Withdraw Request - Wire Transfer

After you complete this form, click Print-friendly for a printable version, sign it, and return it to GCI via email along with a copy of a valid identification and your verification of address such as a recent bank statement or utility bill (gas, water, electricity, or fixed phone bill) that verifies your permanent residential address dated within the last 3 months.

This form may be scanned and emailed to [email protected].

Kindly note that it is the client’s responsibility to review all the information carefully before submitting the withdrawal request. GCI Financial Ltd. assumes no responsibility for errors or inaccuracies made by the account holder.

GCI does not charge for sending payments, however transfer fees are applied by our payment system provider. Forms submitted with missing information are subject to delay.

Required fields are indicated with an asterisk (*).

Your GCI Account Information
Last Name*: Account Currency*:
First Name*: Withdrawal Amount*:
Address 1*:
Country*: Your E-mail*:
GCI Account Number*: Contact telephone number*:

Beneficiary Bank Information
Bank Name*:
Address 1*:
Town / City*:
Swift Code*:

Beneficiary Account Information
Bank Account Number*:
Account Type*
Account Name*:
Payment details if any:
Additional Information
Will you be closing your account*?
Any comments on our service?

Please complete all required fields