Veroersr|p ruroer: 118Z0190

VR-A-AlVE0
P0 80X 10118
VARlNE PARA0E
105
8 0CT08ER 2009
0ear VR-AlVE0
Your 0|scovery hea|th Hed|ca| 8cheme Hembersh|p 6ert|f|cate
P|ease l|rd allacred your 0|scovery lea|lr Ved|ca| 3crere Veroersr|p Cerl|l|cale.
For lurlrer dela||s or re|p, you car era|| us al rea|lr|rlo_d|scovery.co.za or ca|| C||erl 3erv|ces or
080 99 88 ZZ.
K|rd regards
6||ent Hanagement
0|scovery hea|th Hed|ca| 8cheme
155 West Street, Sandton; PO Box 786722, Sandton 2146; Tel 0860 99 88 77 or 083 123 8877 (client services);
(011) 529 2888 (Switchboard); Fax (011) 539 2958; www.discovery.co.za
Directors: M Hilkowitz (Chairperson), A Gore* (Group CEO), N S Koopowitz* (CEO), Dr B A Brink, P Cooper,
S B Epstein (USA), R Farber*, Dr T V Maphai, H P Mayers*, A L Owen (UK), A Pollard*, J M Robertson* (CO), S E Sebotsa, T Slabbert,
B Swartzberg*, S V Zilwa (*Executive).Secretary: M J Botha.
Discovery Health (Pty) Ltd. registration number: 1997/013480/07
An authorised financial services provider
2009-07
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Page 2 ol 3
6ERT|F|6ATE 0F HEHER8h|P
------
PR|N6|PAL HEHER :--A0AV AlVE0
NAHE 0F HE0|6AL 86hEHE :--0l3C0vERY lEALTl VE0lCAL 3ClEVE
ENEF|T 0E86R|PT|0N :--C0A3TAL 3AvER
HEHER NUHER :--118Z0190
------
HEHER 0ETA|L8
8TATU8 8URNAHE F|R8T NAHE T|TLE CEN0ER |0 NUHER|
0ATE 0F |RTh
0ATE 0F ENTRY
Pr|rc|pa| AlVE0 A0AV VR Va|e Z10215182082 01/01/2005
3pouse VAl0VE0 RElANA VR3 Fera|e Z0120111082 01/01/2005
Cr||d AlVE0 YAK008 VR Va|e 10/01/2008 10/01/2008
Cr||d AlVE0 Yu3uF VR Va|e 30/0/2009 30/0/2009
155 West Street, Sandton; PO Box 786722, Sandton 2146; Tel 0860 99 88 77 or 083 123 8877 (client services);
(011) 529 2888 (Switchboard); Fax (011) 539 2958; www.discovery.co.za
Directors: M Hilkowitz (Chairperson), A Gore* (Group CEO), N S Koopowitz* (CEO), Dr B A Brink, P Cooper,
S B Epstein (USA), R Farber*, Dr T V Maphai, H P Mayers*, A L Owen (UK), A Pollard*, J M Robertson* (CO), S E Sebotsa, T Slabbert,
B Swartzberg*, S V Zilwa (*Executive).Secretary: M J Botha.
Discovery Health (Pty) Ltd. registration number: 1997/013480/07
An authorised financial services provider
2009-07
Page 3 ol 3
wA|T|NC PER|008
8TATU8 8URNAHE F|R8T NAHE 0E86R|PT|0N EFFE6T|VE FR0H EFFE6T|VE T0
Pr|rc|pa| AlVE0 A0AV Nol app||cao|e
3pouse VAl0VE0 RElANA Nol app||cao|e
Cr||d AlVE0 YAK008 Nol app||cao|e
Cr||d AlVE0 Yu3uF Nol App||cao|e
LATE-J0|NER PENALT|E8
8TATU8 8URNAHE F|R8T NAHE LATE-J0|NER PENALTY EFFE6T|VE FR0H
Pr|rc|pa| AlVE0 A0AV Nol App||cao|e
3pouse VAl0VE0 RElANA Nol App||cao|e
Cr||d AlVE0 YAK008 Nol App||cao|e
Cr||d AlVE0 Yu3uF Nol App||cao|e
6ategor|sat|on of Late-Jo|ner Pena|ty Fees:
A - Tre reroer ras rol oeer or a red|ca| screre lor 1 - 1 years
8 - Tre reroer ras rol oeer or a red|ca| screre lor 5 - 11 years
C - Tre reroer ras rol oeer or a red|ca| screre lor 15 - 21 years
0 - Tre reroer ras rol oeer or a red|ca| screre lor 25 years
155 West Street, Sandton; PO Box 786722, Sandton 2146; Tel 0860 99 88 77 or 083 123 8877 (client services);
(011) 529 2888 (Switchboard); Fax (011) 539 2958; www.discovery.co.za
Directors: M Hilkowitz (Chairperson), A Gore* (Group CEO), N S Koopowitz* (CEO), Dr B A Brink, P Cooper,
S B Epstein (USA), R Farber*, Dr T V Maphai, H P Mayers*, A L Owen (UK), A Pollard*, J M Robertson* (CO), S E Sebotsa, T Slabbert,
B Swartzberg*, S V Zilwa (*Executive).Secretary: M J Botha.
Discovery Health (Pty) Ltd. registration number: 1997/013480/07
An authorised financial services provider
2009-07