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PAYMENT TO BANK (FOR BANK USE ONLY)Refer to page 3 for instructions and
definitions necessary for completion of this request. Please complete all
mandatory fields to avoid processing delays.Enter Type of Request:Company
ID:Customer Name:Completed By:Template ID:Payment Type:Payment Currency:Payment
Destination:NON-TD ACCOUNT (OTHER BANK)INTERNATIONAL TRANSFERSBeneficiary
Name:Beneficiary Account No:Street Address:Street Address:Country:Country:Bank
Name:City:City:Prov/State:Prov/State:Prov/State:Prov/State:ForeignForeignPaymentamount:Bank
ID:Date:Phone No:ext:MM/DD/YYYYADD66190TRUESIGHT PTE. LTD.Charlie
Song+14242489328Mandatory fields are denoted with an asterisk "*" when a Request
Type is chosen on the form.PLEASE BE AWARE THAT PROCESSING TIME IS 5 BUSINESS
DAYS.CUSTOMER INFORMATIONBENEFICIARY DETAILSBENEFICIARY BANK DETAILSPage 1 of
514686 (0520)
CUSTOMER INFORMATIONCompany ID:Template ID:INTERNATIONAL
TRANSFERS66190NonePayment for advertising servicesTruesight Ventures Limited
will cover all SWIFT payment feesFor Beneficiary:For TD Bank:Reason for
Payment:Branch Contact NameBranch SignatureThe Payment Type field if it has been
incorrectly populated and the Payment Type should be a Payment to Beneficiary or
a Payment to BankThe Payment Destination field if Payment Destination should be
to a Non TD account or another TD Account, determined based on the
BeneficiaryBank DetailsThe Bank ID field, if the Bank ID field is invalid or
incomplete based on the Beneficiary Bank Details;TD will reject any fixed
template received if it does not contain all of the information required by TD.
Notwithstanding the foregoing, if TD is able topopulate/correct the fixed
template with sufficient information in order for it to be accepted, TD may, but
is not obligated to do so. You authorize TD topopulate/correct the fields
identified below without notice to you:Signature of Signing AuthorityNameCharlie
SongNameSignature of Signing AuthorityAuthorized Signing Authority(s) of
CompanyBranch Phone NumberTransit NumberDate(MM/DD/UYYY)To be completed by
BranchINSTRUCTIONSPage 2 of 514686 (0520)