NRBC Bank Securities Limited
TREC NO - 082
Hadi Mansion (3rd Floor), 2, Dilkusha C/A, Dhaka-1000, Tel : +880257165253-54
Email : [email protected], Web : www.nrbcbanksecurities.com
Fund Withdrawal Application Form
Please fill in all necessary information carefully on your fund withdrawal request:
Request Date 17-Oct-2024
Account Number C038
Name of the Account Holder(s) KAZI AMIR KASHRO
Contact No. 01676635897
Bank Account Number 2101734615001
(According to BO Account)
Bank Name THE CITY BANK LTD.
Branch Name PRABARTAK
Routing Number 225156326
Amount(Taka)
Taka In Word
Name of the RM & Signature Asif Ahmed
Declaration: (1) I/We do hereby declare that no purchase will be made against the amount request for withdrawal as
well as the Proportionate loan amount.
(2) I/We agreed all transactions against my/our above mentioned trading ID before this withdrawal.
Signature of the Account Holder(s)
Generation Time: Oct 17, 2024/10:16 AM Page:1of1