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Name of Company in which shares/stock are held
SANLAM LIMITED
Address
MobileNumber
LandlineNumber
S L M Z
Please complete the below information to assist us in locating your shareholding.
(Please select relevant account type)Type of Account:
Sanlam Namibia Shareholders
Number
Date of
SA ID
Birth
Namibian IDNumber
(DD/MM/YYYY)
If Non Individual Shareholder. What is your relationship to the entity?
Full Names of Registered Holder:
(ONLY TO BE COMPLETED IF INDIVIDUAL ACCOUNT TYPE WAS SELECTED)
Shareholder Reference No. Company Code(SRN)
Please start the Shareholder Reference Number (SRN)with a capital 'U' 'D' or 'C' - If unknown, leave blank.
(Example: U1234567890)
Full Names of Person to be Contacted: