1. No category

Please tick entity below:
GCB
Bank use
IPB
NRI
EIO reference no
: ____________________
EIO received date : ____________________
SHARES TRANSFER FORM
TRF IN
TRF OUT
INTL TRF
PHY SCRIP
For processing of completed forms:
For International Personal Banking/Non-resident Indian Customers: Please send back to your Relationship Manager.
For Global Consumer Bank Customers: Please send to:Citibank Singapore Limited
Equity Investment Operations
3 Changi Business Park Crescent
#08-00 Singapore 486026
Important Reminder to Client / Relationship Manager:
1.
2.
3.
Client must provide instruction, along with our Citibank custodian details, to Counterparty to initiate the transfer of securities. Refer to the Citibank Brokerage website
for details.
Callback verification will be performed upon receipt of this form.
Ensure cash trading account is in active status and has sufficient funds for debiting any fees applicable. -. Refer to Citibank Brokerage website for details on the fees
and charges.
VALUE DATE: ___________________
*External Transfer Requests: T+2 (T day being the day Citibank Singapore Limited receives this request)
*Value date is also subject to counterparty agreeing to our proposed value date.
From Citibank a/c Name and Securities Brokerage a/c No.
:
:
To Citibank a/c Name and Securities Brokerage a/c no.
(Please fill up both “from a/c” and “to a/c” for internal transfer within Citi)
EIO ref
SECURITY NAME (IN FULL DESCRIPTION)
STOCK CODE
AVERAGE
UNIT COST
QUANTITY
(bank use)
REMARKS
COUNTERPARTY DETAILS (Only to external party outside Citi)
Counterparty Name
:
Counterparty Contact Person
:
Client a/c name and a/c no with Counterparty
:
Email / Tel
:
Please fill up counterparty settlement instruction as below:
□ U.S. MARKETS
□ HONG KONG MARKET
□ SINGAPORE MARKET (Applicable to IPB/NRI only)
Custody Account No.:
Custody Account No.:
Depository Agent Name.:
DTC Participant Code:
CCASS ID:
Depository Agent No.:
Client's Signature / Date
Bank use:
Sign Verification
Yes / Irregular /
not found in Eclipse
US Tax Bracket
5% / 10% / 15% /
20% / 25% / 30%
MPP callback
Done / Not Done /
Waived / N.A
Transfer fee
Sufficient /
Insufficient / N.A
Eclipse - SB
Input
Auth
CitiDirect/SGX
Settled
Maker
Remarks
Checker
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200309485K Printed on 02/2014