Hudson Global Capital Ltd

WITHDRAWAL REQUEST

To withdraw funds or close an account, please fill and sign this form. All withdrawals will be processed and released within 3 banking days upon receipt of your request. Upon completion, please email a copy to accounts@hudsongc.com.

Name (As appear on agreement):__________________________________________________

Account Number:_________________________

Withdrawal Amount (the sum of):_________________________________________________

Will your account be closed?                Yes / No

Payment Method:                        Cheque / Telegraphic Transfer   

Beneficiary Mailing Address:____________________________________________________

Bank Name:______________________________________________________

ABA or Swift # :______________________________

Bank Account # :_____________________________

Bank Address :________________________________________________________________

 

DECLARATION

I confirm that I am the holder of the account mentioned above and that all information provided is true and correct to the best of my knowledge. I also fully understand all information and balances in my trading account statement with you. I am aware that third party transfer cannot be processed and I hereby agree to indemnify you and hold you harmless in respect of errors resulting from fase or misleading information.

 

Signature :_____________________

Date :________________________

FOR OFFICIAL USE ONLY

Check By :___________________________

Accounts Dept Settlement Dept General Manager Client's Agent