docs/DE/Withdrawal Request

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Admiral Markets UK Ltd 16 St Clare Street London, EC3N 1LQ United Kingdom Tel: +44 (0)20 7726 4003 Email:[email protected]

• Client information Client information. Please fill in carefully in print. Name: Surname: Current date:

• Trading account information Trading account #:

Phone Account Password:

• Contact information Telephone:

Email:

• Withdrawal amount The sum to be withdrawn:

,

• Payment details:

Please fill in very carefully in print. Admiral Markets UK Ltd does not bare any responsibility for incorrectly filled in payment details, and as consequence – for the incorrectly executed Withdrawal Request. Beneficiary’s Name: Beneficiary’s address: Beneficiary’s Name: Bank name:

SWIFT:

Bank address (City or state, Country):

• Trading Account Your Trading account will not be closed until you have funds left on it .

Do you wish to close your Trading Account? If YES, please check the box:

Print name:

Client signature:

Date:

Admiral Markets UK Ltd Registered Address: As Above Registered Number: 08171762 Authorised and Regulated by the Financial Conduct Authority FRN: 595450

Admiral Markets UK Ltd 16 St Clare Street London, EC3N 1LQ United Kingdom Tel: +44 (0)20 7726 4003 Email:[email protected]

Admiral Markets UK Ltd Registered Address: As Above Registered Number: 08171762 Authorised and Regulated by the Financial Conduct Authority FRN: 595450