Lotus Capital Limited RC600195

1b Udi Street Osborne Foreshore Estate, Ikoyi, Lagos

Tel: (+234) 09087058407, 09087058408
Email: info@lotuscapitallimited.com
www.lotuscapitallimited.com

NAME OF MUTUAL FUND TICK

Halal Investment Fund
Halal Fixed Income Fund
REDEMPTION FORM
* Please complete this form legibly in capital letters. Fill your name as written on the investment application form
PERSONAL DETAILS
TITLE M i s s CERTIFICATE NO

SURNAME K O M O L A F E

OTHER NAMES K a b i r a h o l u w a s e u n
ADDRESS 1 1 A w o f e s o s t r e e t l a d
L a d i l a k b a r i g a

MOBILE PHONE NO 0 8 1 2 1 7 7 3 1 0 9

EMAIL ADDRESS O k i k i o l a o m o w u n m i e n i t
UNITS/AMOUNT TO BE
REDEEMED (FIGURES) 1 0 , 0 0 0

AMOUNT IN WORDS T e n t h o u s a n d n a i r a
O n l y
REASON FOR
LIQUIDATION
To feed my self in school

*** Kindly note that the payment will be made to your bank account in our records
I hereby instruct you to kindly effect the redemption of the above stated units/amount in my/our names at the prevailing Bid Price on the Date of
Redemption

SIGNATURE DATE D D M M Y Y

FOR CORPORATE INSTITUTIONS

NAME & SIGNATURE

DIRECTOR DIRECTOR/COMPANY SECRETARY

*** Please ensure that your Company Seal is applied and the document is signed by two Directors or 1 Director and the Company Secretary.
FOR OFFICE USE ONLY
NAME & SIGNATURE
DATE D D M M Y Y

RELATIONSHIP MANAGER

SIGNATURE VERIFIED PROCESSED BY

NAME & SIGNATURE

FUND ADMINISTRATOR FINCON