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St Patrick s Christian Brothers College Kimberley 170 Du Toitspan Road Belgravia Kimberley 8301 P. O. Co. za DEBIT ORDER AUTHORISATION FORM I. Full name the undersigned duly authorise St Patrick s CBC Kimberley to institute a debit order against my bank account as mentioned below for the amount due on my school account each month. LEARNER DETAILS Learner s Name Surname PERSON RESPONSIBLE FOR DEBIT ORDER Name Surname Title ID no Home address Employer Work address Tel home Tel work Cell number...
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