Withdraw Request - Wire Transfer

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

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

Beneficiary Account Information
Bank Account Number*:
IBAN*:
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