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Personal details

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Contact details

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Residential address details

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Postal address details

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Employment details

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Emergency contact details

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Emergency contact 1 relationship
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Emergency contact 1 D.O.B or ID Number
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Emergency contact 2 details

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Medical details

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Your medical conditions
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Your allergies
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Vehicle details

Vehicle 1

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Your vehicle 1 year
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Your vehicle 1 colour
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Your vehicle 1 registration
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Vehicle 2

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Your vehicle 2 tracking company
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Your vehicle 2 insurance provider
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Your vehicle 2 policy no
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Security company details

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Product seletion

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Banking debit order instructions

Your monthly membership fee
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I/We request and authorize you to debit my/our account on the 25th 1st 7th 15th
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at the bank/branch mention below. My/Our account details for payment are as follows:

Bank account details

Account holder name
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Bank name
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Account no.
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Account type
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Branch name
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Branch code
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Signed at
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On this
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Day of
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Year
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Name of signatory
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I herby grant authority to Trackbox Technologies (Pty) Ltd to act on my behalf and activate the Electronic mandate, which will initiate the Debit Order as per this signed document.

Terms and Conditions (Agreement)

The signed Authority and Mandate refers to our contract as dated on signature hereof (“the agreement”). I/We hereby authorise you to issue and deliver payment instructions to the bank for collection against my/our above mentioned account at my/our above mentioned bank (or any other bank or branch to which I/We transfer my/ our account) on condition that the sum of any outstanding amount on my account, and commencing on the date stipulated and continuing until this Authority and Mandate is terminated by me/us by giving you notice in writing of no less than 20 ordinary working days, and sent by prepaid registered post or delivered to your email address indicated above.

The individual payment instructions so authorised must be issued and delivered as follows;

On the ( 25th/1st/ 7th/ 15th) day (‘payment day’) of each and every month commencing on
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In the event that the payment day falls on a Saturday, Sunday or recognized South African public holiday, the payment day will automatically be the ordinary business day prior to the payment day. Further, if there are insufficient funds in the nominated account to meet the obligation, you are entitled to track my account and re-present the instruction for payment as soon as sufficient funds are available in my account.

I/We understand that the withdrawals hereby authorised will be processed through a computerized system provided by the South African Banks and I also understand that details of each withdrawal will be printed on my bank statement. Each transaction will contain a number, which must be included in the said payment instruction and if provided to you should enable you to identify the Agreement. A payment reference is added to this form before the issuing of any payment instruction. I/We shall not be entitled to any refund of the amount which you have withdrawn while this authority was in force, if such amount was legally owing to you.

MANDATE


I/We acknowledge that all payment instructions issued by you shall be treated by my/our abovementioned bank as if the instructions had been issued by me/us personally.

CANCELLATION


I/ We agree that although this Authority and Mandate may be cancelled by me/us, such cancellation will not nullify the Agreement. I/ We shall not be entitled to any refund of amounts which you have withdrawn while this Authority was in force, if such amounts were legally owing to you.

LIABILITY


It is expressly agreed that the services rendered are for the purpose of preventing or minimizing the loss or damage to property and injury to persons by means of crime, emergency situations or medical problems and the Contractor gives no guarantee that such services will be able to prevent or minimise such loss, damage or injury. It is therefore agreed that the TrackBox Technologies (Pty) Ltd and its service delivery partners and associates will not be held responsible for any loss, damage, injury or consequential loss of whatsoever nature arising from crime, emergency situations or medical problems. The client and/or members indemnify TrackBox Technologies (Pty) Ltd and all of its service delivery partners and associates against any claim of a third party, regarding legal liability arising out of TrackBox Technologies (Pty) Ltd and all of its service delivery partners’ acts or omissions.
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