PART LIQUIDATION FORMPlease enable JavaScript in your browser to complete this form.12LayoutDate of Liquidation: (DD/MM/YY)Date of Maturity: (DD/MM/YY)INVESTOR DETAILSLayoutCustomer ID:BVNCorporate Name (If Applicable):LayoutNameFirstLastPhonePAYMENT INSTRUCTIONLayoutAmount (Words):Total Investment:New Rate (%) P.A.:Amount (Figure):Balance After Part-Liquidation:Account Name:Account Number:Bank:Account Holder Signature Click or drag a file to this area to upload. Kindly upload a picture of your signatureJoint Signatory (if applicable) Click or drag a file to this area to upload. Kindly upload a picture of your signatureTHIRD PARTY INDEMNITY (For Third Party Payment Requests only) I/We are investors in the Centrum Finance Company Limited Investment Product Fund and request that you issue the proceeds of the redemption as set out above, in favour of the beneficiary whose details appear on the payment instruction set out above. In consideration of Centrum Finance Company Limited honouring the request, I/We hereby for myself /ourselves and my/our legal representatives, agree to keep Centrum Finance Company Limited indemnified against all actions, proceedings, claims and demands which may be brought or made against Centrum Finance Company Limited or any of its Authorized Representatives in consequence of complying with My/Our request to pay the proceeds to the above -named Beneficiary. I/We further agree to pay on demand all payments, losses and expenses suffered or incurred by Centrum Finance Company Limited in consequence thereof or arising therefrom. LayoutName of investorInvestor Signature Click or drag a file to this area to upload. DateName of WitnessWitness Signature Click or drag a file to this area to upload. DateNextFOR OFFICIAL USE ONLY:LayoutRelationship Manager Name/SignatureCustomer Service Name/SignatureHead, Business Development Name/SignatureInternal Control Name/SignaturePAYMENT APPROVAL:LayoutFinal Amount PayableOperations Name/SignaturePenalty Rate:(If Applicable)Approving Officer Name/SignatureSubmit