ZanSec - Buying Form

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1 Investment

2 Bank Details

3 Signatures

4 Submit

TIMIZA UNIT TRUST SCHEME

APPLICATION FOR SUBSEQUENT INVESTMENT (BUYING FORM)

INVESTORS ACCOUNT NO:	INVESTORS FULL NAME:	NO. OF UNITS TO BE PURCHASED	NAV PER UNIT	INVESTMENT AMOUNT:

BANK DETAILS

Account Name:
Bank Name:
Branch Name:
Account Number:
Mode of Payments:
Date of payment:

Please attach Payments Receipt:

Terms & Conditions: I/We hereby apply for the number of units that can be purchased by the investment amount referred to above. All transactions are subject to the conditions of the relevant Trust Deed(s). I/We confirm having read the terms and conditions printed overleaf and I/We agree to abide by the same.

Signature of Applicant 1

Name of the authorized signatory:
Signature:
Phone number:
Date (DD-MM-YYYY):

Signature of Applicant 2

Name of the authorized signatory
Signature
Phone number
Date (DD-MM-YYYY)

FOR OFFICIAL USE ONLY – To be completed by Interviewing Officer

Identification verified:
Received by:
Signature:
Verified by:
Signature:

DAR ES SALAAM OFFICE │ 1st Floor, VIVA Towers, A.H. Mwinyi Road, P.O. Box 5366, Tel +255 22 2103433, +255 756 111 888 info.dsm@zansec.co.tz
ZANZIBAR OFFICE │ 3rd Floor, Michenzani mall, Karume road, P.O. Box 2138, Tel +255 24 223 8359, info.znz@zansec.co.tz
Cell +255 755 898 425, +255 786 344 767 │ www.zansec.co.tz