I/We hereby authorise IEnsure Brokers (Pty) Ltd to issue and deliver payment instructions to your Banker for collection against my/our above-mentioned account at my/our above-mentioned Bank (or any other Bank or branch to which I/we may transfer my/our account) on condition that the sum of such payment instructions will never exceed my/our obligations as agreed to in the Agreement between us. The abbreviated name that reflects on your statement will be:
The authority is valid until it is terminated by me/us by giving you notice in writing of not less than 20 ordinary working days and sent by prepaid registered post or delivered to your address as indicated below.
The individual payment instructions authorised, must be issued and delivered monthly. The start date is subject to the activation of your policy.
In the event that the payment day falls on a Sunday, or recognised South African public holiday, the payment day will automatically be the very next ordinary business day.
I/We understand that the withdrawals hereby authorised will be processed through a computerised system provided by the South African Banks. I also understand that details of each withdrawal will be printed on my bank statement. The agreement reference number will be the policy number determined at activation of the policy clearly identifies the transaction.
B. Mandate I/We acknowledge that all payment instructions issued by you shall be treated by my/our above-mentioned Bank as if the instructions have been issued by me/us personally.
C. Cancellation I/We agree that although this Authority and Mandate may be cancelled by me/us and that such cancellation will not cancel 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 I/We shall not be entitled to any refund of amounts which you have withdrawn while this Authority was in force, if such amounts were legally owing to you.
D. Assignment I/We acknowledge that this Authority may be ceded or assigned to a third party if the Agreement is also ceded or assigned to that third party, but in the absence of such assignment of the Agreement, this Authority and Mandate cannot be assigned to any third party.