DEBIT ORDER AUTHORIZATION Maximum Risk Protection FIN-DOC-001 Compiler: Member J.J Swarts Rev (Amdt) No: 6 Approving Officer: Member J.J Swarts Effective Date: 21/01/2014 CLIENT ACCOUNT CODE : FIRST NAMES : SURNAME / BUSINESS NAME : STREET ADDRESS : I/We, the undersigned, hereby authorize Riant Investments 101cc T/A Maximum Risk Protection to debit my/our account with the Financial Institution mentioned, or any other Financial Institution to which my/our account may be transferred, with the monies due in respect of the security service rendered and or any outstanding monies due to Riant Investments 101cc and I/We authorize the said Financial Institution to pay such amounts to Riant Investments 101c.c. I/We agree that this authority shall remain in force until cancelled by me/us in writing to Riant Investments 101c.c. I/We acknowledge that the party hereby authorized to effect the drawing(s) against my/our account may not cede or assign any of its rights to any third party without my/our prior written consent and that I/We may not delegate any of my/our obligations in terms of this contract/authority to any third party without prior written consent of the authorized party. I/We agree that Riant Investments 101c.c. shall be entitled to debit my/our account at any time but I/We would prefer to have my/our account debited on the 1st day of the month 3rd day of the month 7th day of the month . Type of account : Transmission account Cheque account Savings account Amount : R First deduction will be on: FINANCIAL INSTITUTION Name of Bank / Financial Institution: 8 Digit Bank Code: City/Town : Branch where account is kept: Account Number: Name of Account Holder: By electronically submitting this document, I accept the terms and conditions as explained in this document. I agree to the contents of the document without applying my signature to it. I AGREE 18.216.239.46