ELITE TRUST TRADE TRANSFER FORM

SECTION A: CAPITAL ELITE TRADE ACCOUNT DETAILS

ACCOUNT NAME DD MM YYYY

ACCOUNT ID CITY STATE COUNTRY

ACCOUNT TYPE

BASIC SILVER GOLD PLATINUM DIAMOND

AMOUNT IN WORDS: ..................................................................................................................................................................................

SECTION B: RECEIVING BANK ACCOUNT DETAILS

ACCOUNT NAME

BANK NAME

ACCOUNT NUMBER ROUTING NUMBER

IBAN NUMBER OR SWIFT CODE

BANK ADDRESS: ..........................................................................................................................................................................................

SIGNATURE OFFICIAL USE ONLY

RECEIVER'S EMAIL OTP CODE

RELATIONSHIP WITH THE SENDER: ......................................................................................................................................................

REASON FOR TRANSFER: ..........................................................................................................................................................................

 ELITE TRUST TRADE TRANSFER FORM

SIGNATURE OFFICIAL USE ONLY

ACCOUNT MANAGER'S NAME : ...........................................................................................................................................................

ACCOUNT MANAGER'S SIGNATURE : ................................................................................................................................................

CERTIFICATION

I .................................................................................................. CERTIFY THAT THE INFORMATION PROVIDED BY ME ABOVE

ARE TRUE AND HEREBY AUTHORIZE THE UPDATE.

RECEIVER'S SIGNATURE & DATE : .........................................................................................................................................................

FOR OFFICIAL USE

OSS APPROVAL BM

NAME/SIGNATURE/DATE NAME/SIGNATURE/DATE