Transcription of Repurchase Request - Absa
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Repurchase Request - Absa
Absa Investment Management Services 1 Absa Investment Management Services (AIMS) Authorised Financial Services Provider Reg No 524 PO Box 974, Johannesburg 2000 Fax: 0861 339 265/Internet website: Absa 4691 EX (CPA) (13/07/2018) Repurchase Request Confidential Absa Investment Management Services (AIMS) is an Authorised Financial Services Provider. All relevant sections must be completed in full. Please indicate all options selected by means of a tick ( ). You must initial next to any amendments made. Please send fully completed instructions to I/We hereby Request you to Repurchase from my/our account as follows below: Investment number Investment product Repurchase from specific portfolio(s): Portfolio number Portfolio number Portfolio number Portfolio number or Repurchase all portfolios in the above specified investment product. Individual investor details Title Initials Surname First name(s) Date of birth D D M M C C Y Y Identity/Passport No If passport, state reason Lost ID Stolen ID Country of origin Country of residence Legal entity investor details Name of entity Registration number Inception date D D M M C C Y Y Country of operation Country of registration Address details Residential/Registered address Postal address Suburb Suburb Town/City Postal code Town/C
2 *Repurchase from funds as indicated below: Amount R Amount in words Repurchase units evenly across all funds Fund name Rand amount % Units For Offshore disinvestments, indicate currency with a tick ( ) Dollar Pound Euro Rand
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