Option 1 - Electronic Funds Transfer

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Banking Details:

Bank: Standard Bank

Account Name: Epilepsy South Africa Western Cape Branch

Account no: 071288937

Branch Code: 024909

Account Type: Cheque/Current

Client Reference: Epilepsy Donation

Registration Number: 003-941-NPO

PBO Number: 930006731

Option 2 - Debit Order

Donate to our cause by setting up a debit order where you can determine the frequency of the debit order.

Your Cellphone Number is Required.

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Selecting your Title is Required.

Entering your First Name is Required.

Entering your Last Name is Required.

Enter a valid email.

You need to fill in your ID number.

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Selecting your Bank is Required.

Your Bank Account Type is Required.


Your Bank Account Number is Required.


The Branch Code of you Bank is Required.

The name of the Account Holder is Required.

The Date of Inception of your donation is Required.

Your Debit Order your Details

Details -
ID Number:
Your Cellphone Number:
Donation Details -
Plan you are contributing towards:
Your Bank:
Account Type:
Account Number:
Branch Number:
Account Holders Name:
Start Date of Debit Order:

*If you want to continue please type in the box below the One Time Pin you received as a SMS to your mobile phone.

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To Confirm Submit OTP

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