WITHDRAWAL REQUEST

ZXmarkets USER ACCOUNT DETAILS

Please fill in the required details clearly in order to enable a quick transfer without any mistakes and scan it and
send to email : compliance@zxmarkets.com (The transfer is in USD only and is not carried out by a 3rd party)

User ID : Telephone Number :

Beneficiary Name : Beneficiary Full Address :

(as it appears in your ZXmarkets account details)

WITHDRAWAL DETAILS
I WISH TO WITHDRAW FROM MY ACCOUNT THE FOLLOWING SUM :

AMOUNT (USD) : AMOUNT IN WORDS :

I WISH TO WITHDRAW THE MONEY BY A BANK WIRE

(Your bank account details must match your identification documents)
Beneficiary Name : Bank Name :

Branch Code & Name : Branch\Bank Address :

Account Number : Bank Telephone Number :

SWIFT : IBAN :

Credit Card :

Comment :

ACCOUNT COMPLIANCE VERIFICATION

I, the undersigned, confirm that the balance in the amount of _________________ As it appears in my
ZXmarkets account and in the reports shown to me in the ZXmarkets website are correct to this date.

ZXmarkets will not be able to process SIGNATURE :

Your withdraw request unless your entire
Identification documents are received.
(Passport, Local ID and Utility Bill)
For Internal use only
Financials : Dealing Room :