NAB Direct Debit Request Form

National Australia Bank Limited ABN 12 004 044 937
AFSL and Australian Credit Licence 230686
Direct Debit Request
(“you”)
To
National Australia Bank Limited ABN 12 004 044 937
From
Full name or Company name (inc A.C.N./A.R.B.N./A.B.N.)
(“I/We”)
Full name or Company name (inc A.C.N./A.R.B.N./A.B.N.)
(“I/We”)
My/Our Loan
Account number and BSB
(“the Loan”)
My/Our
Nominated
Account
Name of account
(this is the account
funds are to be
drawn from)
Account number
BSB number
Name of financial institution
Address of financial institution
(my/our “Nominated Account”)
Request and
Authority to debit
I/We request and authorise National Australia Bank Limited (Debit User Identification Number
244344) to debit, through the Bulk Electronic Clearing System, my/our Nominated Account with:
Please select and
complete one option
only.
Option 1
Option 2 is not
available in
relation to loans
with interest
only
repayments.
Option 2
any amount you may charge me/us under our loan (such as my/our scheduled
repayments and any overdue amounts), as and when those amounts become
due.
$
each
other (please specify)
week
fortnight
month
with the first drawing to be made on
until
further notice.
subject to the terms and conditions of the Direct Debit Request Service Agreement.
I/We acknowledge that you can amend the amount drawn under this authority in accordance with
clause 2 of the Direct Debit Request Service Agreement. I/We further acknowledge that if I/we
have not properly selected and completed one of the drawing options above, I/we will be deemed
to have selected Option 1.
Acknowledgement
By signing this Direct Debit Request, I/we acknowledge having read and understood the terms
and conditions governing the debit arrangements between me/us and you as set out in this
Request and in my/our Direct Debit Request Service Agreement.
Signed by:
•
If the Nominated Account is a joint account, all signatories to that account must sign.
•
If the Nominated Account is a company account, sign and print full name and capacity for
signing (e.g. director) below.
Signature
Name
Address
Postcode
Capacity (companies only)
Date
Signature
Signature
Name
Name
Address
Address
Capacity (companies only)
Capacity (companies only)
Date
Date
Signature
Signature
Name
Name
Address
Address
Capacity (companies only)
Capacity (companies only)
Date
Date
Direct Debit Request Service Agreement
Definitions
agreement means this DDR Service Agreement.
business day means a day other than a Saturday or a
Sunday or a public holiday listed throughout Australia.
DDR means the Direct Debit Request between you and
us.
debit day means the day that a direct debit is to be made
under your DDR and this agreement.
drawing means a particular transaction where a debit is
made.
nominated account means the account held at your
financial institution from which we are authorised to
arrange for funds to be debited
we/us means National Australia Bank Limited.
you/your means the person or entity providing the DDR.
your financial institution is the financial institution where
you hold the nominated account.
1. Debiting your nominated account
1.1 By signing a DDR, you have authorised us to
arrange for funds to be debited from your
nominated account. You should refer to the DDR
and this agreement for the terms of the
arrangement between you and us.
1.2 If the debit day falls on a day that is not a business
day, we may direct your financial institution to
debit your nominated account on the following
business day. If you are unsure about which day
your nominated account has or will be debited you
should ask your financial institution.
2. Changes by us
2.1 We may vary any details of this agreement or a
DDR (including the amount drawn to ensure your
obligations under your loan (as set out in your
DDR) are met) at any time by giving you written
notice. We will give you at least thirty (30) days
prior notice of the introduction of a fee or charge.
We will give you at least fourteen (14) days prior
notice of any other change.
3. Changes by you
3.1 If you wish to stop or defer a drawing you can
either:
(a) notify us in writing at least five (5) business
days or contact us on 13 22 65 at least
two (2) business days before the next debit
day that you wish to do so; or
(b) arrange it through your financial institution.
3.2 You may also cancel your authority for us to debit
your nominated account by either:
(a) giving us five (5) business days notice in
writing or contacting us on 13 22 65 at least
two (2) business days before the next debit
day that you wish to do so; or
(b) arranging it through your financial institution.
3.3 You may make other changes to the arrangements
under a DDR by writing to us or contacting us on
13 22 65.
4. Your obligations
4.1 It is your responsibility to ensure that there are
sufficient clear funds available in your nominated
account to allow a drawing to be made in accordance
with the DDR and this agreement.
4.2 If there are insufficient clear funds in your nominated
account to meet a drawing:
(a) you may be charged a fee and/or interest by your
financial institution and/or by us; and
(b) you must arrange for the drawing to be made by
another method or arrange for sufficient clear
funds to be in your nominated account by an
agreed time so that we can process the drawing.
5. Dispute
5.1 If you believe that there has been an error in debiting
your nominated account, you should notify us directly
by contacting us on 13 22 65 and confirm that notice in
writing with us as soon as possible so that we can
resolve your query more quickly. Alternatively, you can
take this up with your financial institution directly.
5.2 If we conclude as a result of our investigations that
your nominated account has been incorrectly debited
we will respond to your query by arranging for your
financial institution to adjust your nominated account
(including interest and charges) accordingly. We will
also notify you in writing of the amount by which your
nominated account has been adjusted.
5.3 If we conclude as a result of our investigations that
your nominated account has not been incorrectly
debited we will respond to your query by providing you
with reasons and any evidence for this finding.
6. Nominated Accounts
6.1 Before completing your DDR, you should check:
(a) with your financial institution whether direct
debiting is available from your nominated account
as direct debiting is not available on all accounts
offered by financial institutions;
(b) your nominated account details which you have
provided to us are correct by checking them
against a recent nominated account statement;
(c) with your financial institution if you have any
queries about how to complete the DDR.
7. Confidentiality
7.1 We will keep any information (including your
nominated account details) in your DDR
confidential. We will make reasonable efforts to
keep any such information that we have about you
secure and to ensure that any of our employees or
agents who have access to information about you
do not make any unauthorised use, modification,
reproduction or disclosure of that information.
7.2 We will only disclose the information we have
about you to the extent specifically required by law
or for the purpose of this agreement (including
disclosing information in connection with any query
or claim).
8. Code of Banking Practice
8.1 We have adopted the Code of Banking Practice
and relevant provisions of the Code apply to this
service, if you are an individual or a small business
customer (as defined by the Code).
8.2 You can obtain from us upon request:
(a) information on our current interest rates and
standard fees and charges relating to the
service if any;
(b) general descriptive information concerning our
banking services including:
(i)
for accounts with cheque access,
general descriptive information about
cheques;
(ii) account opening procedures;
(iii) our obligations regarding the
confidentiality of your information;
(iv) complaint handling procedures;
(v) bank cheques;
(vi) the advisability of you informing us
promptly when you are in financial
difficulty;
(vii) the advisability of you reading the terms
and conditions applying to each banking
service we provide to you;
(c) general descriptive information about:
(i)
the identification requirements of the
Financial Transactions Reports Act
1988;
(ii) the options available to you under the
tax file number legislation; and
(d) a copy of the Code of Banking Practice.
9. Notice
9.1 If you wish to notify us in writing about anything
relating to this agreement, you should write to us
at:
National Australia Bank Limited
GPO Box 14597
Melbourne, Victoria, 8001
9.2 We will notify you by sending a notice in the ordinary
post to the address you have given us in the DDR.
9.3 Any notice will be deemed to have been received two
(2) business days after it is posted.