Bank Details Bank_Details 1Personal Details2Current Banking Details3New Banking Details4Debit Order Authority & Mandate Name* First Name Surname ID NumberEmail Cell Number*Cinagi Policy Number Below we have detailed the banking details we currently have on our system. You are not required to enter any information of this page. Branch CodeAccount NumberAccount Type Please complete your banking details below for the monthly debit order deduction – deductions are made in advance on the 1st day of each month:Bank*ABSAAfrican BankBidvest BankCapitec BankDiscovery BankFirst National BankGrinrod BankInvestec BankNedbankPost BankStandard BankTymeBankBranch Code*Bank Account Number*Account Type*Cheque/CurrentSavingsTransmission Consent* I, accept and understandI acknowledge that by accepting this Authority and Mandate I am bound by the payment terms applicable to this policy agreement. I authorise Cinagi on behalf of Infiniti Insurance Limited to draw all monthly premiums due on this policy against the above bank account on the 1st day of each month. I authorise Cinagi on behalf of Infiniti Insurance Limited to re-present a payment instruction against the above account in the event that any payment is unsuccessful to meet my obligations under or in terms of this Agreement. I authorise Cinagi on behalf of Infiniti Insurance Limited to obtain any information about me/us from any credit bureau, life assurance or credit providers' industry association or any other information related to credit history, judgement history or default history. Δ