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Get Capitec Proof Of Payment Template

Fill in electronically or print out and use a black pen. Incomplete forms will not be considered Answer all applicable questions. If a question is not applicable or relevant, please write N/A Copies of all supporting documents (as set out below) must be submitted with this form If you wish to give any additional information (not covered in this form), please do so on a separate sheet Official Use (Not to be completed by the applicant) Date Received Reference Number D D M M Y Y Y.

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