Date: 101027010 Username: admin “rine sat am Office Pretoria fea Employee Personal Information Confirmation SARS Mandatory PAYE Requirements ee Geter) oe GSS) Name & Address Details E (tick if correct) {enter chenges below) Surname First Names Z OE GEEG Physical Address ) es) O Unit Number Complex Name ( ‘Street Number Street / Name of Farm suburb Dewan ( mt ois ( 1G Province/State 10 County } ) Code _) Postal Address Tick if same as above” _ Postal Private Bag No 1G Unit Number C Pte ‘Complex Name JO Street Number (Gena) C if ie aa) C f } Street / Name of Farm ) ) Suburb Dit Oo 1 | Proves ile 1G 5 city C 1O ) cay 5 Code CO ee reaite IO ) ey ee 10 Email Address GData so1022010 Useenama: admin Time 81:56 ANd Office Pretoria feo Employee Personal Information Confirmation SARS Mandatory PAYE Requirements entity & Passport Details (tick oc (enter changes below) ) { Date of Birth Identity Number Nationality Passport No Country of Issue Validity Period GIVI { { ( Date Issued ( c { Expiry Date ‘Account Type ‘Account Nurnber Bank Branch Number ) ) J J ; J 9 ) ) ) 7 ) ) ) ) ) ) ( L L branch Name = Can Cem Jira aay _Tax Infor i Tax Reference No ( Ot J Revenue Office Important Notice Signatories Signature Cd Signature Cc) Employee Name (dvr (a