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Get ZA KwaZulu-Natal Bas Entity Maintenance Form 2012-2024

Officials Only KwaZulu-Natal Department of Education Checked By Date Checked Captured By Date Captured BAS ENTITY MAINTENANCE FORM Authorised By Date Authorised Office Point of Capture Reference No. If applicable Version 3/1. 10. 2012 Number Details New entity information Number Type Update entity information KZN Database Number Department Number Persal Number ID Number Supplier VAT Number Passport Number Other Specify School Emis Number Personal Details Title Surname First Names Business / Trading Name / School Name Address Details To be Completed by Suppliers Address Note that this address must correspond with your invoice Code Postal Address Street Address Telephone Details Business Area Code Tel Home Fax Cellphone No* Contact Person Entity Maintenance Bank Details The Acting Head KZN Department of Education I/We hereby request and authorise you to pay any amounts which may accrue to me/us to the credit of my/our account with the mentioned bank. I/We understand that the credit transfers hereby authorised will be processed by computer through a system know as the ACB ELECTRONIC FUND TRANSFER SERVICE and I/We also understand that no additional advice of payment will be provided by my/our bank but details of each payment will be printed on my/our bank statement or any accompanying voucher. This does not apply where it is not customary for banks to furnish bank statements. available in my/our account. This authority may be cancelled by me/us by giving thirty days notice by prepaid registered post. / Initial and Surname Authorised Signature Date DD/MM/YYYY Name of Account/Supplier Name of Bank Branch Code Account Number Type of Account Current Account Other please specify Savings Account Transmission Account DATE STAMP OF BANK BANK ACCOUNT PARTICULARS CERTIFIED AS CORRECT Banking institution to please verify account name and number SUPPLIERS / SCHOOL STAMP. 10. 2012 Number Details New entity information Number Type Update entity information KZN Database Number Department Number Persal Number ID Number Supplier VAT Number Passport Number Other Specify School Emis Number Personal Details Title Surname First Names Business / Trading Name / School Name Address Details To be Completed by Suppliers Address Note that this address must correspond with your invoice Code Postal Address Street Address Telephone Details Business Area Code Tel Home Fax Cellphone No* Contact Person Entity Maintenance Bank Details The Acting Head KZN Department of Education I/We hereby request and authorise you to pay any amounts which may accrue to me/us to the credit of my/our account with the mentioned bank. I/We understand that the credit transfers hereby authorised will be processed by computer through a system know as the ACB ELECTRONIC FUND TRANSFER SERVICE and I/We also understand that no additional advice of payment will be provided by my/our bank but details of each payment will be printed on my/our bank statement or any accompanying voucher. I/We understand that the credit transfers hereby authorised will be processed by computer through a system know as the ACB ELECTRONIC FUND TRANSFER SERVICE and I/We also understand that no additional advice of payment will be provided by my/our bank but details of each payment will be printed on my/our bank statement or any accompanying voucher. This does not apply where it is not customary for banks to furnish bank statements. available in my/our account. .

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