Certificate - Request to open an interest bearing account

Interest Bearing Account - Full & Public Members - Request to open

Please assign IBA number

GIA Account No.

Member Type

Full Member

Member Type

Public Member

Date of request

RRDJ Member Name

Member Email

PRDJ No.

We as the executor of our estate irrevocably instruct you

to deposit the amount of

Credits

credits;

(in words)

from our account into an interest bearing account which pays 5% fixed per annum.

We further instruct that it is to remain in such account for a period of no less than 12 months.

Steward's name

Steward's No

Steward's Email

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