Tolter-Pacific, ·· ·.

, et , ,ana,g,et11em:t Sdn 13 1d
Wet Wing, 11...e e� l3, Berja,,ra Times Sq1L1are
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· ·•·• o. l. Jalan hmbi, ,55100 Ku la Lum pur

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II v I lndi,riduaJ1 D Joint O r � -o:m-pora:le □ Related Party □ ,S,taff

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I 8141 1 10 p1 A I 11 II 11 151 61 11 '11
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, ol, Propriet,or I ··•.· ·o:t� Trad�r
: ame •· a - m Cer11:ificate of Inco.1po,r,ation. )
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Comp,aI Y Regi arali.on ',o.: I I I I I � I I I I I I I I I I I I I

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.·.· am.e • a ill ertificate of Incorp o,r,atiom)
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.. ode h11ti_ .l Invr - tm-nt "rop-, p, 1n- tm nt · umncy In·•�·:::un -m:t Am lllRl

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N te: 1) P'lea � book-in 1tro ffi,- RHB B,ank B -rb. d A.c 01110.t. · o.: 2142 l3 00(Ji.3,:5J710� .A . unt •-m : Inter-Pa .ifi A. 1: MaBagem-nt Sdo Bhd).
2)1 h. ,e m1ent amo1mt h old, be r,mitted tor th , afor_ m nti 11ed Manager' accoWilt 11 Rirnggit .· ,a.la , ia._
3)1 A.ml mwa1ti bank· ,ervic ·...barge inciu,dlin1, out .. lation . heqllle commi - ion., and t,eleg;raphi · ttan. fer cha1g ,are to, 'lbe home b,. the, w. estror.
4) The Manager will pmces. a11 .in' el tmenl • upon receipt of cleared paym.rent . Dd the oomp[eted ,o ume. nt, .

D Telegcapluc T,ran fer D Cheq,ue / .Bank Draft 8,ank: ___________ 1 Cb.eq,l!le .·•or.: ___________

D . · a h D. p .. it M·a.chine (pl a, , .· a'tla 11 d ,a, ,11 depo ii l'ip, ro,g, tli r 'K'itt1 ti.ii Tm'n' "tia,1 Fomz . ;a' 1

6., ,,\'IT'lJDR.i\ \\' J-\.L REQliES'[·

lien t C,od . F'ulJ Partial urrenc Amount

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PS0125r5 □ �' I IUSD 5000

Applim:hl , for Full. ' ·i.thdra:wal Ollly (P1e ·. -• • tick one of the fo.llofflll:g oplicJin ,):

D IP'fea; , .· pea eed lo clo, e :my I our investm ot and in: eslment related a ·. aunt · opeaed with you.
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I/ We ,cllo not wi b to, lo - ,nil_- I ou in :- ,tment ,and in--,�, tment rela1ed - -,c-n11t -,p-n:-d w'dl y,o--. y-u may proc- d t, cio ,e my/ ,our mf e tm� nt imd in� e, tment
,
r_ te[ated a c,01.nl�- op=ned, with: ,ou aft=r nn= (]) al=ndnr � =M with no a ti-1t}' from lb= da't ..of the full wilhdm� al requ� ·t..
 Int. r-Pa. iR - A"', · t Mana,g m nil: ,-dn B,hd
\Ye t Win • Lev 1 :1 3;. IBer ay.a Tun. . quarie
: :•·.. o,. 1 •. J',alan [mbi. 5511 ·•• Ku.a.la Lumpur
'Jel� 03- 117 18 , . ax: 0 -21,4-2 610!291 1

B:w1k ·.·· an'lle Ma,yban1k

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Mo1 h,am,ad Y1u,soff' Bini Ch 1 1 1

A count ·u.rnbeli' 1 ,5 2102,3,1 83 0 56

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Account Typ [iZ] s Cw-rent

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A -ount own- h.i-�,P

-- --:.·, --- �I Singl. □ Jo,inl

□ l!:,olb A__01Jnt Hold,_r ·

9 .. P1\R'l�ICllL,1\RS ()F IN'l'R0 DlTCER

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1 )1 TIW::- d.__ laJi::- that th1_ abo e inform :ti n i , ,c,omp.let,e and ttu_ and th .. t :- \. e ha ,e .not· .itbh_'ld any .mat,::-rial .a_'t. or infi rmc_ti,on fm,m m·r,er-P�_�iti� A __
Man. ge.ment ..·dn Bhd.
2)1 .. 'e undertake to fu_mi h lm1ter-Pacifi A et .·_ a11a1,eme.1it S,dn Bhd ·wi.th ru h .addm-tio1 al particulars. and, informati,oDJ ,a biter- a ifi · As et Mana, ememt ,>do Bhd
may req,u:ire at ,ru1. tim · and from tirne lo lime.
3), [ mn/We are awu,e of die :fe,es, and barge , d'll.at lfWe will incur dir,octl.. ,or :iiEtdirectly w:hern. in. e:sting illl. the portfolio..

1 Compaoy
Signatur-e ,of Fi - t Applican· S,ignatum of Socon.d Ap_ ,:ij,can· ·tamp,
.Authori ,ed Signatory ( · ,orp rate A:pplicant) Auth,ori ed Si�,at,ory . ·. ,orpo:r.ate Applicant)

Date: Date:

For· Distrib11t,or I [1:1trodu,cer Us,e ,Qr1]y .F,or ,Q,ftic·,e Use 011ly

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• ,Date & Time ,Re eived •
• Tramaclion Date •
•

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• ••ale~ 1 har e •
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Rubber . I.amp •
• Sig11atw:e •
• Approved .B •
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Date •
• Date •
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Out land.ing receivab]e: ..................................................................................................................
•
Pro ·es , b•y :
Fee I Expen e p,ayable . ------------
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,·. heck,ed b,.. =
_a· b. B,ailoo_ __ ai.�able for\ ithdraw.al : ____________ Apprio, _, h,y :
W:itl1dmwal A_mount ·------------
•

, a l:m. 'balance after withdraw,al . ------------

Adequate ca 'h fo.r ·w.illb.dlrn. wal