DIVIDEND REQUEST 2022 FORM

Please fill in the following information below:

(National ID/Drivers Permit/Passport)

I hereby kindly request the sum allocated to me from the surplus for the period ended 31st March, 2022 as declared at the Annual General Meeting of 12th August, 2022 be applied as indicatedhereunder:- (Please note my ticked choice)


Check this if I agree the information above is true and accurate