Membership Application Form

PERSONAL DETAILS

Name

First names: Surname:

Date of Birth:

Identity Number:

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contact Number:

Work Telephone Number:

Cell phone number:

Email address:

Employers Name and Province:

MEMBERSHIP SHARE AND SAVINGS ACCOUNT

Please deduct

R100 Joining Fee and

Membership Share

R200

Date

Regular Savings Account R

R100
R200
R300
R500

(minimum R100 per month)

Christmas Savings Account R

R100
R200
3200
R500

(minimum R100 per month)

Date

Declaration

I hereby apply for membership and agree to abide by the Constitution of SADTU SACCO.

I declare that the information given in this form is true and accurate to the best of my knowledge. I understand that there is an initial R100 Joining Fee and R200 Membership Share, and that my Regular Savings Account must hold a minimum of R100 at all times.

Date

Signature

SADTU SACCO BANKING DETAILS

Bank: FIRST NATIONAL BANK Account Number: 62819930810 Branch code: 250655 Branch: Client Services

BENEFICIARY NOMINATION

In the event of my death, SADTU SACCO will pay the value of our Membership Share Account and Membership Savings Account to the person you name below:

In the event of my death, I

hereby nominate

Relationship

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Identity number

as the person whom there shall be transferred such property in SADTU SACCO which may be mine at the time of my death.

Date

Signed:

Date

Witnessed by*:

*The witness may not be the beneficiary.

THE FORM SHOULD BE RETURNED WITH A COPY OF IDENTITY DOCUMENT AND PROOF OF ADDRESS.

SALARY DEDUCTION AUTHORISATION

PERSONAL DETAILS

Name

First names: Surname:

Date of Birth:

Identity Number:

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contact Number:

Work Telephone Number:

Cell phone number:

Email address:

Province:

Section Break

I hereby authorise SADTU SAVINGS AND CREDIT CO-OPERATIVE LIMITED to issue payment instructions to SOUTH AFRICAN DEMOCRATIC TEACHERS UNION (Employer) for collection against my salary the monthly savings and if applicable the loan repayments on condition that the sum of such payment instruction never exceeds my obligation.

MANDATE

I acknowledge that my above-mentioned Employer shall treat all payment instructions issued by you as if the instructions had been issued by me personally.

Signed at

Date

Signature