Account Termination Form

ACCOUNT TERMINATION FORM

 

In order to terminate your account with Novox Capital Ltd, please complete this form. By completing and submitting this form, and completing also a withdrawal application (below), all funds will be reimbursed to you, and this will result in the closing of the account. Should you, in the future, wish to re-establish a business relationship with us, you will need to create a new account.

 

Client Name: _________________________________________________________________________

Username: __________________________________________________________________________

I.D.no:______________________________________________________________________________

Reasons for termination of account:

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____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

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I declare that have I closed all my trades on the live platform and I wish to close my account with EuroTradeRoom. I have been made aware of, and understand that, after completing a withdrawal application for the balance of my funds, these funds will be returned to me, resulting in the closing of my account.

 

Signature: ______________________

 

Date: __________________________

 

 

WITHDRAWAL FORM

 

Client Name (First and Last):

………………………………………………………………………………………………………………………………………………………….

Client Address: ………………………………………………………………………………………………………………………………………………………….

………………………………………………………………………………………………………………………………………………………….

EuroTradeRoom Username: ………………………………………………………………………………

Passport/I.D. no: ………………………………………………………………………..

Amount to be withdrawn: ………………………………………. Currency: ……………………………………………………………

BANK DETAILS (beneficiary account must be in trading account holder’s name):

Bank Name……………………………………………………………

Bank address………………………………………………………….

Iban number…………………………………………………………..

Swift code…………………………………………………………….

Bank Account name…………………………………………………………

Bank Account number………………………………………………………

Correspondent bank (where applicable):

Bank Name:……………………………………………………………………………………………………….

Bank Address: ……………………………………………………………………………………………………………………………………

SWIFT Code: …………………………………………………………………………………………………………………………………….

 

Client Signature: …………………………………………………………………

 

Date: …………………

Please send the completed form by email to [email protected].

EuroTradeRoom is operated by Novox Capital Ltd which is authorized and regulated by the Cyprus Securities and Exchange Commission (CySEC) with CIF license number 224/14