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Withdrawal of Share Capital Form
Applicant's Name (As in NRIC)
Salutation
Dr
Mr
Mrs
Mdm
Ms
Applicant's NRIC No.
NRIC Colour
Pink
Blue
Home Address
Postal Code
Present School Name
Email Address
Mobile No.
Home Telephone No.
Withdrawal:
Amount to withdraw from my Share Capital Account
(Note: It is mandatory to retain $2,000 in the Share Capital Account)
Amount in Dollars
(Note: It is mandatory to retain $2,000 in the Share Capital Account)
Date of Application
Note:
For online application, payment shall be made by cheque payable to the member in the case of self collection. Should you need further assistance, feel free to contact us 6440 4393.
I declare that the particulars in this application are true to the best of my knowledge. I acknowledge that if i wilfully suppress any material facts, i will be liable for disqualification and if appointed be dismissed or subjected to disciplinary action.
Agreed