1
Personal details Payee One, Payee Address 1
Country Code *
Payee Name*
Payee Address*


City*
End to End Reference

2
Account details 12341873, Account Address 1
BIC Address *
IBAN *
NSC
Account Number
Bank Name*
Bank Street Address*
Bank City*
 

3
Status Authorised
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Authorisation for payment 123456
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Your payment reference is 123456