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  • Nedbank Payment Requisition Form

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    Ridah Solomon
    215 views2 pages
    This document is a payment requisition form that must be completed by the business unit in order to process a payment through the finance department. It requires information such as the beneficiary, claim number (if applicable), payment details, cost center, amount, account code, total amount paid including VAT, whether the payment is for a fixed asset, and signatures from the person requesting and authorizing the payment. Signatures from two people in the claims department are also required if the payment is for a claim.

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    Nedbank Payment Requisition Form

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    This document is a payment requisition form that must be completed by the business unit in order to process a payment through the finance department. It requires information such as the beneficiary, claim number (if applicable), payment details, cost center, amount, account code, total amount paid including VAT, whether the payment is for a fixed asset, and signatures from the person requesting and authorizing the payment. Signatures from two people in the claims department are also required if the payment is for a claim.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    215 views2 pages

    Nedbank Payment Requisition Form

    Uploaded by

    Ridah Solomon
    This document is a payment requisition form that must be completed by the business unit in order to process a payment through the finance department. It requires information such as the beneficiary, claim number (if applicable), payment details, cost center, amount, account code, total amount paid including VAT, whether the payment is for a fixed asset, and signatures from the person requesting and authorizing the payment. Signatures from two people in the claims department are also required if the payment is for a claim.

    Copyright:

    © All Rights Reserved
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    of 2

    PAYMENT REQUISITION

    Please note: All shaded blocks should be completed by the business unit.
    No payment will be processed by finance until all applicable blocks are
    completed. If it is a claims payment, the claim number as well as the SP1
    and SP2 signatures should be completed by the Claims Department (*).
    Date:

    Insert date

    Beneficiary
    :
    *Claim No. (If
    Applicable):

    EFT/Cheque
    No.:
    Requisition
    No.:

    Client
    No.:

    Details of Payment:

    Cost Centre: (i.e. Jhb, CT,


    Pta, Dbn)

    Amount

    Account Code

    Total Amount (Excl. VAT)

    VAT

    TOTAL AMOUNT PAID (Incl.


    VAT)
    Cost Relate to the Purchase of Fixed Yes
    Assets
    Requested:

    Name
    Signatur
    e

    Date

    No

    Client VAT
    No.

    Authorised:

    Name
    Signatur
    e

    Date

    Lion of Africa Insurance Company Limited


    Directors: F Robertson (Chairman), MA Samie (Managing), MA Brey, KA
    Lagler, VF Mahlati, LAP Wort
    Company Secretary: T Moodley
    FSP NUMBER: 17511 | Registration 1999/012406/06 | VAT 4170182705

    Tel: 086 010 2724


    Address: Sunridge, 62 Wierda
    Road East, Wierda Valley,
    Sandton
    P.O. Box 100, Parklands, 2121
    www.lionsure.com

    Error! AutoText entry not defined.


    Request
    ed:

    Authoris
    ed:

    *SP1
    Signature

    *SP2
    Signature

    Date:

    Date:

    Error! AutoText entry not defined.

    Error! AutoText entry not defined.

    Page 2 of 2

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