TEACHER SERVICE COMMISSION
SCHOOL NAME: _____________
____________________________
____________________________
____________________________
BANK FORM
THE SECRETARY
TEACHERS SERVICE COMMISSION
PRIVATE BAG
NAIROBI
THRO’
THE DEO/MEO/HEADMASTER
PAYPOINT PARTICULARS
BANK________________________ BRANCH ___________________________________
STREET\ BUILDING _________________________________________________________
TSC PRIMARY /SECONDARY PROVINCE DISTRICT
DEPT SPECIFY _________________________________________________
TSC/PF
NO: (FILL FROM THE RIGHT)
BANK CODE BRANCH CODE
ACCOUNT CURRENT/
NUMBER: SAVINGS
(FILL FROM THE RIGHT) (AS IT APPEARS IB TGE BANK STATEMENT)
ACCOUNT
TITLE/NAME: _______________________________________________________________
(AS IT APPEARS ON THE BANK STATEMENT)
Where same amount of money constitutes an overpayment to me, I hereby give irrevocable
authority to my bank to return the same to the Teachers Service Commission (TSC) whether or
not I am in service with the Commission this authority extends to any other Bank or Account to
which the said money may be transferred.
This request supersedes any other request given to this date.
Signature: ________________________
IDENTITY NO: ___________________ DATE: ___________________