Witness Signature Witness Address …………………………………………..
Witness Witness signed - - signed - (Mr. Krit Phakhakit) (Miss Sarinthon Chongchaidejwong)
AS WITNESS For: ESKOM HOLDINGS SOC LTD (Name of witness in print) Duly authorised
Your Signature (Sign exactly as your name appears on the face of this Note) Signature Guarantee*: _________________________ * Participant in a recognized Signature Guarantee Medallion Program (or other signature guarantor acceptable to the Trustee).
Witness Name Address: THE SECRETARY OF STATE FOR EDUCATION Duly Authorised
Employee Signature I certify that I have read this complete agreement and provided the information necessary for the employer to administer the plan and that my salary reductions will not exceed the elective deferral or contribution limits as determined by Applicable Law. I understand my responsibilities as an Employee under this Program, and I request that Employer take the action specified in this agreement. I understand that all rights under the annuity or custodial account established by me under the Program are enforceable solely by my beneficiary, my authorized representative or me.
Signature Signature For the participant For the institution
Signature of witness Address of Witness
WITNESS WHEREOF the parties hereto have executed this Agreement as of the date written below.
AS WITNESS WHEREOF the hands of the have hereunto executed this Agreement on the day and year first above written. SIGNED by ) for and on behalf of ) /s/ Choo Chee Kong in the presence of :- ) ………...………………………. Name: Choo Chee Kong Director /s/ [*****] [*****] SIGNED by ) /s/ Jxx Xx in the presence of :- ) /s/ [*****]
