Account No.
No. 2 Old Mutare Road, Msasa, Box BE 1298 Belvedere, Harare,
Zimbabwe. Tel: +263-4-486121-6, Fax: +263-4-486120,
+264-4-486807
CUSTOMER PAYROLL DEDUCTION SCHEME
ECONET USE ONLY
Sales Person
Customer account number
#
Total Product Value
Monthly Instalment (to be deducted through payroll over 10
months)
USD$
Date
Approvals
Signatures
Month for 1st payroll deduction
Approved/ Declined
..
HR Payroll
Shop Name
Approved/ Declined
..
Credit Control
NB: A copy of the form should be returned to payroll for
effecting monthly deductions once the approval process is
complete.
INDIVIDUALS
Mr/Mrs/Ms.NamePhillimon...SurnameMupinga..
Physical address7PortigieterNorthvaleBulawayo
Contact Number+263772822021. Alternative Contact
Number+236772800021..
Email [email protected]...
OccupationSenior..Field..Technician
Employee StatusPermanent(yes).Contract.
Employment Number119
Next of kinStellaMupinga.RelationshipSpouse
Contact Number0772800021..
CONTRACT DETAILS
Product required: 2*.SamsungGalaxyTablet310.1P5200.Total Price
$.1312.00.Monthly Instalment $.131.20.................
PAYMENT DETAILS
All instalments will be deducted through the employee
payroll
I/We do hereby certify that all the information provided is
correct. I/We authorise ECONET WIRELESS to use the information
contained herein to process the application for a ..payroll
deduction scheme. I/We hereby acknowledge that upon acceptance of
this application for Payroll deduction by Econet Wireless, a
contract will commence. I/We agree to be legally bound by Econet
Wireless Terms and Conditions.
Customer SignatureDate..
Sales/Service Reps Signature.Date
Product
Total Value
Instalment Per Month for 10 Months
US$
US$
