to receive money

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To Receive Money

To Receive Money

Agent CopyRECEIVER:SEEMA CHAUHANRECEIVER

Address:2811/1 RANJHIJABALPUR482001INTelephone:2632805

MTCN :584-581-5801Date & Time:07-12-2011 12:28 PM IST

Agent:MUTHOOT FINANCE LIMITEDOperator ID:303ID:Election Voter ID CardID Number:JHJ2237055

Amount received:31,000.00Tax0.00TOTAL:31,000.00Indian RupeeOriginating country:CanadaExchange Rate:50.513328

Amount Sent:613.70Canadian Dollar

I acknowledge that the said transaction is for purpose ofpersonal/family maintenance only and is not meant for investment inproperty or other commercial activities. I also confirm that I have notreceived more than 12 transactions in the current calendar year.SENDER:NARDEV SINGH CHAUHANSENDER


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Message:CERTAIN TERMS AND CONDITIONS GOVERNING THE MONEYTRANSFER SERVICE YOU HAVE SELECTED ARE SET BELOW,YOU ARE AGREEING TO THOSE TERMS AND CONDITIONS. INADDITION TO THE TRANSFER FEE, WESTERN UNION AND ITSAGENTS ALSO MAKE MONEY FROM THE EXCHANGE OFCURRENCIES. *PLEASE SEE IMPORTANT INFORMATIONREGARDING CURRENCY EXCHANGE AND OTHER LEGALRESTRICTIONS THAT MAY DELAY THE TRANSACTION SETFORTH AT THE BOTTOM OF THIS FORM. UNLESS YOU HAVECHOSEN TO BE PAID A CURRENCY DIFFERENT FROM THEONE DESIGNATED BY YOUR SENDER, THE CURRENCY TO BE

PAID AND THE EXCHANGE RATE FOR YOUR TRANSACTIONARE TYPICALLY DETERMINED AT THE TIME TRANSACTIONWAS SENT.Customer Signature:Customer SignatureAgent Signature:

Agent SignatureDate:Service transactions can be sent and picked up at most WesternUnion agent locations worldwide. Call the number listed below for theaddress and hours of nearby locations. Regular money transfers areusually available within minutes for pick up by the recipient, subject tohours of operation of the paying agent location. Delays and otherrestrictions apply in certain countries. Call the number below fordetails. Money transfers will normally be paid in cash, but some

agents may pay by check or a combination of cash and check. Allpayments are subject to availability and the conditions applicable atthe Western Union agent payment location. In limited circumstances,payment of a money transfer may be subject to local taxes and/orservice charges. Applicable law prohibits money transmitters fromdoing business with certain individuals and countries. To comply,Western Union is required to screen all transactions against lists of


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names provided by the governments of the countries and territories inwhich we do business, including the US Treasury Department'sOffice of Foreign Assets Control (OFAC) and the European Union. Ifa potential match is identified, Western Union must research thetransaction to determine if the individual matched is in fact theindividual on the relevant list. On occasion, customers are required toprovide additional identification or information. Transactions may thusbe delayed. This is a legal requirement for all transactions processedby Western Union (inclusive of transfers that originate and terminateoutside of the US).FOREIGN EXCHANGE: The transfer fees and the money thatWestern Union (or its Agents) makes when it changes your moneyinto foreign currency may vary based on the payout currency that youselect. Some Western Union Agents may offer Receivers the choice

to receive funds in a currency different from the one you selected. Insuch Instances, Western Union (or its Agents) may make additionalmoney when it changes your funds into the currency selected by theReceiver. If you chose a payment currency different from the nationalcurrency of the country to which you are sending money, the paymentcurrency you chose may not be available at all Western Union Agentlocations in that country,or may not be available in small enough denominations to pay all ofyour money transfer. In such cases, the paying Agent may pay all or

part of your transfer in national currency.Sending to countries that provide payment in multiple currencies: Youmust select the currency of payment at the time you send money.The transfer fee and the money Western Union (or its Agents) makeswhen it changes your funds into foreign currency may vary basedupon the payment currency that you select. Some Western UnionAgents may offer Receivers the choice to receive funds in a currencydifferent from the one that you selected. In such instances, WesternUnion (or its Agents) may make additional money when your fundsare convened into the currency selected by the receiver. Receiving

money in countries that provide payment in multiple currencies: Insome countries, you may elect to receive a different currency fromthe one that your sender selected for payment, in which case thecurrency exchange rate that Western Union applies to yourtransaction may differ from the one applicable to a transaction paid inthe currency your sender selected, and Western Union (or its Agents)may make additional money when the funds are converted from the


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payment currency selected by the sender into the currency you haveselected. You may obtain additional information about exchangerates by calling the number at bottom of this form.TEST QUESTIONS may generally be used only if the recipient doesnot have valid identification, and the principal amount of the moneytransfer does not exceed US$1000.00 (or local equivalent). Prior topayment of the transaction, Agents must obtain the response of theTest Question even if proper identification is presented. Differentlimits may apply for money transfers to or from certain countries. TestQuestion transactions may require an additional fee. For certaindestinations (principally in Africa), a Test Question is required for alltransactions (regardless of the principal amount) AND, in addition, thereceiver may be required provide identification. Test Questions arenot an additional security feature and cannot be used to time or delay

the payment of a transaction.Test Question is prohibited in certain countries. Please contactWestern Union at the number listed below for current informationregarding the use of a Test Question for the destination of yourmoney transfer. TELEPHONE NOTIFICATION to the recipient that amoney transfer is available is offered in most countries for anadditional fee. MESSENGER DELIVERY of a check or bank draft isavailable in some countries to selected destinations for an additional

fee. SUPPLEMENTAL MESSAGES may be included with moneytransfers sent to most -countries for an additional fee.REFUND AND ADMINISTRATIVE CHARGE Western Union willrefund the principal amount of a money transfer upon the writtenrequest of the sender if payment to the recipient is not made within 45days. Western Union will refund the transfer fee upon written requestof the sender if the money transfer is not available to the recipientwithin a reasonable amount of time, subject to the business hours ofthe location selected for payment and other conditions, including,without limitation, conditions beyond the control of Western Union or

its agents, such as inclement weather or telecommunications failure.Payment of some money transfers may be delayed as a result of theapplication of United States or other applicable laws. To the extentallowed by law, Western Union may deduct an administrative chargefrom money transfers that are not picked up within one year of thesend date.WESTERN UNION DOES NOT GUARANTEE THE DELIVERY OR


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SUITABLILITY OF ANY GOOD OR SERVICE PAID FOR BY MEANSOF WESTERN UNION MONEY TRANSFER. YOU ARECAUTIONED AGAINST SENDING MONEY TO ANY PERSON YOUDO NOT KNOW. IN NO EVENT SHALL WESTERN UNION OR ANYOF ITS AGENTS BE LIABLE FOR DAMAGES FOR DELAY,NONPAYMENT OR UNDERPAYMENT OF THIS MONEYTRANSFER, OR NON-DELIVERY OF ANY SUPPLEMENTALMESSAGE, WHETHER CAUSED BY NEGLIGENCE ON THE PARTOF THEIR EMPLOYEES OR AGENTS OR OTHERWISE, BEYONDTHE SUM EQUIVALENT TO $500 U.S.DOLLARS (IN ADDITION TO REFUNDING THE PRINCIPALAMOUNT OF THE MONEY TRANSFER AND THE TRANSFERFEE). IN NO EVENT WILL WESTERN UNION OR ITS AGENTS BELIABLE FOR ANY INDIRECT, SPECIAL, INCIDENTAL, OR

CONSEQUENTIAL DAMAGES. THE FOREGOING DISCLAIMERSHALL NOT LIMIT WESTERN UNION'S LIABILITY FOR DAMAGESRESULTING FROM WESTERN UNION'S GROSS NEGLIGENCEOR INTENTIONAL MISCONDUCT IN THOSE JURISDICTIONSWHERE SUCH A LIMITATION OF LIABILITY IS VOID.When a Western Union agent accepts a check draft, credit or debitcard or other non-cash form of payment, neither Western Union northe agent assumes any obligation to process or pay the moneytransfer if the form of payment is uncollectible, nor do they assume

any liability for damages resulting from nonpayment of the moneytransfer by reason such uncollectibility. Western Union reserves theright to change Service without notice. Western Union and its agentsmay refuse to provide Service to any person.WESTERN UNION PRIVACY POLICY Western Union maydisclose your personal information to third parties. The informationdisclosed may include information describing your transaction withWestern Union; identification information, such as the name,telephone number, address and other information about senders andrecipients. Western Union may provide such information to financial

institutions, such as banks and credit card companies; retailers, suchas home furnishers and clothing stores; companies that processtransactions or provide other services for Western Union; governmentagencies; and catalogue companies and other direct marketers. Youmay have other rights regarding the privacy or protection of yourpersonal data under applicable law. Western Union's policy is alwaysto comply with applicable law.


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As per RBI regulations, all payments above Rs. 50,000 to be madeby Cheque/DD/PO or direct credit to receiver's bank account. Thisrule does not apply to foreigners. For support, consumers in Indiacan call 1800-425-1851 / 080-22221851 or SMS "WU CALL" to53636 for a call back.WESTERN UNION MONEY TRANSFER SERVICE ("SERVICE") ISPROVIDED ON THE FOLLOWING TERMS AND CONDITIONSThe Western Union Money Transfer service is provided by WesternUnion Financial Services, Inc., an American company, (for moneytransfers toand from the United States, Canada and Mexico, and commercial

services transactions) and Western Union International Limited, anIrishcompany (for all other moneytransfers) through a network ofauthorized agents and representatives worldwide.FOR CUSTOMER SERVICE, PLEASE CALL 1800-425-1851/080-22221851Copyright 2005 WESTERN UNION HOLDINGS, INC. All RightsReserved.Revised January 2005

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to receive money

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