Withdrawal

WITHDRAWAL REQUEST FORM

All information provided on this form must match the information in our records. Jalatama will only wire funds or make payments to the original funding sources. Please make sure that there is no open orders in your trading account at the time of withdrawals.

Client Name Text *

Email *

Phone Number *

Amount to be withdrawn from your Jalatama trading account:

Amount In Numbers *

Amount In Words

WIRE TRANSFER

Client Name *

Bank Name *

Bank Address
Street Address

Switch Code*

IBAN Code

Branch Code

Bank Account Number*

Jalatama Arta Berjangka does not make third party payments.

I understand and accept that by clicking the submit below, I have requested for funds to be withdrawn out of my Jalatama trading account. And I hereby represent that the information provided by me is true and correct. I further represent that I will notify Jalatama of any material changes in writing. Jalatama reserves the right, but has no duty, to verify the accuracy of the information provided, and to contact various sources as it deems necessary.