stop order - Orapa Saccos

Name *

Department *

Security Number *

Phone(Work)

Phone( Mobile) *

Deduct Amount from Salaries( Pula) *

Repeat Amount to be deducted from Salaries in Words *

First Deduction Date *

Comment *

What is the deduction for?

Consent *

Please tick the box to agree.

I HEREBY AUTHORIZE ORAPA SACCOS TO DEDUCT FROM MY SALARY/WAGES THE SUM ABOVE BEING SAVINGS DEPOSIT PER MONTH FROM THE ABOVE DATE UNTIL FURTHER NOTICE. I ALSO UNDERTAKE TO INFORM AND DISCUSS WITH THE SOCIETY SHOULD I DECIDE TO TERMINATE MY SERVICES OR HAVE MY SERVICES TERMINATED BY THE COMPANY OR SHOULD I DECIDE TO CANCEL / SUSPEND MY STOP ORDER.

Member's Signature *

Clear Signature

STOP ORDER FORM