Credit Account

PB Sharelink Instruction for Withdrawal of Funds

Payment Date (At least 1 business day from this request date)
(No payment to third party is allowed)

Client Name : gohcheechuan Client Code : IUQ3398

Stockbroker Company : Branch : kepong

PB Sharelink A/C No. : 3171700036 Date :

Resident : Yes / No (if No, please specify nationality __________________)

WITHDRAWAL AMOUNT : , 12 , 900 . 0 0

WITHDRAWAL AMOUNT : Ringgit Malaysia twelve thousands and nine hundreds ringgit only
(IN WORDS)

Deposit account to be : Account No. 6 0 7 8 2 0 6 9 0 4

credited
Account
Name gohcheechuan

I/We confirm that the information herein is correct and the application is in order. The transaction is under my/our
account and is at my/our risk absolutely and further without any responsibility or liability to you.

Customers Signature / Joint Signatures (if Attended/Confirmed/Signature

applicable) by
Signature
Verified by
SIBC
goh
Name : gohcheechuan Name :
I/C No. : 820911016323 Date :
Date : 5-1 -2017
For SIUs Use Only
Account Position (Committed) Total Outstanding (RM) Total Collateral (RM) LSR (%)
Before Withdrawal
After Withdrawal
Credit Limit : RM
Trading Activities YTD T/O (RM ) ; Previous Year T/O (RM )
For SIBCs Use Only
T+3 Sales Processed By: Approved By : Posted By : Verified By :

Name : Name : Name : Name :

Date : Date : Date : Date :
BDS Checked