Fillable APPLICATION FOR MONIES FROM GUARDIANS FUND (South Africa Department of Justice and Constitutional Development)

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APPLICATION FOR MONIES FROM GUARDIANS FUND (South Africa Department of Justice and Constitutional Development)

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DEPARTMENT OF JUSTICE AND CONSTITUTIONAL DEVELOPMENT
J251
REPUBLIC OF SOUTH AFRICA
APPLICATION FOR MONIES FROM GUARDIANS FUND
A. PARTICULARS OF APPLICANT:
Full names & Surname:
ID number:
Birth date:
Date of marriage:
Full names of spouse:
Full names of both
parents:
Residential address:
Postal address:
Tel number (Work): Code Number
Tel number (Home): Code Number
Fax number (if any): Code Number
Cell number:
E-mail address:
Certified copy of bar-coded Identity Book with two thumbprints (left & right) to be submitted.
Order of Adoption Order is to be submitted, if applicable.
Change of names to be supported by letter from Home Affairs.
B. PARTICULARS FROM ESTATE INHERITED:
Full names & Surname of
deceased:
Date of death:
Place of death:
Relationship to deceased:
Estate reference (if available):
GF File (if available):
J251
DEPARTMENT OF JUSTICE AND CONSTITUTIONAL DEVELOPMENT
2
C. DECLARATION AND CERTIFICATE OF INDENTITY
I, the undersigned, declare under oath / confirm and say that I am entitled to the funds claimed herein and that the
particulars stated in this application are true and correct as to the best of my knowledge and belief.
________________________________ ____________________________________________
DATE SIGNATURE OF APPLICANT
____________________________________________
PRINT NAME AND SURNAME
I certify:
1. that I have satisfied myself as to the identity of the applicant;
2. that the deponent has acknowledged that he / she knows and understands the contents of the affidavit
which was signed before me;
3. (a) that the affidavit was sworn to / confirmed before me at _____________________________________
on this _____________________________day of ____________________________20_________
(b) and that as far as I am aware the person who signed the above application is entitled to the monies
which he / she now claims.
______________________________________________________
Executor / Commissioner of Oath / Justice of Peace / Co-heir
Full names: _____________________________________________________________
Area for which appointed: __________________________________________________
Officio ex officio: _________________________________________________________
D. NOTE:
TRACING AGENTS:
A practise whereby persons search the registers of unclaimed monies, seek out the persons entitled thereto and obtain
cession of their rights is prohibited by a direction of the Minister of Trade and Industry in terms of the Harmful Business
Practice Act 71 of 1988. Notice 69 of 1965 (Gazette 16193 of 27 January 1995) declaring unlawful any agreement
whereby a person cedes to any person charges, sets off against any debt or alienates in any other manner, his right or
title to any claim against the Guardian's Fund. Any person is prohibited for instituting a claim in any Court of law based
on such an unlawful agreement. Therefore, if money is claimed on behalf of a person / institution by a trading agent
the cheque must still be made payable to the person / institution reflected in our records.
APPLICATION
APPROVED/NOT APPROVED
COMMENTS
PRINT NAME AND SURNAME
DATE
SIGNATURE
FOR
OFFICE
USE
ONLY
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APPLICATION FOR MONIES FROM GUARDIANS FUND (South Africa Department of Justice and Constitutional Development)

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Completed 18 November 2020

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