THE UNITED REPUBLIC OF TANZANIA

NATIONAL SOCIAL SECURITY FUND

Order form for Electronic Funds Transfer to NMB Bank

1 Remitter/Employer Details:
Name of Account Holder (s):
Name of Commercial Bank
Bank Account Number
2 Beneficiary Details:-
Account Name NATIONAL SOCIAL SECURITY FUND
Account Number 20110040025
Bank Name NMB BANK LTD
Branch BANK HOUSE BRANCH
Currency TANZANIAN SHILLING (TZS)
SWIFT Code NMIBTZTZ

CONTROL 995530450063
NUMBER
Billed To ESEH INVESTMENT LTD
Beneficiary Account (Field 59 of MT 103): /20110040025
Payment Reference (Field 70 of MT 103): /ROC/
Transfer Amount: 2,219,227.85
Being Payment CONTRIBUTION: Mar 2023,
for:
Printed on: 04-Apr-2023
Expires On: 04-APR-26
Printed By DAVID GEOFREY MCHAINA

Note to Commercial Banks:

1. Please capture the above information correctly. Do not change or add any
text, symbols or digits on the information provided.
2. Field 59 of MT 103 is an “Account number” with Value:
/20110040025 Must be captured correctly.
3. Field 70 of MT 103 is a “Control number” with Value:
/ROC/995530450063 Must be captured correctly.