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AMENDMENT FORM - ppsisecure.co.za

AMENDMENT FORMPROFESSIONAL PROVIDENT SOCIETY INVESTMENTS PROPRIETARY LIMITED ( PPS INVESTMENTS )CLIENT SERVICE CENTRE CONTACT DETAILS TEL: 0860 468 777 (0860 INV PPS) FAX: 021 680 3680 EMAIL: WEBSITE: Please complete the form in BLOCK LETTERS Please indicate all choices selected with an [X] Please initial any changes made to this transaction form Financial Intelligence Centre Act ( FICA ) requirements are available on the PPS Investments website The daily cut-off for receipt of instructions is 14:00 General Terms, Conditions and Declarations are available on the PPS Investments websitePERSONAL DETAILS OF INVESTORAPAGE 1 OF 2 AMENDMENT FORMP lease note, this is a fillable form .

E INVESTOR BANK ACCOUNT DETAILS PAGE 2 OF 2 AMENDMENT FORM F BENEFICIARY NOMINATIONS Please indicate the beneficiary changes in the table below. You may nominate beneficiaries who may receive the proceeds of your investment following

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