Application Form: Prospectus 3 of 20202020-11-13T14:39:56+02:00
Application Form: Prospectus 3 of 2020

SUBSCRIBER DETAILS:

(If applicant is a legal entity)
(If applicant is a legal entity)
*Please ensure that the deposit reference number entered above is quoted when making payment. The reference should read “DCL – “and your name.
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FICA DECLARATION:

In terms of section 42 of the Financial Intelligence Centre Act 38 of 2001 (“FICA”), an accountable institution must develop, document, maintain and implement a programme for anti-money laundering and counterterrorist financing risk management and compliance. For this reason all Investors have to declare FULL source of funds:

SUBSCRIBER BANKING DETAILS:

ACKNOWLEDGEMENTS AND UNDERTAKINGS BY APPLICANT: