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CONFIRMATION OF BANKING DETAILS AND PAYMENT OPTION Name and Surname: ID / Passport no.:MHR no:IMPORTANT: Form to be completed by a new panel member with registration or by a panel member to confirm
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Individuals who are receiving services from the Central Region ER24 Nelspruit and need to provide their banking details and payment option
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This form is used to confirm banking details and payment options for the Central Region ER24 in Nelspruit.
All employees or contractors working in the Central Region ER24 Nelspruit are required to file this form.
The form must be completed with accurate banking details and payment options, signed, and submitted to the relevant department.
The purpose of this form is to ensure that the correct banking details and payment options are on file for employees and contractors.
The form requires details such as bank account number, payment method preference, and contact information.
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