Debit Order From SSG – Sekuriteit Sonder Grense

A. Authority/Mandate: Paper/Electronic

Given by (name of Accountholder)

Address:

Back Account Details

Bank Name

Branch Name and Town

Branch Number

Account Number

Type of Account

Date

Contact Number

Amount

Address

I/We hereby authorise Natcash (Pty) Ltd to issue and deliver payment instructions to your banker for cllection against my/our abovementioned account at my/our abovementioned bank on condition that the sum of such payment instructions will not differ from my/our obligations as agreed to in the Contract Reference Number.
The individual payment instructions so authorised must be issued and delivered on the date when the obligation in terms of the Agreement is due and the amout of each individual payment unstruction may not differ as agreed to in terms of the Agreement.
The payment instructions so authorised to be issued must carry the Contract Reference Number should be added to this form in section E before the issuing of any payment instruction and communicated directly having been completed.

I/we agree that the first payment instruction will be issued and delivered on ____(date) and therafter regularly on the ... of each month

Fist pament

If however, the date of the payment instruction falls on a non-processing day (weekend or public holiday) I agree that the payment instruction may be debited against my account on the following business day; or

Subsequent payment instructions will continue to be delivered in terms of this authority until the obligations in terms of the Agreement have been paid or until this authority is cancelled by me/us by giving you notice in writing of not less than the interval (as indicated in the prevoius clasue) and sent by prepaid registered post or delivered to your address indicated above.

B. Mandate
I/we acknowledge tgat all payment instructions issued by you will be treated by my/our abovementioned bank as if the instructions had been issued by me/us personally.

C. Cancellation
I/we agree that although this authority and mandate may be cancelled by me/us, such cancellation will not cancel the Agreement. I/we also understand that I/we cannot reclaim amounts, which have been withdrawn from my/our account (paid) in terms of this authority and mandate if such amounts were legally owing to you.

D Assignment
I/We acknowledge tgat this authority may be ceded or assigned to a third party if the Agreement is also ceded or assigned to that third party.

Signed at

On this

day of