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NSFAS Debit Order form

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BANKING DETAILS Bank account number: Bank name: Bank branch name: Branch number: Type of account: Cheque Savings Transmission Name of account holder PAYMENT ARRANGEMENT Debit Order amount: R Deduction date: Date: _____________________________ Signature:______________________________ ______________________ | | Tel 0860 067 327 | Fax 086 644 2822 NSFAS Debit Order form I,______________________________________ _____________________________ (Full Name and Surname), with ID number ________________________________________ ___________________________________ hereby grant the National Student Financial Aid Scheme ( NSFAS ) the authority to Debit my account to give effect to, implement and receive payment in accordance with the deduction instructions ( Payment Arrangement ) set out below.

BANKING DETAILS Bank account number: Bank name: Bank branch name: Branch number: Type of account: Cheque Savings Transmission

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