Please enable JavaScript in your browser to complete this form.DEBIT DETAILS (PAYING PARTY)ACCOUNT NAME *Please enter the payer's account nameACCOUNT NUMBER *Please enter the payer's account numberPHONE NUMBER *Please enter the payer's phone numberAMOUNT *Please enter the amountAMOUNT IN WORDS *Please enter the amount in wordsCREDIT DETAILS (RECEIVING PARTY)ACCOUNT NAME *Please enter the receiver's account nameACCOUNT NUMBER *Please enter the receiver's account numberACCOUNT TYPE *SAVINGS ACCOUNTCURRENT ACCOUNTPlease select the account typeBANK NAME *Please enter the bank nameBANK BRANCHWe/I confirm the above details are accurate and the bank is authorised to effect transfer accordingly *We/IAUTHORISED SIGNATORY 1 * Click or drag a file to this area to upload. Please Snap and Upload SignatureAUTHORISED SIGNATORY 2 Click or drag a file to this area to upload. Please Snap and Upload SignatureTRANSFER RECEIPTTRANSFER TYPEINTERNAL TRANSFERBENEFICIARY NAMEPlease enter the beneficiary nameAMOUNT TRANSFERREDPlease enter the amount transferredNAME OF SENDERPlease enter the name of senderSubmit