Bhutan National Bank Limited

MoneyGram Claim Form

This online remittance claim form is brought to you by Bhutan National Bank Ltd. and the facility is currently made available for BNB account holders only.

Please fill up all the particulars correctly to avoid erroneous transactions.

IF YOU DO NOT HAVE AN ACCOUNT AT BNBL, PLEASE VISIT THE BRANCH/EXTENSION OFFICE NEAREST TO YOU, TO CLAIM THE FUNDS RECEIVED. PLEASE CARRY YOUR CID WITH YOU.

INDIVIDUAL recipients of inward remittances are eligible to receive 2% incentive on the converted amount (BTN) provided you submit the required documents to the bank. Remittances received as

Donations;
Foreign Direct Investment;
Receipts against Trade and business activities; or
NGO/CSO and international organization fund transfers, are NOT eligible for the incentive.

More details are provided in the subsequent paragraphs.

MoneyGram Reference Number: Please enter here the MoneyGram Reference Number that you have received.

Receiver Details

Please enter all the details correctly. All fields are mandatory.

Title:

Your Name: Please enter your complete name in the following order: First Name, Middle Name, Surname

Your Occupation:

Date of Birth: Please enter your date of birth in the correct format.

Country of Birth:

Permanent Address

Please fill in the following details completely in order to avoid rejection.

Village:

Gewog/Throm:

Dzongkhag:

Present Address

Please fill in the following details completely in order to avoid rejection.

Current Address: Please provide your complete address here. You should include Street Number (if any), Street Name, Village, Geog, Dungkhag/Throm.

Dzongkhag where you reside currently:

Postal Code: Please enter the postal code here. IF YOU DO NOT HAVE/KNOW THE POSTAL CODE, ENTER "0000"

Country where you reside currently:

Contact Number: Please enter the mobile number registered with the bank.

Email Address:

Citizenship Identification Number: Please enter your CID/ Passport/ SRP number as registered with the bank.

Your relationship with the sender:

Copy of CID:

Additional Document (Optional):

Bank Details

Please enter your bank details correctly

Bank Name: This facility is currently available for BNB account holders only.

Bank Branch/Extension Please select the name of the branch/extension where you opened/have your account.

Bank Account Number:

Full Name of the Account Holder: Please note that the name in this field will be matched with the name of the receiver (the name you entered at the beginning) and the transaction processed only if they match.

Sender/ Remitter

Please enter the correct details of who sent you the money

Title:

Name of the Sender: Please enter the full name of the sender in the following order: First Name, Middle Name, Surname.

Purpose of Remittance:

2% Incentive on Remittance

From 1st July 2022, you are eligible to claim 2% incentive on the amount received by you in BTN, provided the sender is a non-resident Bhutanese, the recipient is an INDIVIDUAL, and the money is NOT meant for the following purpose(s):

As Donation;
Remittance pertaining to Foreign Direct Investment;
Receipts for Trade and business activities; or
Remittances to NGO/CSO and international organization fund transfers.

If you think you are eligible and plan to claim the incentive, please upload copies of the following listed documents (upload link below) or send them to remittance@bnb.bt by email, with the email subject as: "Incentive Claim on MoneyGram remittance no. [your MG reference number]" within 10 days of submitting this form:

Copy of the senders' CID/ Passport; and
Senders' proof of residency abroad (it can be either of: a copy of his/her Visa/ Phone Bill/ electricity bill/ a letter from the nearest Bhutanese embassy/ mission/ consulate, etc)

Are you claiming the incentive?

Confirmation about the claim of Incentive

I understand that I am required to submit the required documents by uploading it or by email to remittance@bnb.bt within the next 10 days after submitting this form to claim the incentive.

PLEASE ENSURE THAT THE EMAIL SUBJECT IS CORRECTLY MENTIONED AS DETAILED ABOVE; OTHERWISE YOU MAY BE INELIGIBLE FOR THE INCENTIVE.

Document Upload

Supporting Documents should be uploaded here.

Document 1:

Document 2:

Indemnity

By Submitting this form to the Bank, I hereby confirm that all the details entered by me are correct, and based on this submission, I acknowledge the receipt of the MoneyGram transfer as per the reference number I have mentioned at the beginning of this form.

I also agree that the transaction carried out by the bank based on the details as submitted is acceptable to me, and I shall be solely responsible in case the details provided by me are wrong and the transaction is processed into a wrong account.

Submission of this form to the Bhutan National Bank shall be treated as equivalent to your signing on the physical MoneyGram Claim Form.

The transaction shall be processed only if you click on "I Agree".

I Agree

I Disagree