Migration Remittance Screening Form
Use this form to review and screen a migration-related remittance request. Please provide accurate details about the sender, remittance purpose, transfer route, amount, and any relevant screening notes.
Applicant Information
Applicant Full Name
*
First Name
Middle Name
Last Name
Country of Residence
*
Please Select
Afghanistan
Albania
Algeria
Andorra
Angola
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Democratic Republic)
Congo (Republic)
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominican Republic
Ecuador
Egypt
El Salvador
Estonia
Ethiopia
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Guatemala
Guinea
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Liberia
Libya
Lithuania
Luxembourg
Madagascar
Malaysia
Mali
Malta
Mexico
Moldova
Mongolia
Morocco
Mozambique
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Papua New Guinea
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Singapore
Slovakia
Slovenia
Somalia
South Africa
South Korea
Spain
Sri Lanka
Sudan
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Tunisia
Turkey
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Other
Primary Contact Email or Phone
*
Remittance Profile
Source Country
*
Please Select
Afghanistan
Albania
Algeria
Argentina
Australia
Bangladesh
Brazil
Canada
China
Egypt
France
Germany
India
Indonesia
Italy
Japan
Malaysia
Mexico
Morocco
Nigeria
Pakistan
Philippines
Saudi Arabia
South Africa
Spain
Sri Lanka
Turkey
United Arab Emirates
United Kingdom
United States
Other
Destination Country
*
Please Select
Afghanistan
Albania
Algeria
Argentina
Australia
Bangladesh
Brazil
Canada
China
Egypt
France
Germany
India
Indonesia
Italy
Japan
Malaysia
Mexico
Morocco
Nigeria
Pakistan
Philippines
Saudi Arabia
South Africa
Spain
Sri Lanka
Turkey
United Arab Emirates
United Kingdom
United States
Other
Remittance Purpose
*
Family Support
Living Expenses
Education
Relocation Costs
Medical Support
Other
Estimated Transfer Amount (USD)
Screening Details
Relationship to Recipient
*
Please Select
Self
Spouse
Parent
Sibling
Child
Friend
Business Associate
Other
Source of Funds
*
Please Select
Salary
Savings
Business Income
Family Support
Investment Income
Loan
Other
Additional Compliance Notes
Submit
Should be Empty: