...................................................................Bank

..................................................................Branch

P. O. Box...............................................................

Postal Code.............................................................

City/Town..............................................................

Date:......................................................................

Dear Sir / Madam,

I / We (Names in full) ..................................................................................................................................................................

ID / Passport No. ................................................................................................. A / C No. ....................................................

Held at ................................................................................... Bank ........................................................................... Branch,

confirm that I / we have given my / our bank statement(s) to the Department of Immigration Services in support of my / our application for a work permit (s).

I hereby indentify the Bank on any disclosure and authorize the bank to confirm the aunthenticy of the bank statement (s) submitted to them.

Regards,

Name. ..............................................................................................

ID / Passport No. .............................................................................

Telephone No. ................................................................................

Signature. ................................................................................................. (as per account mandate)