident institutional investor - Life Non-Linked

Bank Prudential disinvestment

Not allocated

Not allocated

Inward listed securities debt institution redemption

Inward listed securities derivatives institution proceeds

Not allocated

Disinvestment of shares by resident - transport and communication

Disinvestment of shares by resident - community, social and personal services

Not allocated

Disinvestment of shares by resident - financial services

Not allocated

1

1

1

1

1

1

2

2

2

2

2

1

1

1

1

1

1

1

1

5

1

2

2

2

2

2

2

6

2

3

3

3

3

3

3

4

4

4

5

1

1

1

4

4

4

7

9

1

8

10

INVESTMENT BY A NON-RESIDENT

DERIVATIVES (EXCLUDING INWARD LISTED)

DISINVESTMENT BY A RESIDENT CORPORATE ENTITY

INWARD LISTED INVESTMENTS

PRUDENTIAL INVESTMENTS (INSTITUTIONAL INVESTORS AND BANKS)

700 Adjustments / Reversals / Refunds related to derivatives

1

DERIVATIVES


800

801

810

815

830

831

832

833

834

835

836

816

817

818

819

820

803

802

804

805

Adjustments / Reversals / Refunds related to loan and miscellaneous payments

Trade finance loan drawn down in South Africa

Repayment by a resident temporarily abroad of a loan granted by a resident

Repayment of an individual loan to a resident

Details of payments not classified

Not allocated

Rand drafts/cheques drawn on Vostro accounts (Only applicable if no description is available)

Credit/Debit card company settlement as well as money remitter settlements

Not allocated

Not allocated

Not allocated

Repayment of a study loan to a resident

Repayment of a shareholders loan to a resident

Repayment of a third-party loan to a resident (excluding shareholders)

Repayment of a trade finance loan to a resident

Not allocated

Loan made to a resident by a non-resident shareholder

International Bond drawn down

Loan made to a resident by a non-resident third party

Not allocated

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

F. LOAN AND MISCELLANEOUS PAYMENTS


LOANS (CAPITAL PORTION)

LOANS GRANTED TO RESIDENTS

LOANS REPAID BY A RESIDENT TEMPORARILY ABROAD

LOANS REPAID BY NON-RESIDENTS

MISCELLANEOUS PAYMENTS

Signature of applicant/authorised signatory

Submitted by(authorised dealer)

Checked by

Bank official signature

Documentary evidence as called for in the exchange control rulings has been viewed and endorsed, “Exchange Provided”.

Initials prepared by

Designation

Date

For and on behalf of

Exchange control approval Application no. Exchange control permission interms of Section of the Rulings

Description of other

DECLARATION

I, the undersigned , hereby declare that:

• I have read this document and know and understand the contents thereof;

• the information furnished above is in all respects both true and correct;

• the currency applied for will only be used for the specific purpose stated herein;

• the documentation presented in support of this application is in all respects authentic;

• I have been informed of the limit applicable to the above transaction and confirm that this limit will not be exceeded as a result of the conclusion of this transaction; and

• I consent to this information being provided to the South African Revenue Service and/or the Financial Intelligence Centre.

BRANCH DATE

STAMP

balance of payment form bank purchase from customer · balance of payment form bank purchase from...

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