Free Western Union Template in PDF Get Your Form

Free Western Union Template in PDF

The Western Union form is a document used to facilitate money transfers and transactions through the Western Union service. This form collects essential information from both the sender and the receiver to ensure a smooth and secure transfer process. If you’re ready to send money, fill out the form by clicking the button below.

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Misconceptions

When it comes to the Western Union form, many people hold misconceptions that can lead to confusion. Here are ten common misunderstandings about this form, along with clarifications to help you navigate the process more effectively.

  1. All Western Union forms are the same. In reality, there are different forms for various services, such as money transfers, bill payments, and account management.
  2. You can only fill out the form at a Western Union location. While many people do complete the form in-store, you can also access and fill it out online through their website.
  3. There is a specific way to fill out the form. While there are guidelines, you have the flexibility to provide the required information in a manner that suits you, as long as all necessary details are included.
  4. The form is only for sending money. This is not true. The Western Union form can also be used for receiving money and other services like paying bills.
  5. You need to have a bank account to use the form. Not at all. You can send and receive money without a bank account, using cash or alternative payment methods.
  6. Once submitted, the information cannot be changed. If you realize there's an error after submission, you can often contact customer service to correct it.
  7. The form is only available in English. Western Union provides forms in multiple languages to accommodate a diverse customer base.
  8. Using the form is always free. While filling out the form may not incur a fee, the services associated with it, like sending money, usually come with charges.
  9. You must use a physical form for every transaction. Many transactions can be completed digitally, eliminating the need for a physical form altogether.
  10. Western Union forms are not secure. Western Union employs various security measures to protect your information when you fill out the form, whether online or in person.

Understanding these misconceptions can help you make better decisions when using the Western Union form. Always double-check the requirements and options available to you, and don't hesitate to reach out for assistance if needed.

Documents used along the form

When using Western Union services, several other forms and documents may be necessary to ensure a smooth transaction. Below is a list of common forms and documents that often accompany the Western Union form. Each serves a specific purpose in the transaction process.

  • Identification Document: A government-issued ID, like a driver's license or passport, is usually required to verify your identity when sending or receiving money.
  • Motor Vehicle Power of Attorney: This form enables an individual to authorize another person to manage vehicle ownership and registration matters. For more information, visit https://smarttemplates.net/.
  • Money Transfer Receipt: This document is provided after you complete a transaction. It serves as proof of the transfer and includes important details like the tracking number.
  • Sender’s Information Form: This form collects details about the sender, including name, address, and contact information, to ensure accurate processing of the transfer.
  • Receiver’s Information Form: Similar to the sender's form, this gathers details about the recipient. It helps to confirm the identity of the person receiving the funds.
  • Transaction Confirmation Email: After a transaction, you may receive an email confirmation. This document includes transaction details and can be used for tracking purposes.
  • Currency Exchange Form: If you are sending money in a different currency, this form outlines the exchange rates and fees associated with the transaction.
  • Tax Identification Number (TIN): In some cases, a TIN may be required for tax reporting purposes, especially for larger transactions.
  • Compliance Documents: These may include forms that ensure the transaction complies with local laws and regulations, particularly for international transfers.
  • Dispute Resolution Form: If there are issues with the transaction, this form helps to initiate a review or dispute process to resolve any problems.

Understanding these documents can help you navigate the money transfer process more easily. Always check with Western Union or your local agent for any specific requirements related to your transaction.

Common mistakes

Filling out a Western Union form may seem straightforward, but many individuals make common mistakes that can lead to delays or complications. One frequent error is providing incorrect personal information. Names, addresses, and phone numbers must be accurate. A simple typo can cause the transaction to be rejected, so double-checking these details is essential.

Another common mistake is overlooking the importance of the recipient's information. People sometimes assume that their understanding of the recipient's name or address is sufficient. However, any discrepancies can result in funds being sent to the wrong person. Always verify the recipient's details with them before submitting the form.

Many individuals also fail to select the correct payment method. Western Union offers various options, such as cash, credit card, or bank transfer. Choosing the wrong method can lead to additional fees or complications in processing the transaction. It's wise to read through the options carefully and select the one that best suits your needs.

In addition, some people neglect to review the transfer limits. Western Union has specific limits based on the payment method and destination. Exceeding these limits can halt the transaction. Understanding these restrictions ahead of time can save time and frustration.

Another mistake is not providing adequate identification. Depending on the amount being sent and the destination, Western Union may require you to present valid identification. Failing to bring the necessary ID can result in delays or the inability to complete the transaction.

Additionally, many users forget to check the transaction fees. Western Union charges fees based on various factors, including the amount sent and the destination. Not being aware of these fees can lead to unexpected costs, so it’s crucial to review the fee structure before finalizing your transaction.

Some people also rush through the process, leading to incomplete forms. Missing signatures or unchecked boxes can result in the form being rejected. Taking the time to fill out the form carefully can prevent unnecessary delays.

Furthermore, individuals often fail to keep a record of the transaction. After submitting the form, it's important to note the tracking number and keep any receipts. This information can be invaluable if there are any issues with the transfer later on.

Lastly, misunderstanding the process for canceling or modifying a transaction can lead to problems. If you need to change or cancel a transfer, knowing the proper procedures in advance is essential. Familiarizing yourself with Western Union's policies can help avoid complications.

Sample - Western Union Form

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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 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

 

 

 

 

 

 

 

Fanapart glue

210mm X 297mm_IAP_03112017_8839661_Page 1

PGREENUP417UP109UBLACK

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

210mm X 297mm_IAP_03112017_8839661_Page 1 (BACK)

P417U

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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