been agreed in the master policy and this application form. Authorised signatories must sign the instruction. When it comes to online betting, convenience is key — and that extends to the withdrawal process.
4. Terms and Conditions for Surrender/ Withdrawal Any application for Surrender/ Withdrawal must be made through and stamped by the Master Contract Holder. Ways to submit this form 1.
3. Where you need to choose between different options, please mark your selection with an X or use the check boxes on electronic forms. Make sure you complete the form in full. Please initial any changes you make to the form. 1.
Indemnity form : I hereby indemnify the above named Fund and Databank against any further claim or liability (due to but not limited to loss of open cheque, providing wrong Current Account or mobile money wallet details, etc.), in respect of their acting upon the above instructions from me. Principal Participant’s Signature Date : Signature and Master Contract Holder’s Official Stamp Date : F. hdrawal Form Fall of Spring Summer _____ Admissions & Registration P.O. 2.
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