Date: 14/11/2023

The Managing Director

Islami Bank Securities Ltd.
DSE Member No.107
20, Dilkusha C/A
Dhaka-1000

Sub: Application for fund withdrawal.

Muhtaram,
Assalamu Alaikum,

Please arrange to make payment of sale proceeds / Balance of my account for Tk.40,000/=
Taka in word (BDT Forty Thousand) only

By Means of Issue a Cheque in favour of me.

Authorized person………………………………………..

Bank account Number: 302012100003478

Bank Name: Shahjalal Islami Bank Limited
Branch Name: Dattapara Branch; Mobile No: 01864158325

Ma-assalam,

Yours faithfully

Client(s) Signature:
Client(s) Name: Md. Yusuf Imran
Client(s) code: IBB_OBO336
Payment effected, as desired, vide cheque………………….Date…………………Tk………………...

Signature of Recipient

-----------------------------------For Official Use only ………………………………………………..

1) First Signatory:……………………

2) Second Signatory:…………………