CFD
BANK DETAILS LODGEMENT form
You may request withdrawals by email by first completing and lodging this Bank Details Lodgement form. Please send it to the PO Box below or fax it
to +61 (0)2 8915 9484. This provides CMC Markets with your banking details and passwords. This form must be lodged with CMC Markets prior to
making your withdrawal request and must be signed by both account holders in the case of a joint account or by authorised officer(s) in the case of
corporate and trust accounts.
When you decide to withdraw funds you can email your withdrawal using the Funds Withdrawal Request — Email form provided, to
clientservices@cmcmarkets.com.au. Please state your name, Account number, the amount that you would like to withdraw from your Account in
words and numbers and two of your three passwords previously provided.
Customer Information
CMC Markets Account Number:
Account Name:
Passwords
(please complete in block capitals)
Please supply two of the three previously provided.
6 Digit Password
Mother’s maiden name
Town of birth
Banking details
This account should be in the same name as your CMC Markets Account.
Account Name:
Account Number
Bank or Financial Institution:
Branch Name:
Branch Number (BSB)
SWIFT Code (if applicable)
Authorisation
I/We declare that:
• if this form is signed under Power of Attorney, the Attorney declares that they have not received notice of revocation of that power
(a certified copy of the Power of Attorney should be submitted with this application unless we have already sighted it); and
• sole signatories signing on behalf of a company confirm that they are signing as sole director and sole secretary of the company.
PERSON 1
PERSON 2
Signature
Signature
X
X
Print Name:
Title:
Print Name:
Date:
/
/ 20
Title:
Date:
/
/ 20
Administrative use only
Signature / Signatories checked
Authorised
Date
/
/ 20
CMC_C10_022_0411
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Investing in CFDs carries significant risks and may not be suitable for all investors.
Losses can exceed your initial deposit. We therefore recommend that you seek
independent advice and ensure you fully understand the risks involved before trading.
You should consider the Product Disclosure Statement (PDS) and other disclosure
documents in deciding whether to acquire, or to continue to hold the CFDs.
CMC Markets Asia Pacific Pty Ltd
Level 44, Governor Phillip Tower
1 Farrer Place
Sydney NSW 2000
PO Box R1879
Royal Exchange NSW 1225
CMC Markets is the trading name of CMC Markets Asia Pacific Pty Ltd
(ABN 11 100 058 213, AFSL No. 238054), the CFDs issuer.
cmcmarkets.com.au
Client Services 1300 660 262