Application for withdrawal of Shares Form - SVG Teachers Co-operative Credit Union Ltd

Full Name *

Address

Contact Number

Email Address *

Amount Requested (In Words)Write in words the amount requested

Amount Requested *

XCD

Account No.

Effective Date

Day

Month

Year

Proof of IdentificationPassport/Driver License / I.D Card #

Purpose for withdrawal

I understand that due to the request for funds from my shares account I would be required to give the required three (3) months’ notice or pay the necessary fine of 3%.

Please deduct withdrawal fee from: *

Amount RequestedOrdinary DepositShare Deposit