UCT Legacy Society Form of Intent

Title *

Name *

Surname *

Email *

Address *

Please remember to provide your postal code

Date of Graduation *

Year Year195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021

Month MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day Day12345678910111213141516171819202122232425262728293031

Leave a Bequest *

I intend to leave a bequest to UCT when I next update my Will. Please send me further information

I have already included UCT in my Will, and wish to be included in the UCT Legacy Society

Purpose of Bequest *

Purposes for which you wish your bequest to be used

Field of Study *

Specific Field of Study (If Applicable)

Recognition *

Recognise me publicly

I want to remain anonymous

Signature *

Please insert initial and surname as signature

Date Signed *

Year Year2020

Month MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day Day12345678910111213141516171819202122232425262728293031

Place Signed *

Query/comment

Leave this field blank

 

 

Donations and Bequests are tax deductable in terms of the Income Tax Laws of South Africa. For more information in this regard or any other queries please contact:

Fahim Docrat
Legacy Manager
Tel: 021 650 4106
Cel: 081 571 3164

Should you want to make a once off donation please make contact with our office.

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