Wild Card Application Form
Kindly complete the information below to renew or obtain a new wild Card.
Forward this back with a proof of payment to receive your confirmation letter. Your confirmation
letter can be used while you wait on your card to be sent.
Herewith the banking details:
Banking Details
Bank Name NedBank Ltd
Account Name WCNCB bank account
Branch Name Corporate
Account Type Cheque
Account Number 1 452 048 401
Branch Code 145 209
Reference Wild Card – Name and Surname
Please select your card type
Type of Card All parks CapeNature SanParks Msinisi EKZN
Wildlife
Swaziland International
Individual
( Any 1 pax)
R 515.00 R 455.00 R 500.00 R 455.00 R 500.00 R 370.00 R 2210.00
Couple
( Any 2 pax)
R 845.00 R 740.00 R 815.00 R 745.00 R 810.00 R 605.00 R 3455.00
Family
( up to 7- max
2 adults)
R 1035.00 R 890.00 R 975.00 R 885.00 R 970.00 R 735.00 R 4130.00
Personal Details
Old Wild Card Number if any
Title
First Name
Surname
ID Number
Postal Address and code
Suburb
Cell phone number
Home Telephone Number
Work Telephone Number
Fax Number
Language
Ethnic Group
Nationality
Couple Card additional information
Partners Name
Surname
Gender
ID Number
Ethnic group
Nationality
Family Card ( 2 adults and 5 children up to the
age of 17)
Dependant D.O.B or ID number and gender
1.
2.
3.