Global Service Center
Convention Tower, Level 6
P.O. Box 9711
Dubai, U.A.E.
Tel: (+971) 04 407 8888 Fax: (+971) 04 407 8222
------PLEASE ADVISE OF CHANGE OF ADDRESSES/ BANK AND SIGN REQUEST (complete only if there is an address or payment change)
Date …………………………
Gin Number: ………………………
Mailing Address:
Name: ………………………………… … … … … … …
Address: …………………………… … … … … … …
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Telephone Number (s): ………………………………………….
Fax Number: :……………………………………………………
Email Address:……………………………………………………
Payment Address:
Bank Name: …………… .… … … … … …
Bank Address: …… … … … … … …
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SWIFT / ABA Code: ……
Payee Name: ……………
Account Number: …
US Correspondent Bank (If Non US Bank) For
US$ Transfers Only: ………………
Payment by: Cheque ………………………………
Wire Transfer.
Signature…………………………………………………….
Record Keeping Department
Tel.: (+971) 4 4078888 - Fax:(+971) 4 4078222
Email: