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Inter-Account Transfer Request
Date:
Client Name:
Account Number:
IB/ Group :
Kindly debit my account #:
Amount in US$:
(In words) U.S. Dollars:
Transfer to Account #                     
Client Name                      
Customer Signature   ....................................................                           Date   ...............................
For office use only
*Please be advised that funds withdrawn will only be remitted to Rate Capital Investment's Own Bank Account with his name. WE DO NOT PROCESS "THIRD PARTY" TRANSFERS.
P.O.Box 1283 Dubai U.A.E. Tel: +971 4 338 48 08 Fax: +971 4 338 48 09
Email:info@rcifx.com, www.rcifx.com