PSMAS Membership Details Update Form

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MEMBERSHIP DETAILS UPDATE FORM

MEMBERSHIP NUMBER ___________________________


MEMBERS NAME & SURNAME _______________________________________________________
NATIONAL IDENTITY NUMBER __________________________ DATE OF BIRTH____________
BENEFICIARIES:FULL NAMES

POSTAL ADDRESS:

DATE OF BIRTH

_______________________________________________________
________________________________________________________

CELL NUMBER:

________________________

LANDLINE_________________

EMAIL ADDRESS

________________________________________________________

MEMBERS BANKING DETAILS


ACCOUNT HOLDER'S NAME:

________________________________________________________

NAME OF BANK:

____________________________ BRANCH CODE___________

ACCOUNT NUMBER:

________________________________________________________

BRANCH NAME:

________________________________________________________

MEMBERS SIGNATURE

________________________

DATE________________

IMPORTANT:- SEE OVERLEAF FOR ADDITIONAL INFORMATION

BENEFICIARIES:FULL NAMES

MEMBERS SIGNATURE

DATE OF BIRTH

________________________

DATE________________

REMINDER

PLEASE SUBMIT A PASSPORT SIZE PHOTOGRAPH FOR EACH


REGISTERED BENEFICIARY

ALWAYS NOTIFY THE SOCIETY WHENEVER YOU CHANGE YOUR


BANKING DETAILS, CELL AND LANDLINE NUMBERS OR POSTAL
AND E-MAIL ADDRESS

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