SECURITIES TRANSFER-IN FORM

Citibank Singapore Limited
Global Consumer Bank
Equity Investment Operations
3 Changi Business Park Crescent
#08-00
Singapore 486026
STEP 1: SECURITIES TRANSFER FORM – TRANSFER IN
Please complete the securities transfer form and send it back to Citibank Singapore Limited (Equity Investment
Operations) at the address above.
Name of Citibank Account Holder
:
Citibank Securities Account No.
:
I’d like to transfer the following securities to my Citibank Securities account (stated above) on
(Transfer Date)
Brokerage Firm Name:
Broker / Contact Name:
Contact No.:
Broker / Contact Email:
Please tick where applicable
US MARKET SECURITIES
HK MARKET SECURITIES
Custody Account No.:
Custody Account No.:
DTC Participant Code:
CCASS ID:
SECURITY NAME (IN FULL
DESCRIPTION)
STOCK
CODE
QUANTITY
AVERAGE
UNIT COST
REMARKS
Requested By:
________________________
Customer's Signature / Date
!
Important Reminder to Customer:
You must provide instruction and Citibank Brokerage custodian details to your existing brokerage firm to
initiate the transfer process.
2014 Citibank. CITIBANK is a registered service mark of Citibank, N.A. or Citigroup Inc. Version May 2014
STEP 2: INSTRUCTION TO YOUR EXISTING BROKERAGE FIRM
To initiate the securities transfer process, you will need to provide an instruction and the following Citibank Brokerage
custodian details to your existing brokerage firm.
Citibank Brokerage Custodian Details – For US Securities
Custodian Name
:
Global Securities Services, Citibank N.A., New York
Custody Account Name
:
Citibank Singapore Limited, Global Consumer Bank
Custody Account No.
:
096761
DTC Participant Code
:
Citibank #908
Citibank Brokerage Custodian Details – For HK Securities
Custodian Name
:
Citibank, N.A., Hong Kong
Custody Account Name
:
Citibank Singapore Limited - GCB
Custody Account No.
:
9618190000
CCASS ID
:
C00010
Citibank Brokerage Contact Details
Contact Details
:
Citibank Brokerage
3 Changi Business Park Crescent
#08-00
Singapore 486026
Attention: Equity Investment Operations
For more information on Citibank Brokerage, please visit www.citibank.com.sg/brokerage or contact our Phone Trading
Hotline at 6333 3223.