Get Ceftu 3 Form

CEFTU 3 BANK PERSONAL DETAIL The Director General Department of Justice and Constitutional Development I hereby request and authorise you to pay any amounts in respect of Guardians Fund which may accrue to me to the credit of my / our account with the authorised financial services provider mentioned below. I understand that the credit transfers hereby authorised will be processed electronically to the account specified below. I also understand that any banking costs for transactions withdrawals/bank statements/etcetera made on the account will be borne by me. The Department of Justice Constitutional Development will not be liaible for any banking costs on the account and will only carry the cost of the Electronic Funds Transfer made to the credit of the account specified* I also hereby idemnify the Department of Justice Constitutional Development for any incorrect detail and information that may been specified on this form* Masters Office BANK DETAIL Name of Bank Name of Account Branch Code Type of Account Account Number Current Account Savings Account Transmission Account Other Please Specify DATE STAMP OF BANK TO VERIFY BANK ACCOUNT PARTICULARS PERSONAL DETAIL Surname Initials Identity Number File Barcode No* Address Cell /Contact Number SIGNATURE I hereby certify that the above detail is correct. I also undertake to inform the Department of Justice Constitutional Development should the above details change in any way whatsoever. Please take note that financial institutions normally close an account should it be dormant for longer than three months. I understand that the credit transfers hereby authorised will be processed electronically to the account specified below. I also understand that any banking costs for transactions withdrawals/bank statements/etcetera made on the account will be borne by me. I also understand that any banking costs for transactions withdrawals/bank statements/etcetera made on the account will be borne by me. The Department of Justice Constitutional Development will not be liaible for any banking costs on the account and will only carry the cost of the Electronic Funds Transfer made to the credit of the account specified* I also hereby idemnify the Department of Justice Constitutional Development for any incorrect detail and information that may been specified on this form* Masters Office BANK DETAIL Name of Bank Name of Account Branch Code Type of Account Account Number Current Account Savings Account Transmission Account Other Please Specify DATE STAMP OF BANK TO VERIFY BANK ACCOUNT PARTICULARS PERSONAL DETAIL Surname Initials Identity Number File Barcode No* Address Cell /Contact Number SIGNATURE I hereby certify that the above detail is correct. The Department of Justice Constitutional Development will not be liaible for any banking costs on the account and will only carry the cost of the Electronic Funds Transfer made to the credit of the account specified* I also hereby idemnify the Department of Justice Constitutional Development for any incorrect detail and information that may been specified on this form* Masters Office BANK DETAIL Name of Bank Name of Account Branch Code Type of Account Account Number Current Account Savings Account Transmission Account Other Please Specify DATE STAMP OF BANK TO VERIFY BANK ACCOUNT PARTICULARS PERSONAL DETAIL Surname Initials Identity Number File Barcode No* Address Cell /Contact Number SIGNATURE I hereby certify that the above detail is correct. I also undertake to inform the Department of Justice Constitutional Development should the above details change in any way whatsoever.