EXEMPTION FORM BANKING

Wishes to be exempt from normal banking procedures and to operate its own Bank Account.

The Clubs, Society or Indigenous Student Circle must name at least two signing officers, we wish to appoint the following as signing officers:


Signing Officer #1

Name of signing officer #1
Address of signing officer #1


Signing Officer #2

Name of signing officer #1
Address of signing officer #2

The bank account will be held at the following financial institution:

Address of financial institution*

Contact person for this form:

Name of contact*
This field is for validation purposes and should be left unchanged.