APPLICATION FORM FOR INTERBANK GIRO PART 1: FOR APPLICANT’S COMPLETION (fill in spaces indicated with ▪)Ʌ ▪Date: ▪Name of Student: ____________________________________________ ____________________________________________________ ▪Name of Bank: ▪Student’s NRIC/Passport/FIN no: ____________________________________________ ____________________________________________________ ▪Branch: ▪Student’s Matriculation Number: ___________________________________________ (a) I/We hereby instruct you to process the Singapore Institute of Technology (“SIT”)’s instructions to debit my/our account. (b) You are entitled to reject the SIT’s debit instruction if my/our account does not have sufficient funds and charge me/us a fee for this. You may also at your discretion allow the debit even if this results in an overdraft on the account and impose charges accordingly. (c) This authorisation will remain in force until terminated by your written notice sent to my/our address last known to you or upon receipt of my/our written revocation through the SIT. ▪ Bank Account Holder’s Name: ▪ Contact Number(s)–Tel/Fax: _________________________________________________ ▪ Bank Account Number: ___________________________________________________ ▪ Signature(s)/Thumbprint(s)*/Company Stamp: __________________________________________________ (as in bank’s records) PART 2: FOR SIT’S COMPLETION Bank Branch 7 1 7 1 0 0 3 Billing Organisation’s Account Number 0 0 3 9 1 0 5 6 1 4 Bank Account Number To Be Debited Branch Student’s Matriculation Number (Ref no): PART 3: FOR BANK’S COMPLETION To: Singapore Institute of Technology Finance Department 10 Dover Drive Singapore 138683 This Application is hereby REJECTED (please tick) for the following reason(s): Signature/Thumbprint# differs from Bank’s records Wrong account number Signature/Thumbprint# incomplete/unclear# Amendments not countersigned by customer/BO Account operated by signature/thumbprint# Other reason(s): __________________________________ __________________________________________________ ________________________________ Name of Approving Officer ________________________________ Authorised Signature _______________________________ Date # * For thumbprints, please go to the branch with your identification. Please delete where inapplicable Ʌ Amendments to Part 1 have to be countersigned by Applicant/Account Holder(s) GIRO is a convenient, cashless mode of payment. To help you better understand the GIRO payment method. Here are some answers to the most frequently raised questions on GIRO: How do I get started? Complete this GIRO application form, send the form with your signature duly signed , copy of your bank book or statement showing your full name & bank account number to us at: Singapore Institute of Technology Finance Department 10 Dover Drive Singapore 138683 Note: For account operated via thumbprint, please bring your NRIC/passport to your bank for the print to be taken and witnessed. If you are not sure whether the account operated using your thumbprint or signature, you may check your bank book or you may check directly with your respective bank. How long do I need to wait before my GIRO arrangement is effective? What happens if there are insufficient funds in my bank account? Please maintain sufficient funds in the GIRO account to meet the full payment. No partial deduction will be made for bank accounts with insufficient funds. Both SIT & the bank will impose charges if the deduction is unsuccessful. How can I get the bank & branch code? For other banks beside POSB & DBS, you can contact or go directly to your respective bank for the bank & branch code. If you go directly, please proceed to the information counter, you may need to provide them with your full name & nric no. If you are a POSB account holder, please input the ‘bank code’ as 7171 & the ‘branch code’ as 081 (regardless of any POSB branches). If you are a DBS account holder, please input the ‘bank code’ as 7171 & the ‘branch code’ is the first three digits of your account number, E.g. ‘004-3-040470 Can I stop GIRO payment on a particular bill? Continue paying by cash or cheque for all your fee advice until your GIRO arrangement is effected, which takes at most 30 working days. Can I arrange for another party to effect the GIRO arrangement through his/her bank account or pay for another party? Yes, you can by stating his/her name and address, and the customer/account/bill number on the GIRO form. Please obtain the signature/thumbprint of the person on the form if he/she is paying for you. When will the GIRO deduction be made? The GIRO deduction date will be stated on the fee advice or via email notification to the Student’s SIT Email Account. Yes, please contact Finance Office at 65928149 but you will need to give us at least 30 working days before the next deduction date. You should also inform your bank to stop GIRO payment if applicable. What happens to my GIRO arrangements that are no longer used? You should review all your GIRO arrangement periodically and terminate those arrangements that are no longer required with your bank. Please approach your bank and complete the necessary termination forms. Note: For students who are paying their tuition fees through the CPF Education Scheme or Tuition Fee Loan Scheme, other fees not covered by the schemes will be deducted through the GIRO account.
© Copyright 2017 AnyForm