Redemption of Unit Holding Request Form - FHUT-Income and Growth Fund

Step 1 of 6

16%

Please provide your Name and Account Number here

FHUT Account Number(Required)

Name(Required)

Account Details

Type of Account (Select the appropriate Option)(Required)

Other (please specify)

Meeting Minutes

Max. file size: 2 MB.

Please state reason for withdrawal request(Required)

Make a Redemption Request

Redemption Request (Select the appropriate option)(Required)

Amount ($)

Please make redemption payable to(Required)

(Refer to Indemnity Clause)

Dispatch Details of Redemption Request

(Note: Compulsory to provide the bank statement to verify the correct account details.)

Bank Account Details

Account Name	Name of Bank	Account No.	Branch	Actions

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Upload Bank Statement(Required)

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 5 MB.

Upload Photo ID(Required)

Max. file size: 2 MB.

Contact Details

Please fill in your contact details

Telephone (H)	Mobile	Work	Fax	Email	Actions

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Signature of Unitholders – This Must Be Completed by the Authorized Signatory / (RIES)

Signature of Unitholders

Name (Unitholder / Trustee / Director)	Signature	Actions

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INDEMNITY CLAUSE

I/We_________, a unit holder and Authorized Trustee/s of the

Full Name(Required)

FHUT Account No:_________, hereby request for withdrawal to be made payable to____________

FHUT Account No:(Required)

Payable to:(Required)

I/We_________, acknowledge that I/we fully understand the capital loss and the terms and the terms and conditions of my/our withdrawal from our Fijian Holdings Unit Trust investment account during this short-period. I/we have also been well advised by a licensed representative of the capital loss I/we will face if I/we withdraw our investment in less than 3 to 5 years.

Full Name(Required)

I/We, hereby release from all liability, indemnify and shall keep indemnified FHL, FHUT and FHL Trustee Ltd in respect of any claim of any nature whatsoever at any time made against any one or more of the said entities by any person or entity including but not limited to me/us where such a claim arises out of or is associated with the sale of units and withdrawal of units with Fijian Holding Unit Trust.

Consent(Required)

I agree to the Indemnity Clause