Date: ____________________________
Dear Sirs,
I declare that Mr/Mrs/Miss ___________________________________________________________________________________
whose occupation or employer is ______________________________________________________________________________
____________________________________________________________________________________________________________
has been known to me for the past ___________________________________ years/months.
He/She is desirous of opening an account and / or renewing banking relations with your Society. To the best of my knowledge,
information and belief, he/she is of good character and in all respects a fit and proper person to conduct business with your
organization.
_____________________________________________ _____________________________________________
Signature of Member / Applicant Date
Yours faithfully,
_____________________________________________ ______________________________________________
(Signature of Referee) (Telephone Number of Referee)
_____________________________________________
(Name of Referee)
Address of Referee
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
(Occupation of Referee)
_____________________________________________
VMBS Account No. of Referee (if any) Referee to place Stamp or Seal of Office above
Solicitor / Attorney at Law*
Permanent staff of VM Group
School Principal / University Lecturer
Commissioner of Oaths / Notary Public
Director of a company within VM Group
Army Officer (Major and above)*
Police Officer (Inspector and above)*
Consular Officer – High Commission
Certified Public Accountant (CPA)
Manager / Senior Officer of a Regulated Financial Institution*
Manager – Credit Union registered with the JCCUL* *See conditions overleaf
Referee to tick the appropriate circle
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