Withdrawal Form
Details
Product & Method
Amount
1
Personal Details
2
Product & Method
3
Amount
1. Personal Details
Member Code
Enter Member Code.
Names
Enter your full names.
Email
Enter a valid email.
ID Number
Enter your ID number.
Phone Number
Your phone number won't be disclosed anywhere
Enter a valid phone number.
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2. Product & Method
Product (Tick one)
Savings
Fixed Deposit
Shares
Please select a product.
Receive Method
Bank
Mobile Money
Please select a method.
Bank Name
Please enter the bank name.
Bank Branch
Please enter the bank branch.
Account Name
Please enter the Account Name.
Account Number
Please enter the account number.
Name on Mobile Money
Please enter the name on the mobile money account.
Mobile Money Number
Please enter the mobile money number.
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3. Amount
Amount To Withdraw
Enter a valid amount.
Purpose of Funds
Please provide the purpose of funds.
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Submit
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Validation Error
Please correct the following errors: