TC Auditors - Debit Order Mandate

A. AUTHORITY/MANDATE: ELECTRONIC

Mandate given by (name of Accountholder) *

ID Number *

Expected format: 13 digits (e.g. 9001015009086).

Physical Address *

Bank Name (ABSA, FNB, Nedbank etc.) *

Branch Name

Universal Bank Branch Code

Account Number *

Type of Account *

Current (aka Cheque)SavingsTransmission

Date of Signing (Start Date) *

Contact Number (cellphone preferred) *

Expected format: 10 digits starting with 0 (e.g. 0821234567).

Email Address *

Expected format: a valid email address (e.g. yourname@example.com).

Amount

Beneficiary Information

To (Name of Beneficiary): TC Auditors (Pty) Ltd

Beneficiary Address: 42 Boet Kruger Street, Meyerton, 1961

Abbreviated Shortname: TCAUDITOR

Contract Reference Number (your account number with us) *

New clients: Leave unchanged. Existing clients: Update to your current account number.

I hereby authorise Netcash (Pty) Ltd to issue and deliver payment instructions to your banker for collection against my abovementioned account at my abovementioned bank on condition that the sum of such payment instructions will not differ from my obligations as agreed to in the Contract Reference Number.

The individual payment instructions so authorised must be issued and delivered on the date when the obligation in terms of the Agreement is due and the amount of each individual payment instruction may not differ as agreed to in terms of the Agreement.

The payment instructions so authorised to be issued must carry the Contract Reference Number, included in the said payment instructions, and must be provided to identify the specific contract. The said Contract Reference Number should be added to this form in section E before the issuing of any payment instruction and communicated directly after having been completed.

I agree that the first payment instruction will be issued and delivered on invoice date and thereafter regularly on any subsequent invoice dates.

If however, the date of the payment instruction falls on a non-processing day (weekend or public holiday) I agree that the payment instruction may be debited against my account on the following business day; or

Subsequent payment instructions will continue to be delivered in terms of this authority until the obligations in terms of the Agreement have been paid or until this authority is cancelled by me by giving you notice in writing of not less than 7 working days and sent by prepaid registered post, delivered to your address indicated above, or per email to admin@tcauditors.co.za. I agree all dishonoured/unpaid/bounced debit orders carry a R50 admin fee.

B. MANDATE

I acknowledge that all payment instructions issued by you will be treated by my abovementioned bank as if the instructions had been issued by me personally.

C. CANCELLATION

I agree that although this authority and mandate may be cancelled by me, such cancellation will not cancel the Agreement. I also understand that I cannot reclaim amounts, which have been withdrawn from my account (paid) in terms of this authority and mandate if such amounts were legally owing by me.

D. ASSIGNMENT

I acknowledge that this authority may be ceded or assigned to a third party if the Agreement is also ceded or assigned to that third party.

E. AGREEMENT REFERENCE NUMBER

The agreement reference number is

F. RECORD OF CLIENT ACKNOWLEDGEMENTS

I accept this debit order mandate and authorise Netcash (Pty) Ltd to issue and deliver payment instructions to my bank.

I understand that cancelling or revoking this mandate does not legally relieve me of any liability towards TC Auditors (Pty) Ltd, nor does it cancel any existing agreement with TC Auditors (Pty) Ltd.

I understand that cancelling or revoking this mandate results in an administrative surcharge of R150.00 on every invoice.

I understand that this is a variable mandate, meaning the amount may vary due to additional services requested by me or due to price increases.

I understand that an administration fee of R50.00 applies to every dishonoured or returned debit order.

Account Holder Signature

Please draw your signature in the box below:

SIGNATURE AS USED FOR OPERATING ON THE ACCOUNT

DEBIT ORDER MANDATE FORM