Form Wp1002 - Nomination Of Beneficiaries - National Treasury Page 3
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3WP1002
C) ESTATE (If available)
1. Name of executor
2. Address of executor
C
O
D
E
3. Tel No.
4. Cell No.
C
O
D
E
SIGNATURES
Place
Thumb print only needed for cases where
the member cannot read / write
Signature of Member (In presence of 2 witnesses)
C
C
Y
Y
M
M D
D
Date
Thumb print of member
WITNESSES (mandatory)
Witness 1
Surname
Full names
Postal address
C
O
D E
Witness 2
Surname
Full names
Postal address
C
O
D E
Witness 2
Witness 1
Signature
Signature
61779
ALL PAGES OF THIS FORM MUST BE COMPLETED IN ORDER FOR THIS FORM
TO BE VALID
Page 3 of 3
PLEASE NOTE: IMPORTANT INFORMATION ON OVERLEAF
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Parent category: Legal