Completion Instruction for the Other Currency Payment Form ______

This Form is meant for transfers in foreign currency from own account to other banks in Lithuania or foreign banks. Please complete the Form using a computer or by hand – in capital letters without corrections. Date* Please indicate or the system will automatically assign it when the payment is entered. Document no. A year, month and day of submitting a payment order to the bank. Payment urgency / Remittance* Normal – payment is sent from DNB bank after 2 bank working days (D+2); Urgent – payment is sent from DNB bank on the next working day (D+1); Extra urgent – payment is sent from DNB bank on the same working day (D+0). Payer: Account No.* Your account in IBAN format. Name, surname / Company name* Your name, surname (natural persons) or company name (legal persons).

Beneficiary: Account No.* Please indicate the beneficiary’s account in IBAN format – an international standard for identifying bank accounts (International Bank Account Number). To check whether an IBAN is correct click here (just choose the country and enter the IBAN you want to check). If the beneficiary’s account is in non-IBAN format you must together with SWIFT (BIC) code indicate the beneficiary’s . It is recommended to find out the IBAN account number as that allows sending an international payment to the beneficiary in a cheaper and faster way without any additional charges. Name, surname / Company name* Beneficiary’s name, surname (natural persons) or company name (legal persons). Bank’s SWIFT code (BIC)/Code Please always indicate the beneficiary’s bank SWIFT code (BIC) consisting of either 8 or 11 characters. To check whether SWIFT code is correct click here. If the beneficiary’s account is in non-IBAN format, you must additionally indicate the beneficiary’s bank CODE in non-SWIFT format: England Sort Code (SC) 6 digits Austria Bankleitzahl Code (AT) 5 digits Australia (BSB) Code (AU) 6 digits Spain Domestic Interbanking Code (ES) 8…9 digits Italy Domestic Identification Code (IT) 10 digits India Indian Financial System Code (IFSC) (IN) 11 digits Hong Kong Bank Code of Hong Kong (HK) 3 digits Canada (CC) 9 digits USA Fedwire Code (FW) 9 digits Greece Hellenic Bank Identification Code (HEBIC) (GR) 7 digits Portuguese National Clearing Code (PT) 8 digits Germany Bankleitzahl Code (BL) 8 digits Bank’s name / address Please indicate the bank’s details – full name, address, country. Beneficiary’s correspondent bank: Funds are transferred through correspondent accounts at the correspondent banks therefore we recommend to indicate the details of beneficiary’s correspondent bank in the respective currency. Bank’s SWIFT code (BIC)/Code Beneficiary’s bank SWIFT code (BIC) consisting of either 8 or 11 characters. In this field please also indicate the number of the beneficiary’s bank account with the correspondent bank. Bank’s name / address Please indicate the details of the correspondent bank – full name, address. Amount in numbers* Please indicate the amount in numbers with two decimal places (except the JPY and BYR currencies when the amount in whole numbers is to be indicated). Amount in words* Please enter the amount in capital letters. Currency code* AB DNB Bankas executes cross-border transfers in the following currencies: AUD (Australian Dollar), BYR (Belorussian Ruble), CAD (Canadian Dollar), CHF (Swiss Franc), CZK (Czech Krone), CNY (Chinese Yuan), DKK (Danish Krone), EUR (Euro), GBP (British Pound), HUF (Hungarian Forint), JPY (Japanese Yen), KZT (Kazakhstan Tenge), NOK (Norwegian Krone), NZD (New Zealand Dollar), PLN (Polish Zloty), RUB (Russian Ruble), SEK (Swedish Krona), USD (US Dollar). Remittance information* Please indicate the details of payment in the language understandable to the beneficiary, e.g. against what invoices, under what agreements and the like, for what goods or services the payment is made. Payment charges payer* Possible options: Shared between the payer and the beneficiary (SHA) – DNB bank’s charges are paid by the payer, and the foreign bank’s charges are paid by the beneficiary; Payer (OUR) – all charges are paid by the payer; Beneficiary (BEN) – all charges are paid by the beneficiary. Exceptions – for cross-border transfers to the EU member states and Norway, Iceland, Liechtenstein, Switzerland in euro and in the national currencies of these countries the payment charges type can only be SHA. For transfers in RUB the payment charges type can only be OUR. For transfers in USD to the USA the recommended payment charges type is SHA.

Note: If you have completed a FOREIGN CURRENCY PAYMENT ORDER and the payment complies will all SEPA payment conditions it will be sent as a SEPA payment.

Please note that for money transfers in RUB to Russia or another country, in BYR to Belorussia, in USD to the USA or Jordan it may be required to provide additional information:

Payment order in RUB to Russia Payment order in RUB to any other country Payment order in BYR to Belorussia Payment order in USD to the USA Payment order to Jordan

Payment order in RUB to Russia Beneficiary’s bank: SWIFT or BIC No need to complete. Bank code Please indicate a 9-digit bank code, e.g. RU040349700, and beneficiary’s correspondent bank account – 20 characters in length starting with 3, e.g. 30101810400000000700. Last three numbers of the beneficiary’s bank code must coincide with the last 3 digits of a 20-character correspondent account. E.g. RU040349700. 30101810400000000700. Name Please indicate the full name of the beneficiary’s bank, e.g. SLAVYANSKI CREDIT BANK. Address Please indicate the city of the beneficiary’s bank, e.g. G. MOSKVA. Beneficiary: Name If the beneficiary is a natural person it is necessary to indicate the name, surname and patronymic. If the beneficiary is a legal person in front of the beneficiary’s name it is necessary to indicate the beneficiary’s INN number – INN code consisting of either 10 or 12 digits. Account No. 20 digits in length starting with 4 (e.g. 40702810300040654100). If the account is intended for payments in rubles, 6-8 digits of such account must be “810”, if in euros – “978”, and if in dollars – “840”. Remittance information Please enter the text in the Russian language in Latin characters. Please indicate precisely the purpose of payment or currency-denominated transaction code. A transaction code usually consists of VO and 5 digits, e.g. YX(VO70010)YX, TRAF PO DELU or (VO10100) ZA TOVAR PO KONTRAKTU NO. 125 OT 15.09.2006. Transliteration table for Russian alphabet Russian letters А Б В Г Д Е Ж З И Й К Л М Н Latin letters A B V G D E ZH Z I IJ K L M N

О П Р С Т У Ф Х Ц Ч Ш Щ Ъ Ы Ь Э Ю Я O P R S T U F H C CH SH SCH ’ Y X E JU JA

Payment charges payer Please always mark Payer, (OUR)

Payment order in RUB to any other country

Beneficiary’s bank: SWIFT or BIC Please indicate the beneficiary’s bank SWIFT code. Beneficiary bank’s correspondent bank (mandatory data): SWIFT or BIC No need to complete. Account at the correspondent bank Please indicate a 9-digit code of the correspondent bank, e.g. 040349700, and the correspondent bank’s account of 20 characters in length starting with 3, e.g. 30101810400000000700. The last three numbers of the beneficiary’s bank code must coincide with the last 3 digits of a 20-character correspondent account. E.g. 040349700. 30101810400000000700. E.g. RU040349700.30101810400000000700. Name Beneficiary bank’s name, e.g. SLAVYANSKI CREDIT BANK. Address Beneficiary bank’s city, e.g. G. MOSKVA. Payment charges payer Please always mark Payer, (OUR).

Payment order in BYR to Belorussia Beneficiary’s bank: SWIFT or BIC No need to complete. Code Beneficiary’s bank code (MFO) consisting of either 9 or 3 digits. Beneficiary: Name Beneficiary’s name written together with the taxpayer identification number: INN, UNN or UNP code applicable to legal persons, UNP code – to natural persons. Account No. 13 digits in length, e.g. 3012004709015. Address Please indicate the street, city, country. Remittance information Please indicate precisely the remittance information (e.g. agreement number and date, invoice number and date, product or transaction code).

Payment order in USD to the USA Beneficiary’s bank: SWIFT or BIC Please indicate the beneficiary’s bank SWIFT code only if a customer does not possess ABA / Routing number/ FW code. Code ABA / Routing number/ Fedwire code (FW) 9-digit code. Payment charges payer Please always mark – DNB bank’s charges are paid by the payer, foreign bank’s charges are paid by the beneficiary (SHA).

Payment order to Jordan

Remittance information Please indicate PAYMENT PURPOSE CODE of 4 digits in length to be followed by additional information, e.g. /0102/Utility Bill. Click here for the List of Codes.