Application to make Periodic Payments

  • This form should be used as prescribed by the Exchange Control Guidelines.
  • This form should be completed in duplicate. Ensure that both the 'Original' and 'Duplicate' copies of the form are printed and completed.
  • Kindly note that the 'Duplicate' copy of the form is duplexed and should therefore bear information on both the front and back when printed.
  • The size of the printed form should be 8.5" x 11".
Application to make Periodic Payments (Original)

Application to make Periodic Payments (Duplicate)Sample:

Copyright 2017 by Central Bank of Barbados