MANDATE FORM

Surname: Zimba
Given Names: Lameck

Employer: Bayport Employee No.: BP855

Dept. Name: Recoveries NRC No.: 258817 /71/1
Occupation: Senior Credit Assistant
Monthly Deduction Amount (tick preferred deduction)
Up to K 100 Up to K 250 Up to K 400 Up to K 600 Up to K 1,000 Up to K 4,000
Up to K 150 Up to K 300 Up to K 450 Up to K 700 Up to K 2,000 Up to K 5,000
Up to K 200 Up to K 350 Up to K 500 Up to K 800 Up to K 3,000 Up to K 10,000

Mandate Effective Month: September 2023

I hereby authorise the payroll department of my employer at the date of signing of this Agreement, to deduct monthly
instalments up to the above ticked preferred deduction, from my remuneration and may only be discontinued when I leave
employment or when I have given notice in writing to the discontinuation thereof.

Full Name Lameck Zimba Signature Date

EMPLOYER USE ONLY

Employer’s stamp in this section only

FOR OFFICIAL USE ONLY

Account Name:

Account No.