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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

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