Provider Banking Details Update Thank you for connecting with us. We will respond to you shortly. 11https://cellmed.co.zw/wp-content/plugins/nex-formsfalsehttps://cellmed.co.zw/wp-admin/admin-ajax.phphttps://cellmed.co.zw/provider-banking-details-updateyes1fadeInfadeOut Please furnish us with your banking details to facilitate direct deposits into your bank account.*Providers's Name*AHFoZ Number*Bank Name*Bank Account Number*Branch Name*Branch Code*Account CurrencyZWLUSD Back Next We would also request that you provide us with the following contact detatils so as to facilitate communication with youMobile NumberOffice Number*EmailPhysical Address Back Next DisclaimerThis certifies that the above information is true and that CellMed Health Medical Fund will not be held liable for incorrect details availed to them.FullnameDesignationSignature Back Submit Powered by NEX-Forms
