Application for Real Time Gross Settlement (RTGS)
(Please complete in duplicate in capital laters)
Partners For Success
The Manag —
Branch NQONDALE _ Date 2-1) - 2020 __
Dear siyMtadtany ;
Kindy effect the following funds trandter via the Zimbabwe Electronic Tranter Settlement System (ZETS5)
amount intiowres [1 OGG OF
Amoutmwots [SnreERY THEUSANO _ a _|
Value Date.
Beneliciary Detsls
Nome [Crevee eae COseaS
Address
Bank wee
aa Eisen! COance.g
Accountnumber | 4 150 SBQEOHGA3
Paymentdetals [SERVICE KiTS~ Homoa Fy 4 NPZCO
Applicant Details
clare invisvon! Scroo. OEveroement Comet tee.
1WLiceneerasspor Number | ]
2
=|
Address, Bumeaston StTherarn Ave MWe Pare
vebitrccountno. [EL6T) | 6D 1 lal is [+ 1 [&}
Us, sdnovdedge, that names made va the Zimbabwe Elecronc. any, Stlamen Sytem (2135) trough mylour
appli for Hel Tine Con etleen are reco aredsreyesabe and ery ery CHE Bake fea and
employees against any losses or claims for damage arising from errors, delays, incorrect detalls or systom related challenges beyond
is contol. ve conf thatthe detals here fusnshed are conect ” ae
Uwe acknowledge and accept that a stamped copy of this form does not necessarly imply that funds have been transferred to the
beneficiary account, but merely a receipt by the bank of the transfer request Te Onus & upon the beneiiGany fo conten eater
bankers that the funds have been deposited.
We confirm that the application form/s issued to me/us isare for use only for the account/s for which ivthey iyare issued and under
(cumstances should ivthey be passed on and by non account holders or ary er account holds \
\
Ne
athorsed signature stare
For Bank Use Only (Branch)
Reccving Officer's Signature
Receiving (Time & Date)
Signature vered (Officer)
Book Balance ‘aun pai =
Avalabe Balance Charges 5
“ser cnfimed wth appant ay] Toul oetit 5
i Confirming applicants’ name (mite. | ZETSS ACC, NO 250000080
j| For ature sate
{| oma fuencues aytMonisation
tech inner