THE UNIVERSITY OF THE WITWATERSRAND, JOHANNESBURG PRIVATE BAG 3 WITS 2050 SOUTH AFRICA My bank Account details are as follows: Please provide the full and proper details here Please have the student provide proof of his/her banking ACCOUNT HOLDER : details _________________________________________________________________ DO NOT LEAVE ANY PART OF THIS SECTION BLANK BANK NAME : _________________________________________________________________ Initial BRANCH NAME : _________________________________________________________________ ACCOUNT NUMBER : _________________________________________________________________ I confirm that the University may instruct my bank to deduct any amount due in terms of Do not amend this section without consulting the Legal clause 3 of Annexure 1 from my bank account. Office Initial The Effective Date of this agreement is 1 January 2016 Do not amend this section without consulting the Legal Office Initial
THE UNIVERSITY OF THE WITWATERSRAND, JOHANNESBURG PRIVATE BAG 3 WITS 2050 SOUTH AFRICA My bank Account details are as follows: ACCOUNT HOLDER : _________________________________________________________________ BANK NAME : _________________________________________________________________ BRANCH NAME : _________________________________________________________________ ACCOUNT NUMBER : _________________________________________________________________ Initial Please provide the full and proper details here Please have the student provide proof of his/her banking details DO NOT LEAVE ANY PART OF THIS SECTION BLANK I confirm that the University may instruct my bank to deduct any amount due in terms of clause 3 of Annexure 1 from my bank account. Initial Do not amend this section without consulting the Legal Office The Effective Date of this agreement is 1 January 2016 Initial Do not amend this section without consulting the Legal Office
Acknowledgement%20of%20Debt_With%20Guidance%20Notes.docx