Designated Persons [NOTE: THIS FORM IS TO ... - …
Designated Persons
[NOTE: THIS FORM IS TO BE USED FOR THE APPOINTMENT/ REMOVAL OF DESIGNATED PERSONS BY THE AUTHORISED SIGNATORIES OF EXISTING BOL CLIENTS IN SOUTH AFRICA]
To: The Business-Online Manager
The Standard Bank of South Africa Limited Transactional Products and Services No. 3 Simmonds street Johannesburg 2001
Date (YYYY-MM-DD)
Company Registration number Physical address
Postal code Telephone number
RE: AMENDMENT/TERMINATION OF DESIGNATED PERSON(S) BUSINESS-ONLINE SOUTH AFRICA A. I/We,
1
3
2
4
in our capacity as Authorised Signatory/ies on the Company's Business-Online Profile (the "BOL Profile"), hereby amend the Designated Persons appointed on the BOL Profile in the following manner:
By the TERMINATION/REMOVAL of the following Designated Persons (where applicable)
Name
Identity/Passport number
Name
Identity/Passport number
Name
Identity/Passport number
AND/OR
By the APPOINTMENT/ADDITION of the following Designated Persons (the "Appointed Designated Persons")
Name
Identity/ Passport number
Sample signature
Contact number Name
Email address
Identity/ Passport number
Cellphone number Sample signature
Contact number Name
Email address
Identity/ Passport number
Cellphone number Sample signature
Contact number
Email address
Cellphone number
B.
We hereby authorise the Appointed Designated Persons to act *[JOINTLY/SEVERALLY] [DELETE WHICHEVER IS NOT APPLICABLE] on the BOL Profile on behalf of the Principal (*and/or the Participant(s) who have authorised the Principal to act on their behalf).
Authorised Signatory
Full name Authorised Signatory
Identity/Passport number
Date (YYYY-MM-DD)
Signature
Full name Authorised Signatory
Identity/Passport number
Date (YYYY-MM-DD)
Signature
Full name 00155719 2014-10
Identity/Passport number
Date (YYYY-MM-DD)
Signature
The Standard Bank of South Africa Limited (Reg. No. 1962/000738/06) An authorised financial services and registered credit provider (NCRCP15).
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