Broker Appointment

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Aluma Capital (Pty) Ltd is a registered Financial Services Provider (FSP 46449) in terms of The Financial Advisory and Intermediary Services Act (37 of 2002)

Broker Appointment Desktop

Date

To whom it may concern,

This letter is to confirm that:

First Name

Last Name

hereby appoint Aluma Capital (Pty) Ltd as our duly authorised Financial Services Provider.

My details are as follows:

ID Number

Phone

This will be effective on the following date:

Insured

Insurer