Fill in Your Western Union Template Get Document Here

Fill in Your Western Union Template

The Western Union form is a document used to facilitate money transfers through Western Union's services. This form captures essential information about the sender and recipient, ensuring a smooth transaction process. For those looking to send or receive money, completing this form is a crucial step; click the button below to get started.

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Key takeaways

Here are some key takeaways for filling out and using the Western Union form:

  1. Make sure to enter accurate sender and receiver information to avoid delays.
  2. Double-check the amount you wish to send. This includes any fees that may apply.
  3. Provide a valid form of identification if required, as this may be necessary for certain transactions.
  4. Use clear and legible handwriting if filling out the form by hand.
  5. Review the terms and conditions before submitting the form to understand your rights and obligations.
  6. Keep a copy of the completed form for your records, especially the receipt.
  7. Be aware of the different payment methods accepted by Western Union, such as cash, debit, or credit cards.
  8. Consider the transfer speed options available, as some may be faster than others.
  9. Contact customer service if you have questions or need assistance while filling out the form.

Dos and Don'ts

When filling out the Western Union form, it’s important to be careful and thorough. Here are some things you should and shouldn't do:

  • Do double-check all personal information for accuracy.
  • Do use clear and legible handwriting if filling out a paper form.
  • Do provide complete addresses, including zip codes.
  • Don't leave any required fields blank.
  • Don't rush through the process; take your time to ensure everything is correct.
  • Don't forget to review the form before submitting it.

Following these guidelines will help ensure your form is filled out correctly and processed without delays.

Form Overview

Fact Name Description
Purpose The Western Union form is used for sending and receiving money transfers.
Sender Information It requires the sender's name, address, and contact information.
Receiver Information The form must include the receiver's name and location for proper delivery.
Transfer Amount Users must specify the amount of money being sent.
Fees Transaction fees are calculated based on the amount and destination.
Tracking Number A unique tracking number is provided for each transaction.
State-Specific Forms Some states require additional forms or disclosures based on local laws.
Governing Laws State laws vary; for example, California follows the Money Transmission Act.
Identification Identification may be required for both sender and receiver, depending on the amount.
Privacy Policy The form includes a privacy policy outlining how personal information is handled.

Common mistakes

  1. Incorrect Recipient Information: Many people mistakenly enter the wrong name or address for the recipient. This can delay the transfer or result in the funds being sent to the wrong person.

  2. Wrong Amount: Some individuals miscalculate the amount they wish to send. Double-checking the amount can prevent issues with the transaction.

  3. Missing Identification: Failing to provide proper identification can lead to complications. It is essential to have the required ID ready when filling out the form.

  4. Ignoring Fees: Many overlook the fees associated with the transfer. Understanding these fees beforehand can help avoid surprises later.

  5. Not Reviewing the Form: Rushing through the form can lead to mistakes. Taking a moment to review all entries can help catch errors before submission.

Similar forms

The Western Union form shares similarities with a money transfer receipt. Both documents serve as proof of a transaction, detailing the sender's and recipient's information, the amount transferred, and any fees incurred. A money transfer receipt typically includes a unique tracking number, allowing the sender to confirm that the funds have been sent and can be tracked until they reach the intended recipient. This transparency helps to build trust between parties involved in the transaction.

For those navigating the process of a vehicle transaction in Alabama, having the correct documentation is essential, and using the Alabama Motor Vehicle Bill of Sale form is a key step in this journey. This form not only formalizes the sale but also includes critical information that protects both parties involved. To download a template of this vital document, visit https://vehiclebillofsaleform.com/alabama-motor-vehicle-bill-of-sale-template, ensuring you cover all necessary details for a smooth transaction.

Another document comparable to the Western Union form is a bank wire transfer form. Like the Western Union form, a bank wire transfer form collects essential information about the sender and recipient, including their names, addresses, and account numbers. Both forms facilitate the movement of funds from one account to another, ensuring that the transaction is secure and documented. The bank wire transfer form also requires the sender to specify the amount being transferred, similar to the details requested in the Western Union form.

Additionally, a remittance form is quite similar to the Western Union form. Remittance forms are often used by individuals sending money across borders, particularly in migrant communities. These forms capture key details about the sender, the recipient, and the amount being sent, just like the Western Union form. Both documents aim to ensure that the funds reach their destination safely and efficiently, providing a record for both the sender and recipient.

A money order form also bears resemblance to the Western Union form. Money orders are prepaid financial instruments that can be used to send money securely. The money order form requires information about the purchaser and the recipient, similar to the details collected by the Western Union form. Both documents provide a means of transferring funds without the need for a bank account, making them accessible to a broader audience.

Lastly, a PayPal transaction receipt is akin to the Western Union form in that it documents a completed money transfer. PayPal receipts include information about the sender, recipient, transaction amount, and any applicable fees. Both documents serve as proof of payment, allowing individuals to track their financial activities. This documentation is crucial for both personal record-keeping and resolving any potential disputes regarding the transaction.

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Your Questions, Answered

What is the Western Union form used for?

The Western Union form is primarily used for sending and receiving money through Western Union's services. It helps facilitate the transfer process, ensuring that all necessary information is collected to complete the transaction securely and efficiently.

How do I fill out the Western Union form?

Filling out the form is straightforward. Here are the steps you should follow:

  1. Provide your personal information, including your name, address, and contact details.
  2. Enter the recipient's information, ensuring accuracy to avoid any delays.
  3. Specify the amount of money you wish to send.
  4. Select the payment method and provide any necessary payment details.
  5. Review all information for accuracy before submitting the form.

Is there a fee for using the Western Union form?

Yes, there is typically a fee associated with sending money through Western Union. The fee varies based on factors such as the amount being sent, the destination, and the payment method. It is important to check the fee structure before completing the transaction to avoid surprises.

Can I use the Western Union form for international transfers?

Absolutely! The Western Union form can be used for both domestic and international money transfers. However, keep in mind that international transfers may incur higher fees and could be subject to different regulations depending on the destination country.

What should I do if I make a mistake on the form?

If you notice a mistake after submitting the form, contact Western Union customer service immediately. They may be able to assist you in correcting the error before the transaction is processed. If the transaction has already been completed, you may need to initiate a new transfer.

How long does it take for the money to be received?

The time it takes for the money to be received depends on several factors, including the destination and the payment method chosen. Domestic transfers are often completed within minutes, while international transfers may take a few hours to several days. Always check the estimated delivery time when filling out the form.

What identification do I need to provide?

When filling out the Western Union form, you may be required to provide a valid form of identification. This could include a government-issued ID, passport, or driver's license. The specific requirements can vary, so it’s wise to verify what is needed based on your location and the transfer type.

Can I track my transfer using the Western Union form?

Yes, once your transfer is submitted, you will receive a tracking number. This number allows you to monitor the status of your transaction online or through the Western Union app. Tracking your transfer provides peace of mind, knowing where your money is at all times.

What if the recipient does not receive the money?

If the recipient has not received the money, first confirm that the transaction was completed successfully. You can do this by checking your receipt or using the tracking number. If there are issues, contact Western Union customer service for assistance in resolving the matter.

Is my personal information safe when using the Western Union form?

Western Union takes the security of your personal information seriously. They use encryption and other security measures to protect your data. However, it is essential to ensure you are using official channels and to be cautious of sharing your information with unauthorized parties.

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*1235 Send Money

 

*1236 Receive Money

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CUSTOMER NAME

PLEASE PRINT CLEARLY. Identification is required for all customers: Current Passport, Australian Drivers Licence or Proof of Age Card.

Full Legal

First

Middle

Last

Name

 

 

 

 

 

 

 

EXISTING CUSTOMERS

NEW CUSTOMERS

or updated details for existing customers

Mobile Number

or

Western Union Customer Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address (Post office box addresses are not permitted)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Suburb

 

State

Postcode

Country of Citizenship (must have)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mobile Number

Date of Birth (DD/MM/YYYY)

Country of Birth (must have)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

To send money, complete this section

TRANSACTION DETAILS

OPTIONAL

SERVICES FOR SENDING

Destination Country

Destination Currency

 

Amount to be Sent.

Australian Dollars

$

 

or

Payout Amount at Destination

 

 

 

Complete one only.

(AUD)

 

 

 

 

 

 

 

 

 

 

 

 

I want the money sent

 

 

 

 

 

 

 

Bank Name

 

 

Bank Code / BIC

 

direct to a Bank Account

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Account Name

 

Bank Location (City)

 

 

Account Number / IBAN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I want the money sent to a mobile

Country Code

Mobile Number

RECEIVER’S

Western Union wants to help you avoid being exposed to fraud. If you don’t know the person you’re sending to, we recommend you do not send.

DETAILS

Neither Western Union nor its Agents carry out a comparison of the “To Send Money” form against the “To Receive Money” form to verify the address given for the receiver.

 

Full Legal

 

First

Middle

Last

 

 

 

Name

 

 

 

 

 

 

 

 

 

Current Address

(Post office box addresses are not permitted)

 

City / Suburb

State / Province

Postcode

Country

TEST QUESTION

Not required for all countries. If unsure if this is required, ask at the counter for further details.

Question

 

Answer

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

To receive money, complete this section

All fields must be completed

Money Transfer Control Number

 

Amount Expected

$

 

Originating Country

 

 

 

 

 

 

 

 

 

 

 

 

(AUD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sender’s

First

Middle

 

 

Last

Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CUSTOMER’S SIGNATURE

All customers to complete this section

The exchange rate for your transfer appears on the Transaction Receipt. However, if the country to which you are sending requires that transfers be converted when paid, the rate shown is only an estimate. Western Union and its Agents also make money from currency exchange. The terms and conditions governing this money transfer are available at this Agent location, can be viewed at westernunion.com.au, and have been summarised on the back of th is form for reference only. You agree to those terms and conditions by signing this form.

By signing this form, you: 1. Expressly consent to the transfer of your personal data entered above to WU Affiliates located ou tside of the European Economic Area, including to the U.S. for the purpose of providing the money transfer service to you and undertaking the additional data processing activities specified in the Data Protection section of the terms and conditions. You have the right to withdraw your consent at any time. 2. Expressly consent to the carrying out of profiling activities and marketing communications. 3. Confirm that the information you have provided is correct and that you have read and accepted the terms and conditions of the service overleaf.

Customer’s Signature

Date (DD/MM/YYYY)

OFFICE USE ONLY

Attach Duplicate Transaction

Money Transfer Control Number

Staff Name

Staff Signature

Date (DD/MM/YYYY)

Receipt to this copy

 

 

 

 

Office copy

8839661 • Oct 2017

 

 

 

 

 

 

 

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SUMMARY OF THE WESTERN UNION® MONEY TRANSFERSM SERVICE TERMS AND CONDITIONS (FOR THE FULL TERMS AND CONDITIONS, PLEASE ASK ANY WESTERN UNION AGENT OR VISIT WWW.WESTERNUNION.COM.AU)

Western Union® Money TransferSM transactions can be sent and picked up at most Western Union® Agent locations worldwide. Regular money transfers are usually available within minutes for pick up by the receiver, subject to the opening hours of the receiving Western Union Agent (“Agent”) location. Exceeding amount limitations, regulatory restrictions or other restrictions in certain countries may delay the transaction. Western Union does not act as the agent or representative of any bank for any purpose and does not accept deposits on behalf of any bank.

Money transfers will normally be paid in cash, but some Agents may pay by cheque or a combination of cash and cheque or may offer or the receiver may choose other ways to receive funds and some money transfers may be paid to accounts. All cash payments are subject to availability, receivers showing documentary evidence of their identity and providing all details about the money transfer required by Western Union, including sender’s and receiver’s names, country of origin, approximate sum, money transfer control number and any other conditions or requirements applicable at the Agent location. The sender authorizes Western Union to honor the receiver’s choice of method to receive funds even if it differs from the sender’s. Cash money transfers shall be paid to the person that Agents deem entitled to receive the transaction after verification of identity often through examination of identification documents. Such payment can be made even when the form filled out by the receiver contains errors. Neither Western Union nor its Agents carry out a comparison of the “To Send Money” form against the “To Receive Money” form to verify the address given for the receiver. In some destinations the receiver may be required to provide identification, a test question answer or both to receive funds in cash. Test questions are not an additional security feature and cannot be used to time or delay the payment of a transaction and are prohibited in certain countries. Applicable law prohibits money transmitters from doing business with certain individuals and countries. Customers are sometimes required to provide additional identification or information, delaying transactions.

TRANSFER FEES: Written information explaining how Western Union charges the sender for making a money transfer will either be displayed prominently at the Agent location or shown to the sender prior to completion of the payment order. In certain cases, payment of a money transfer may be subject to local taxes and service charges. FOREIGN EXCHANGE: Money transfer payments will normally be made in the currency of the destination country. In addition to the transfer fee applicable to each transfer and if the currency which the sender presents to an Agent is not the currency to be received by the receiver, all currency is converted at Western Union’s then current rate of exchange. The currency will be converted at the time of transfer and the receiver will receive the foreign currency amount shown on the Transaction Receipt. In a few countries local regulations require the currency to be converted at the time the receiver is paid, in which case the exchange rate and any amounts shown on the Transaction Receipt may be subject to exchange rate fluctuations between the time of transfer and the time the receiver collects the funds.

SPECIAL SERVICES: Where available, Western Union offers free SMS notification to indicate that the transaction has been collected by the receiver (for the sender) or that funds are available for collection (for the receiver). Western Union will send SMS messages to a third party gateway for delivery. ACCOUNT BASED TRANSFERS: Where available, the receiver may incur additional fees for receiving the sender’s funds through a mobile telephone or to a bank or other account. Additional costs or delay may occur if transfers are not sent to a local (receiver) currency account. The receiver’s agreement with its mobile phone service, mWallet, bank or other account provider governs the account and determines their rights, liability, fees, funds availability and account limitations. In the event that the account number provided (including mobile phone numbers for mobile accounts) does not belong to the named receiver, the transfer will be credited to the account number provided by the sender. Western Union may make money from fees associated with use of an account. REFUND - Western Union will refund the principal amount of a money transfer upon the sender’s written request if payment has not made or credited. Transfer fees are not refunded if the transfer is stopped at the sender’s request.

LIABILITY: Western Union disclaims all liability in respect of the sender’s relationship with the receiver, without limitation, in respect of the delivery or suitability of any goods or services paid for by means of a Western Union money transfer. The sender’s transaction data is confidential to him and should not be shared with any other person other than his receiver. The sender is cautioned against sending money to any person he does not know. In no event shall Western Union or any of its Agents be liable if the sender communicates transactional data to any person other than his receiver. To the extent permitted by law, in no event shall Western Union or any of its Agents be liable for damages for delay, nonpayment or underpayment of this money transfer, or non-delivery of any supplemental message, whether caused by negligence on the part of their employees or agents or otherwise, beyond the sum equivalent to US$500 (in addition to refunding the principal amount of the money transfer and the transfer fee). In no event will Western Union or its Agents be liable for any indirect, special, incidental, or consequential damages. The foregoing disclaimer shall not limit Western Union’s or Agent’s liability for damages resulting from Western Union’s or Agent’s gross negligence or intentional misconduct in those jurisdictions where such a limitation of liability is void. The foregoing disclaimer shall not exclude Western Union’s nor its Agent’s liability for any condition or warranty that cannot be excluded by law including any implied warranty that it will render services with due care and skill, and Western Union’s and its Agent’s liability for breach of such condition or warranty shall be limited to the greater of the cost of providing the affected service again and the sum equivalent to US$500.

DATA PROTECTION: Your personal information is processed under applicable laws and is controlled & used by Western Union for the purposes of providing the requested services. Your information is used to provide you with the services you have asked for and may also be used in connection with other services, products, convenience and/or rewards programs, you signed up for with Western Union or its affiliates, and, subject to your choices, send you commercial communications. Providing your information and that of the receiver of our services is voluntary but necessary to execute the transaction. You consent to Western Union disclosing or transferring your information and Third Party Information to third parties to carry out transactions. Western Union may also disclose such information to third parties, where reasonably necessary, for the purposes of the prevention, detection, investigation and prosecution of crime, or when required by law, and the recipients may further disclose the information for these and other related purposes. If you wish to exercise your rights to access, request a copy, correct, erase or block your information or no longer wish to receive commercial communications from Western Union, please call 1800 501 500 (free calls from landlines and public phones, standard mobile charges apply check with your network provider) during regular business hours.

Effective 29 December 2015, the service in Australia is provided by a network of authorised independent agents and representatives in conjunction with Western Union Financial Services, Inc. (for money transfers from the United States, Canada, and Mexico, and for commercial services transactions) and Western Union (Ireland) Partnership (for all other transactions), through a network of authorised Agents and representatives (outside Australia).

Western Union Financial Services, Inc., P.O. Box Q1522, QVB Post Office Sydney, NSW 1230. Copyright 2011-2015 WESTERN UNION HOLDINGS, INC. All Rights Reserved. Revised October 2015.

8839661 • Oct 2017

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1800 501 500

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*1235 Send Money

 

*1236 Receive Money

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CUSTOMER NAME

PLEASE PRINT CLEARLY. Identification is required for all customers: Current Passport, Australian Drivers Licence or Proof of Age Card.

Full Legal

First

Middle

Last

Name

 

 

 

 

 

 

 

EXISTING CUSTOMERS

NEW CUSTOMERS

or updated details for existing customers

Mobile Number

or

Western Union Customer Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address (Post office box addresses are not permitted)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Suburb

 

State

Postcode

Country of Citizenship (must have)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mobile Number

Date of Birth (DD/MM/YYYY)

Country of Birth (must have)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

To send money, complete this section

TRANSACTION DETAILS

OPTIONAL

SERVICES FOR SENDING

Destination Country

Destination Currency

 

Amount to be Sent.

Australian Dollars

$

 

or

Payout Amount Destination

 

 

 

Complete one only.

(AUD)

 

 

 

 

 

 

 

 

 

 

 

 

I want the money sent

 

 

 

 

 

 

 

 

 

Bank Name

 

 

Bank Code / BIC

 

direct to a Bank Account

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Account Name

 

Bank Location (City)

 

 

Account Number / IBAN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I want the money sent to a mobile

Country Code

Mobile Number

RECEIVER’S

Western Union wants to help you avoid being exposed to fraud. If you don’t know the person you’re sending to, we recommend you do not send.

DETAILS

Neither Western Union nor its Agents carry out a comparison of the “To Send Money” form against the “To Receive Money” form to verify the address given for the receiver.

 

Full Legal

 

First

Middle

Last

 

 

 

Name

 

 

 

 

 

 

 

 

 

Current Address

(Post office box addresses are not permitted)

 

City / Suburb

State / Province

Postcode

Country

TEST QUESTION

Not required for all countries. If unsure if this is required, ask at the counter for further details.

Question

 

Answer

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

To receive money, complete this section

All fields must be completed

Money Transfer Control Number

 

Amount Expected

$

 

Originating Country

 

 

 

 

 

 

 

 

 

 

 

 

(AUD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sender’s

First

Middle

 

 

Last

Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CUSTOMER’S SIGNATURE

All customers to complete this section

The exchange rate for your transfer appears on the Transaction Receipt. However, if the country to which you are sending requires that transfers be converted when paid, the rate shown is only an estimate. Western Union and its Agents also make money from currency exchange. The terms and conditions governing this money transfer are available at this Agent location, can be viewed at westernunion.com.au, and have been summarised on the back of th is form for reference only. You agree to those terms and conditions by signing this form.

By signing this form, you: 1. Expressly consent to the transfer of your personal data entered above to WU Affiliates located ou tside of the European Economic Area, including to the U.S. for the purpose of providing the money transfer service to you and undertaking the additional data processing activities specified in the Data Protection section of the terms and conditions. You have the right to withdraw your consent at any time. 2. Expressly consent to the carrying out of profiling activities and marketing communications. 3. Confirm that the information you have provided is correct and that you have read and accepted the terms and conditions of the service overleaf.

Customer’s Signature

Date (DD/MM/YYYY)

OFFICE USE ONLY

Attach Transaction Receipt

Money Transfer Control Number

Staff Name

Staff Signature

Date (DD/MM/YYYY)

to this copy

 

 

 

 

Customer copy

8839661 • Oct 2017

210mm X 297mm_IAP_03112017_8839661_Page 2

PGREENUP417UP109UBLACK

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

210mm X 297mm_IAP_03112017_8839661_Page 2 (BACK)

 

 

P186UPGREENUP417UP109UBLACK