CENTRAL BANK OF GAMBIA
FOREIGN PAYMENT VERIFICATION OFFICE (FOPV)
APPLICATION FORM FOR DIRECT TELEGRAPHIC
TRANSFER (For Euro payment only)
To be filled by the Beneficiary:
Beneficiary:......................................................................................................
Beecksche Farbwerke GmbH
.............
Beneficiary's Gottlieb Daimler Strasse 4 - D - 89150 Laichingen
Address:..................................................................................................
Amount:...........................................................................................................
626.256,00 €
.............
Contract/Reference No. (if EPFP/GM/0178/2025
any):...................................................................................
Bank Volksbank Laichingen
Name:..............................................................................................................
.... GENODES1LAI
Bank Bahnhofstraße 19, 89150 Laichingen
Address:...........................................................................................................
0038298007
...
Account
No.:.................................................................................................................
IBAN:................................................................................................................
DE43630913000038298007
............
Swift
Code:...............................................................................................................
....
I hereby accept to be paid through Direct Telegraphic Transfer.
Name:..............................................................................................................
Timo Ascherl
.............
Signature:................................................... 22.10.2025
Date:........................................................
FOR OFFICE USE ONLY
Authorizing Officer Signature
Profile Authentication Y/N
Signature Date
Note: This FORM should be returned with a processing fee of €500.00.