WITHDRAWAL REQUEST FORM

WITHDRAWAL REQUEST FORM 提款申请表

This form is used to request withdrawal of funds from your LOOKCARD Current Account Wallet to your external wallet. Please ensure that all information is complete and accurate to avoid delays in processing.

此表格用于申请往来账号钱包从提款。请确保所填信息完整、准确，以避免处理延误。

Section 1 : Account Information 账户资料

Full Name/ 姓名

Registered Email/ 注册邮箱

Contact Number/ 手机号码

Section 2 : Withdrawal Details 提款详情

Current Account Balance/ 往来账号钱包余额

Destination Wallet/ 收款钱包

Network/区块链网络

Currency/ 币种

Withdrawal Amount/ 提款金额

Section 3 : Verification and Declaration 验证与声明

Please read carefully before submission/ 提交前请仔细阅读以下条款：

I confirm that the above information is true and correct/ 我确认以上所填写的信息真实、准确、完整。

I understand that LookCard may request additional verification documents before processing/ 我理解 LookCard 在处理前可能会要求提供额外验证文件。

I acknowledge that all withdrawals are subject to review and approval under LookCard’s KYC/AML policy/ 我同意所有提款申请将根据 LookCard 的 KYC/AML（客户身份及反洗钱）政策进行审核。

Processing time may take up to 24 hours after verification/ 核实通过后，处理时间预计为 24小时。

By submitting this form, I acknowledge and agree to the terms listed above/ 提交本表格即表示本人已阅读、理解并同意以上条款。

Signature/ 签名

Submission Date/ 日期