BankSA Global Currency Card is issued by Cuscal Limited ACN 087 822 455 AFSL 244116 (Cuscal). Cuscal is an authorised deposit taking institution and a member of Visa International and does not take deposits from you. Westpac Banking Corporation is the distributor of the product and is not responsible for and does not guarantee the product or card or your ability to access any prepaid value or the use of the product or card. © 2021 BankSA - a Division of Westpac Banking Corporation ABN 33 007 457 141 AFSL and Australian credit licence 233714. WBCPCFR01_BSA 0521

Global Currency Card Funds Redemption Form.Complete this form to transfer any remaining balances from your closed Global Currency Card account to a nominated account.

Funds Redemption Details.

To transfer any remaining funds, provide your Global Currency Card information and Australian bank account details below.

Please note, any remaining funds will be paid to you in Australian Dollars (AUD) within 20 business days of receipt of this form.

First name: Suburb: Postcode:

Middle name: Mobile:

Surname: Last 4 digits of your card number:

Date of birth:

/ /

Destination BSB: Scan a signed and completed copy of this form to:

BankSA Global Currency Card Service Centre PO Box 3845 RHODES NSW 2138

Or fax to + 61 1300 781 289

Questions? Please call 1300 734 020 in Australia or +61 2 9155 7853 when travelling for 24/7 support.

Destination account number:

I authorise BankSA to transfer the Available Balance of my Global Currency Card account less any outstanding transactions, fees or amounts owed by me, in accordance with the account details provided by me.

Signature Date

✗ / /

Internal use only.

Residual value AUD: Authoriser name:

Authoriser signature

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