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Manual of Robinson Liquors Pty Ltd

(Private Body)




Prepared and compiled on 2023-06-13 in accordance with Section 51 of the Promotion of Access to Information Act, No 2 of 2000 (as amended) in respect of Robinson Liquors Pty Ltd.

Registration number: 1985/003838/07

Update: 2023-06-13


Table of Contents

THE ACT
PURPOSE OF THE MANUAL
CONTACT DETAILS
GUIDE ON HOW TO USE PAIA AND HOW TO OBTAIN ACCESS TO THE GUIDE
RECORDS AUTOMATICALLY AVAILABLE TO THE PUBLIC
RECORDS OF THE PRIVATE BODY
RECORDS REQUIRED IN TERMS OF LEGISLATION
PROCESSING OF PERSONAL INFORMATION
REQUEST PROCEDURE FOR OBTAINING INFORMATION
FEES
GROUNDS FOR REFUSAL OF ACCESS TO INFORMATION
DECISION
ANNEXURE A
ANNEXURE B: FORM 2
ANNEXURE B: FORM 3


  • INTRODUCTION

     

    Robinson Liquors (Pty) Limited trading as Ultra Liquors conducts business as a Retailer and Wholesaler of Liquor.

     

  • THE ACT

     

    The Promotion of Access to Information Act, No 2 of 2000 (“The Act” or “PAIA”) was enacted on 3 February 2000, giving effect to the right of access to any information held by Government, as well as any information held by another person who is required for the exercising or protection of any rights. This right is entrenched in the Bill of Rights in the Constitution of South Africa. Where a request is made in terms of The Act, the body to which the request is made is not obliged to release the information, except where The Act expressly provides that the information may or must be released. The Act sets out the requisite procedural issues attached to such request.

     

  • PURPOSE OF THE MANUAL

    In order to promote effective governance of private bodies, it is necessary to ensure that everyone is empowered and educated to understand their rights in terms of The Act in order for them to exercise their rights in relation to public and private bodies.

     

    Section 9 of The Act, however, recognizes that such right to access to information cannot be unlimited and should be subject to justifiable limitations, including, but not limited to:

     

    • Limitations aimed at the reasonable protection of privacy;

    • Commercial confidentiality; and

    • Effective, efficient and good governance

 

And in a manner that balances that right with any other rights, including such rights contained in the Bill of Rights in the Constitution.

This PAIA Manual assist you to-

 

  1. check the categories of records held by Robinson Liquors Pty Ltd which are available without a person having to submit a formal PAIA request;

     

  2. have a sufficient understanding of how to make a request for access to a record of Robinson Liquors Pty Ltd, by providing a description of the subjects on which Robinson Liquors Pty Ltd holds records and the categories of records held on each subject;

     

  3. know the description of the records of Robinson Liquors Pty Ltd which are available in accordance with any other legislation;

     

  4. access all the relevant contact details of the Information Officer and Deputy Information Officer(s) who will assist you with the records you intend to access;

     

  5. know the description of the guide on how to use PAIA, as updated by the Information Regulator, and how to obtain access to it;

     

  6. know if Robinson Liquors Pty Ltd processes personal information and the purpose of processing of personal information;

     

  7. know the description of the categories of data subjects and the information or categories of information relating thereto;

     

  8. know the recipients or categories of recipients to whom the personal information may be supplied;

     

  9. know if Robinson Liquors Pty Ltd plans to transfer or process personal information outside the Republic of South Africa and the recipients or categories of recipients to whom the personal information may be supplied; and

     

  10. know whether Robinson Liquors Pty Ltd has appropriate security measures to ensure the confidentiality, integrity and availability of the personal information which is to be processed.

  • CONTACT DETAILS:

     

    Information Officer: Craig Robinson

     

    Postal Address:

    PO Box 19083

    Wynberg 7824

     

    Physical Address:

    426 Main Road Wynberg

    7800

     

    Telephone No:
    0217974340

     

    E-mail:
    natalie@ultraliquors.co.za

     

    Deputy Information Officer: Natalie Hitzeroth

     

    GENERAL INFORMATION:

     

    Name of Private Body:

    Robinson Liquors Pty Ltd

     

    Registration No: 1985/003838/07

     

    Postal Address: PO Box 19083

    Wynberg

    7824

     

    Physical Address (or principal place of business): 426 Main Road

    Wynberg 7800

     

    Telephone No:
    0217974340

     

    E-mail:
    natalie@ultraliquors.co.za

     

    Website: www.ultraliquors.co.za

  • GUIDE ON HOW TO USE PAIA AND HOW TO OBTAIN ACCESS TO THE GUIDE

     

      1. The Regulator has, in terms of Section 10(1) of PAIA, as amended, updated and made available the revised Guide on how to use PAIA (“Guide”), in an easily comprehensible form and manner, as may reasonably be required by a person who wishes to exercise any right contemplated in PAIA and POPIA.

         

      2. The Guide is available in each of the official languages and in braille.

         

      3. The aforesaid Guide contains the description of-

         

        1. the objects of PAIA and POPIA;

           

        2. the postal and street address, phone and fax number and, if available, electronic mail address of-

           

          1. the Information Officer of every public body, and

             

          2. every Deputy Information Officer of every public and private body designated in terms of Section 17(1) of PAIA and Section 56 of POPIA;

     

        1. the manner and form of a request for-

           

          1. access to a record of a public body contemplated in Section 11 of PAIA; and

             

          2. access to a record of a private body contemplated in Section 50 of PAIA;

             

        2. the assistance available from the Information Officer of a public body in terms of PAIA and POPIA;

           

        3. the assistance available from the Information Regulator in terms of PAIA and POPIA;

        4. all remedies in law available regarding an act or failure to act in respect of a right or duty conferred or imposed by PAIA and POPIA, including the manner of lodging-

           

          1. an internal appeal;

             

          2. a complaint to the Regulator; and

             

          3. an application with a court against a decision by the information officer of a public body, a decision on internal appeal or a decision by the Regulator or a decision of the head of a private body;

             

        5. the provisions of Sections 14 and 51 of PAIA requiring a public body and private body, respectively, to compile a manual, and how to obtain access to a manual;

           

        6. the provisions of Sections 15 and 52 of PAIA providing for the voluntary disclosure of categories of records by a public body and private body, respectively;

           

        7. the notices issued in terms of Sections 22 and 54 of PAIA regarding fees to be paid in relation to requests for access; and

           

        8. the regulations made in terms of Section 92 of PAIA.

     

      1. Members of the public can inspect or make copies of the Guide from the offices of the public and private bodies, including the office of the Regulator, during normal working hours.

         

      2. The Guide can also be obtained-

         

        1. upon request to the Information Officer;

           

        2. from the website of the Information Regulator (https://inforegulator.org.za/).

           

      3. A copy of the Guide is also available in two official languages, for public inspection during normal office hours.

     

  • RECORDS AUTOMATICALLY AVAILABLE TO THE PUBLIC

    N/A


  • RECORDS OF THE PRIVATE BODY

     

    This clause serves as a reference to the records that Robinson Liquors Pty Ltd holds in order to facilitate a request in terms of The Act.

     

    It is recorded that the accessibility of the documents listed herein below, may be subject to the grounds of refusal set out hereinafter.

     

    Subjects on which the body holds records

    Categories of records

    Human Resources

     

    Clients

     

    Suppliers

     
    • HR policies and procedures

    • Advertised posts

    • Employee records

    • UIF Records

    • PAYE Records

    • SDL Records

    • VAT Records

    • Quotations

    • Invoices

    • Credit Applications

    • Quotations

    • Invoices

    • Credit Applications

  • RECORDS REQUIRED IN TERMS OF LEGISLATION

     

    Records are kept in accordance with legislation applicable to Robinson Liquors Pty Ltd, which includes but is not limited to, the following –

     

    Records are kept in accordance with legislation applicable to Robinson Liquors (Pty) Ltd, which includes but is not limited to, the following –

     

    Category of Records

    Applicable Legislation

     

     

    Memorandum of Incorporation

    Companies Act 71 of 2008

    Companies Act, 61 of 1973

    PAIA Manual

    Promotion of Access to Information Act 2 of 2000

    Labour Law

    Labour Relations Act, 66 of 1995 –

    Basic Conditions of Employment Act, 75 of 1997

    Employment Equity

    Employment Equity Act, 55 of 1998

    ECTA

    Electronic Communications and Transactions Act, 36 of 2005

    BEEE

    Broad Based Economic Empowerment Act, 53 of 2003

    COIDA

    Compensation for Occupational Injuries and Diseases Act,130 of 1993

    Constitution

    Constitution of the Republic of South Africa, 108 of 1996

    UIF

    Unemployment Insurance Act, 63 of 2001

    VAT

    Value Added Tax Act, 89 of 1991

    Skills Development

    Skills Development Act, 9 of 1997

    Skills Development Levy Act, No. 9

    Income Tax

    Income Tax Act, 58 of 1962

    Personal Records

    Protection of Personal Information Act 4 of 2013

    OHS

    Occupational Health and Safety Act 85 of 1993

    Liquor Act

    Liquor Act 59 of 2003

    Reference to the above-mentioned legislation shall include subsequent amendments and secondary legislation to such legislation.

     

    Reference to the above-mentioned legislation shall include subsequent amendments and secondary legislation to such legislation.


  • PROCESSING OF PERSONAL INFORMATION

     

    1. Purpose of Processing Personal Information

      We only process personal information for:

      • Employees - Employment Contracts, Payroll, SARS, Department of Labour, UIF/WCC

      • Customers - Credit Applications, Invoicing, Delivery, Comply with SARS

      • Suppliers - Credit Applications, Purchases, Collections, Comply with SARS

         

         

    2. Description of the categories of Data Subjects and of the information or categories of information relating thereto

      Categories of Data Subjects

      Personal Information that may be processed

       

       

      Customers / Clients

      name, address, contact details, registration numbers, vat numbers, identity numbers and bank details

      Suppliers

      names, registration number, vat numbers, address, contact details, product details and bank details

      Employees

      names, address, qualifications, gender and race, banking details, tax numbers, identity numbers, contact details, next of kin

       

    3. The recipients or categories of recipients to whom the personal information may be supplied

       

       

      Category of personal information

       

      Recipients or Categories of Recipients to whom the personal information may be supplied

      Identity number and names, for

      criminal checks

      South African Police Services

      Credit and payment history, for

      credit information

      Credit Bureaus

       

    4. Planned transborder flows of personal information

      N/A

       

    5. General description of Information Security Measures to be implemented by the responsible party to ensure the confidentiality, integrity and availability of the information

      Company POPI information security policies are in place

      Computers are controlled through security group policies (to be confirmed) Password protection on all company devices

      Anti-virus active on all computers

      Staff been trained on physical and cyber security measures (to be determined) Regular audits done on security status (to be determined)

      POPI Training done with key members of staff


  • REQUEST PROCEDURE FOR OBTAINING INFORMATION

     

    Access to records held by Robinson Liquors Pty Ltd

     

    Records held by Robinson Liquors Pty Ltd may be accessed by request only once the prerequisites for access have been met.

     

    The requester must fulfil the prerequisites for access in terms of The Act, including the payment of a requested access fee.

     

    The requester must comply with all the procedural requirements contained in The Act relating to the request for access to a record.

     

    The requester must complete the prescribed Form 2 (Annexure B) and submit same as well as payment of a request fee and a deposit, if applicable, to the Information Officer at the postal or physical address, fax number or electronic mail address as stated herein.

     

    The prescribed form must be filled in with enough particulars to at least enable the Information Officer to identify –

     

     

    The requester must state that they require the information in order to exercise or protect a right, and clearly state what the nature of the right to be exercised or protected is. In addition, the requester must clearly specify why the record is necessary to exercise or protect such a right.

     

    Robinson Liquors Pty Ltd will process the request within 30 days, unless the requester has stated a special reason that would satisfy the Information Officer that circumstances dictate that the above time periods are not complied with.

     

    The requester shall be informed whether access has been granted or denied in the form of Form 3 (Annexure C). If, in addition, the requester requires the reason for the decision in any other manner, they must state the manner and the particulars so required.

     

    If a request is made on behalf of another person, then the requester must submit proof of the capacity in which the requester is making the request, to the reasonable satisfaction of the Information Officer.

     

    If an individual is unable to complete the prescribed Form because of illiteracy or disability, such a person may make the request orally.

               - The record or records requested;

               - The identity of the requester,

               - Which form of access is required, if the request is granted;

               - The postal address or fax number or email address of the requester.

  • FEES

     

    When the Information Officer receives the request, such Officer shall, by notice, require the requester to pay the prescribed request fee (if any), before any further processing of the request.

     

    If the search for the record has been made in the preparation of the record for disclosure, including arrangements to make it available in the requested form, and it requires more than the hours prescribed in the regulation for this purpose, the Information Officer shall notify the requester to pay as a deposit the prescribed portion of the access fee which would be payable if the request is granted.

     

    The Information Officer shall withhold a record until the requester has paid the Fees as indicated.

     

    A requester, whose request for access to a record has been granted, must pay an access fee for reproduction and for search and preparation, and for any time reasonably required in excess of the prescribed hours to search for and prepare the record for disclosure, including making arrangements to make it available in the requested form.

     

    If a deposit has been paid in respect of a request for access, which is refused, then the Information Officer concerned must repay the deposit to the requester.

     

    The fees applicable to a request for information are set out in Annexure A hereto.

     

    The requester must pay the prescribed fee before any further processing can take place.


  • GROUNDS FOR REFUSAL OF ACCESS TO INFORMATION

     

    The main grounds for Robinson Liquors Pty Ltd to refuse a request for information relates to the:

    • Mandatory protection of the privacy of a third party that is a natural person that would involve the unreasonable disclosure of personal information of that natural person;

    • Mandatory protection of the commercial information of a third party, if the record contains:

      • Trade secrets of that third party;

      • Financial, commercial, scientific or technical information, disclosure of which could likely cause harm to the financial or commercial interests of that third party;

      • Information disclosed in confidence by a third party to the Private Body, if the disclosure could put that third party at a disadvantage in negotiations or commercial competition;

    • Mandatory protection of confidential information of third parties if it is protected in terms of any agreement;

    • Mandatory protection of confidential information of the protection of property;

    • Mandatory protection of records that would be regarded as privileged in legal proceedings;

    • The commercial activities of Robinson Liquors Pty Ltd which may include:

      • Trade secrets of Robinson Liquors Pty Ltd

      • Financial, commercial, scientific or technical information, disclosure which could likely cause harm to the financial or commercial interest of Robinson Liquors Pty Ltd ;

      • Information which, if disclosed could put Robinson Liquors Pty Ltd at a disadvantage in negotiations or commercial competition;

      • A computer program, owned by Robinson Liquors Pty Ltd and protected by copyright.

    • The research information of Robinson Liquors Pty Ltd or a third party, if its disclosure would reveal the identity of Robinson Liquors Pty Ltd, the researcher or the subject matter of the research and would place the research at a serious disadvantage;

     

    Requests for information that are clearly frivolous or vexatious, or which would involve an unreasonable diversion of resources shall be refused.


  • DECISION

 

Robinson Liquors Pty Ltd will within 30 days of receipt of the request, decide whether to grant or decline the request and give notice with reasons (if required) to that effect.

 

The requester shall be informed whether access has been granted or denied in the form of Form 3 (Annexure C). If, in addition, the requester requires the reason for the decision in any other manner, they must state the manner and the particulars so required.

 

The 30 day period within which Robinson Liquors Pty Ltd has to decide whether to grant or refuse the request, may be extended for further period of not more than 30 days if the request is for a large amount of information, or the request requires a search for information held at another office of Robinson Liquors Pty Ltd and the information cannot reasonably be obtained within the original 30 day period. Robinson Liquors Pty Ltd will notify the requester in writing should an extension be sought.

 

AVAILABILITY OF THE MANUAL

 

The manual of Robinson Liquors Pty Ltd is available at the premises of Robinson Liquors Pty Ltd as well as on the website of Robinson Liquors Pty Ltd.

 

 

Signed by:       Craig Robinson        

 

 

Date:    23/10/2023

                                                                    

ANNEXURE A:

 

The table below sets out the fees applicable to any request for a record of information held by

 

Item

Description

Amount

1.

The request fee payable by every requester

R 140.00

2.

Photocopy/printed black & white copy of A4-size page

R 2.00

thereof

per

page

or

part

3.

Printed copy of A4-size page

R 2.00

thereof

per

page

or

part

4.

For a copy of computer-readable form on:

  1. Flash drive (to be provided by the requestor)

  2. Compact Disk:

    1. If provided by requester

    2. If provided to the requester

 

R 40.00

 

R 40.00

R 60.00

5.

For a transcription of visual images per A4-size page

Service to be outsourced.

Will depend on quotation

6.

For a copy of visual images

from service provider.

7.

Transcription of an audio record, per A4-size page

R 24.00

8.

For a copy of audio recording on:

  1. Flash drive (to be provided by the requestor)

  2. Compact Disk:

    1. If provided by requester

    2. If provided to the requester

 

R 40.00

 

R 40.00

R 60.00

9.

To search for and prepare the record for disclosure,

R 145.00

 

for each hour or part of an hour, excluding the first

 

 

hour, reasonably required for such search and

 

 

preparation.

 

 

Not to exceed a total cost of

R 435.00

10.

Deposit: If search exceeds 6 hours

One third of the amount per request calculated in terms of items 2 to 8.

11.

Postage, email or any other electronic transfer

Actual expense, if any.

 

ANNEXURE B: FORM 2

 

REQUEST FOR ACCESS TO RECORD

[Regulation 7]

 

NOTE:

  1. Proof of identity must be attached by the requester.

  2. If requests made on behalf of another person, proof of such authorisation, must be attached to this form.

 

TO: The Information Officer

__________________________

__________________________

__________________________

__________________________




(Address)

 

E-mail address:                                                         

 

Fax number:                                        

 

Mark with an "X"

 

  Request is made in my own name     Request is made on behalf of another person.

 

 

PERSONAL INFORMATION

Full Names

 

Identity Number

 

Capacity in which request is made (when made on behalf of another person)

 

Postal Address

 

Street Address

 

E-mail Address

 

 

Contact Numbers

Tel. (B):

 

Facsimile:

 

Cellular:

 

 

Full names of person on whose behalf request is made (if applicable):

 

Identity Number

 

Postal Address

 

Street Address

 

E-mail Address

 

 

Contact Numbers

Tel.(B)

 

Facsimile

 

Cellular

 

 

PARTICULARS OF RECORD REQUESTED

 

Provide full particulars of the record to which access is requested, including the reference number if that is known to you, to enable the record to be located. (If the provided space is inadequate, please continue on a separate page and attach it to this form. All additional pages must be signed.)

 

Description of record or relevant part of the record:

 

 

 

 

 

Reference number, if available

 

 

Any further particulars of record

 

 

 

 

 

 

 

TYPE OF RECORD

(Mark the applicable box with an "X")

Record is in written or printed form

 

Record comprises virtual images (this includes photographs, slides, video recordings, computer-generated images, sketches, etc)

 

Record consists of recorded words or information which can be reproduced in sound

 

Record is held on a computer or in an electronic, or machine-readable form

 

 

FORM OF ACCESS

(Mark the applicable box with an "X")

Printed copy of record (including copies of any virtual images, transcriptions and information held on computer or in an electronic or machine-readable form)

 

Written or printed transcription of virtual images (this includes photographs, slides, video recordings, computer-generated images, sketches, etc.)

 

Transcription of soundtrack (written or printed document)

 

Copy of record on flash drive (including virtual images and soundtracks)

 

Copy of record on compact disc drive(including virtual images and soundtracks)

 

Copy of record saved on cloud storage server

 

 

 

MANNER OF ACCESS

(Mark the applicable box with an "X")

Personal inspection of record at registered address of public/private body (including listening to recorded words, information which can be reproduced in sound, or information held on computer or in an electronic or machine-readable form)

 

Postal services to postal address

 

Postal services to street address

 

Courier service to street address

 

Facsimile of information in written or printed format (including transcriptions)

 

E-mail of information (including soundtracks if possible)

 

Cloud share/file transfer

 

 

 

PARTICULARS OF RIGHT TO BE EXERCISED OR PROTECTED

 

If the provided space is inadequate, please continue on a separate page and attach it to this Form. The requester must sign all the additional pages.

Indicate which right is to be exercised or protected

 

 

 

Explain why the record requested is required for the exercise or protection of the aforementioned right:

 

 

 

 

 

FEES

  1. A request fee must be paid before the request will be considered.

  2. You will be notified of the amount of the access fee to be paid.

  3. The fee payable for access to a record depends on the form in which access is required and the reasonable time required to search for and prepare a record.

  4. If you qualify for exemption of the payment of any fee, please state the reason for

exemption

Reason

 

 

 

You will be notified in writing whether your request has been approved or denied and if approved the costs relating to your request, if any. Please indicate your preferred manner of correspondence:

 

Postal address

Facsimile

Electronic communication

(Please specify)

 

 

 



 

Signed at                     this        day of                   20        

 

 

__________________________

 

Signature of Requester / person on whose behalf request is made

 



__________________________

 

FOR OFFICIAL USE

 

Reference number:

 

Request received by:

(State Rank, Name and Surname of Information Officer)

 

Date received:

 

Access fees:

 

Deposit (if any):

 




 

    __________________________

 

Signature of Information Officer

ANNEXURE B: FORM 3

 

OUTCOME OF REQUEST AND FEES PAYABLE


[Regulation 8]

 

Note:

  1. If your request is granted the—

    1. amount of the deposit, (if any), is payable before your request is processed; and

    2. requested record/portion of the record will only be released once proof of full payment is received.

  2. Please use the reference number hereunder in all future correspondence.

 

Reference number:

 

__________________________

TO: 

__________________________

 

__________________________

 

__________________________

 

Your request dated             , refers.

 

  1. You requested: 

    Personal inspection of information at registered address of public/private body (including listening to recorded words, information which can be reproduced in sound, or information held on computer or in an electronic or machine-readable form) is free of charge. You are required to make an appointment for the inspection of the information and to bring this Form with you. If you then require any form of reproduction of the information, you will be liable for the fees prescribed in Annexure A.

     

    OR

  2. You requested: 

    Printed copies of the information (including copies of any virtual images, transcriptions and information held on computer or in an electronic or machine-readable form )

     

    Written or printed transcription of virtual images (this includes photographs, slides, video recordings, computer-generated images, sketches, etc)

     

    Transcription of soundtrack (written or printed document)

     

    Copy of information on flash drive (including virtual images and soundtracks)

     

    Copy of information on compact disc drive(including virtual images and soundtracks)

     

    Copy of record saved on cloud storage server

     

  3. To be submitted: 

    Postal services to postal address

     

    Postal services to street address

     

    Courier service to street address

     

    Facsimile of information in written or printed format (including transcriptions)

     

    E-mail of information (including soundtracks if possible)

     

    Cloud share/file transfer

     

    Preferred language:

    (Note that if the record is not available in the language you prefer, access may be granted in the language in which the record is available)

     

    Kindly note that your request has been: 

    Denied, for the following reasons:

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

  4. Fees payable with regard to your request:

     

     

    Item

    Description

    Amount

    Number ofpages/items

    Total:

    1.

    The request fee payable by every requester

    R 140.00

     

     

    2.

    Photocopy/printed black & white copy of A4-size page

    R 2.00 per page or part thereof

     

     

    3.

    Printed copy of A4-size page

    R 2.00 per page or part thereof

     

     

    4.

    For a copy of computer-readable form on:

     

    R 40.00

     

    R 40.00

    R 60.00

     

     

    5.

    For a transcription of visual images per A4-size page

    Service to be outsourced. Will depend on quotation from service provider.

     

     

    6.

    For a copy of visual images

     

     

    7.

    Transcription of an audio record, per A4-size page

    R 24.00

     

     

    8.

    For a copy of audio recording on:

     

    R 40.00

     

    R 40.00

    R 60.00

     

     

    9.

    To search for and prepare the record for disclosure, for each hour or part of an hour, excluding the first hour, reasonably required for such search and preparation.

    Not to exceed a total cost of

    R 145.00

     

    R 435.00

     

     

    10.

    Deposit: If search exceeds 6 hours

    One third of the amount per request calculated in terms of items 2 to 8.

     

     

    11.

    Postage, email or any other electronic transfer

    Actual expense, if any.

     

     

     

    TOTAL:

     

     

     


    1. Flash drive (to be provided by the requestor)

    2. Compact Disk:

      1. If provided by requester

      2. If provided to the requester

    1. Flash drive (to be provided by the requestor)

    2. Compact Disk:

      1. If provided by requester

      2. If provided to the requester

     

  5. Deposit payable (if search exceeds six hours):

 

 

Yes

No

 

 

Hours of search

 

Amount of deposit

(calculated on one third of total amount per request)

 

 

The amount must be paid into the following Bank account:

 

 

Name of Bank:

                                                                          

Name of account holder:

                                                                          

Type of account:

                                                                          

Account number:

                                                                          

Branch Code:

                                                                          

Reference No.:

                                                                          

Submit proof of payment to:

                                                                          

 

Signed at                      this        day of                20        

 

 
  ________________________

 

Information officer

DRINK RESPONSIBLY. NOT FOR PERSONS UNDER THE AGE OF 18.