Annual Listing of all bank accounts
MUNICIPAL / MUNICIPAL ENTITY BANK ACCOUNT DETAILS
Municipal Finance Management Act, section 9(b) and 86
Instructions:
C
Municipalities - Please submit this form annually on/ before 30 June listing each bank account (including primary bank
account)
The Municipal Manager or Chief Financial Officer must sign and date the form.
Municipal entities - Please submit this form to the parent municipality annually on/ before 30 June listing each bank
account. Parent municipality - please submit the consolidated information for all municipal entities annually on/ before 30
June using this same format. If insufficient space please insert additional columns or complete additional forms.
Note: If a municipal entity has more than one parent municipality the accounting officers of the parent municipalities must
agree on which municipality will submit the information (only one is to submit).
 If insufficient space please insert additional forms columns.
Please submit this report to:
1. ORIGINAL - The Chief Director: MFMA Implementation
Unit, National Treasury, Private Bag X115, PRETORIA,
0001 or 240 Madiba Street or
2. COPY - National Treasury facsimile 012 315 5230 or
email to mfma@treasury.gov.za. Tel: 012 395 6506
3. COPY - Auditor-General and relevant Provincial Treasury
Name of (Parent) Municipality:
All forms should be completed, signed and
forwarded to the relevant departments by
post.
In addition, and to ensure prompt processing,
it is requested that an electronic copy be sent
to the National Treasury either by email or
facsimile.
Name of entity (If applicable):
Contact details of person submitting this report:
Name:
Email:
Cell phone:
Office phone:
Account Name:
e.g. “ABC primary bank account”
Type of
Account:
e.g. “cheque or
investment”
Account Number
Name of Bank
e.g. “ABSA”
Primary bank account (Only for Municipalities)
1.
Other bank accounts
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
This part must be filled in by the Municipal Manager or Chief Financial Officer.
I………………………………………….…………………..certify that this information supplied is a true and
correct record of all bank accounts operated by the municipality.
Signature:
Designation:
Date: