Form Receive Remittance

Formulir Penerimaan Uang (To Receive Money Form)

Nomor Referensi Transaksi / Transaction Reference No.

Reference No. *

Hubungi hotline kami: 021-2512346 • For assistance call 021-2512346

PENGIRIM / SENDER

First Name *

Middle Name

Last Name *

Telephone *

Kota, Provinsi & Negara asal pengiriman / City, Province & Country money sent from * Untuk pengiriman dari US & Mexico, kota dan negara bagian wajib dicantumkan / For transactions from US & Mexico, City and State are required.

Email Address *

Currency *

Perkiraan jumlah yang akan diterima / Amount expected *

PENERIMA / RECEIVER

First Name *

Middle Name

Last Name *

Jenis Kelamin / Gender *

L / Male

P / Female

Tanggal Lahir / Date of Birth *

Tempat Lahir / Place of Birth *

Kewarganegaraan / Nationality *

Pekerjaan / Occupation *

ALAMAT TETAP / PERMANENT ADDRESS

Phone Number *

Alamat / Address *

Kota / City *

Provinsi / Province *

Kode Pos / Post Code *

Centang jika alamat domisili sama dengan alamat tetap / Check if domicile address is the same as permanent address

ALAMAT DOMISILI / DOMICILE ADDRESS

Kosongkan jika alamat domisili sama dengan alamat tetap / Leave blank if domicile address is the same as permanent address

Alamat / Address

Kota / City

Provinsi / Province

Kode Pos / Post Code

Phone Number

Email Address

Signature

Tanggal / Date *

Signature method *

Signature With Pen (draw)

Upload Signature

ZND ASIA

We move money for better, enabling individuals, families and friends to reliably and seamlessly transfer money in ways that are convenient for them. We have an increasing number of social media platform partners, where customers can send money to friends and family easily and reliably.

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Get in Touch

Email: admin@zndasia.co
Instagram: znd_asiautama
Whatsapp: 0811 9916 060
Phone: +62 - 21-3505909
Address: Graha Dinamika PT ZND Asia Utama Lobby Unit A2 Jl. Tanah Abang No.49-51 Kel, RW.4, Petojo Sel., Kecamatan Gambir, Kota Jakarta Pusat, Daerah Khusus Ibukota, 10160 Jakarta