S-13138-POSB Recurring Form

0.3%
Cash Rebate
Charge your recurring bills to your
POSB Everyday Card and never lose
track of your bills again. Enjoy peace
of mind while earning Daily$ rebates
on the payment of your everyday bills.
PRUDENTIAL
Neighbours first, bankers second since 1877
1. Name of Policy Owner:
NRIC/Passport:
POSB Everyday Card
Benefits at a glance:
Relationship:
2. Name of Policy Owner:
Relationship:
3. Name of Policy Owner:
NRIC/Passport:
Relationship:
Prudential Policy No.:
I hereby authorise Prudential to charge the
premium(s) of the above policy(s) to my POSB
Everyday Card.
DBS Bank Ltd
Prudential Policy No.:
Earn cash rebates on
your everyday bills
✓
✓
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BUSINESS REPLY SERVICE
PERMIT NO. 05866
NRIC/Passport:
TECHNOLOGY & OPERATIONS – CHEQUE & GIRO
2 CHANGI BUSINESS PARK CRESCENT
#07-05 DBS ASIA HUB
SINGAPORE 486029
Prudential Policy No.:
1.
2.
3.
4.
5.
6.
7.
1. You can apply for Regular Premium Payment* (”RPP”) and charge the premium(s) of
the policy(s) belonging to you and your Family Members^^ to your POSB Everyday
Card.
8.
2. Upon the approval of your application, the premium(s) will be charged to your POSB
Everyday Card on the due date of the premium(s) and your POSB Everyday Card
statement will show the proposal/policy number(s) and the amount deducted. No
renewal premium notices or official receipts will be issued. The relevant entries in
your POSB Everyday Card statement will be recognised as evidence of your payments.
9.
Postage will be
paid by
addressee.
For posting in
Singapore only.
L5CCRN
POSB Biz Reg. No.: 52880148A Jul 2016
10.
3. If you are not the owner of a policy, you shall have no right under the Contracts
(Rights of Third Parties) Act, Cap 53B, to enforce any of the Terms and Conditions of
such policy. This is regardless of whether or not you have made premium payments
on the policy.
^^ Family members: Spouse, children, parents, parents-in-law, brothers and sisters.
One payment for all your bills
No more long queues
Be on time for your bill payment
POSB Recurring Bill Payment Terms and Conditions:
This section is applicable to customers applying for eligible Prudential products and third
party Family Member payors.
* Terms and Conditions of Regular Premium Payment (”RPP”) apply. You may obtain a
copy of these Terms and Conditions from Prudential by calling the Customer Service
Hotline at 1800 333 0333. The following policies are not eligible under this (”RPP”):
Prushield policies, US Dollar policies, single premium policies, recurring single
premium policies, top-up premiums and policies purchased under CPF Investment
Scheme and Supplementary Retirement Scheme.
Earn up to 1% Cash Rebate
11.
12.
13.
14.
15.
You warrant that the information you have provided is true and correct.
Your POSB Credit Card (“Card”) must be in good standing, valid for at least 3
months from the date of this application and remain valid for the monthly bills to be
debited successfully.
The processing of this application may take up to 8 weeks.
You should continue to pay your bill(s) to the relevant billing organisation(s) until the
payment amount shown on the invoice/bill issued by the billing organisation(s) is
reflected on your monthly Card statement.
The Bank may inform you on the status of your application if the Bank is
correspondingly notified by the billing organisation(s), but the Bank is not liable for any
failure to notify you of the status.
All applications are subject to approval from the Bank and relevant billing
organisation(s), and the Bank and/or relevant billing organisation(s) reserves the right
to reject/decline any application at its sole discretion without giving any reason.
Should you cancel or lose your Card, please make alternative payments arrangements
to the relevant billing organisation(s).
In the event of any change in your Card number or change in Card expiry date for
either the main card or supplementary card used for the recurring payment(s), you
must notify the relevant billing organisation(s) of the same and the Bank is not obliged
to notify on your behalf.
Should there be any changes in your personal details provided in this application, you
must update the relevant billing organisation(s).
If your existing account(s) with the billing organisation(s) is/are paid by GIRO, the GIRO
payment arrangement(s) will be terminated.
You must contact the relevant billing organisation(s) to make alternative payment
arrangement(s) should you wish to terminate this payment arrangement and the Bank
is not obliged to contact the relevant billing organisation(s) on your behalf.
If any payment charged to your Card is unsuccessful for any reason whatsoever, you will
be responsible for arranging payment to that billing organisation(s) by other means.
All correspondence between the Bank and you regarding your application will be sent
to your last known address on the Bank’s records.
The Bank will not be liable for any loss, expenses, delays, mistakes, neglect or omission
in the transmission of payment under this bill recurring payment facility or for any
unsuccessful payment.
The Bank reserves the right to amend these Terms and Conditions without giving any
reasons.
POSB EVERYDAY CARD RECURRING BILL
PAYMENT APPLICATION FORM
0.3% M1 LIMITED
Cash Rebate
Use of correction fluid is not allowed. Kindly counter-sign against any
amendment made.
Yes, I would like to pay my bills with my POSB
Everyday Card.
M1 Bill Account No.(s):
Name:
I hereby authorise M1 to charge my monthly M1 bills
for the above-stated Account No.(s) to my POSB
Everyday Card.
NRIC/Passport No.:
6
Mobile Tel No.:
0.3%
POSB Everyday Card No.:
Cash Rebate#
Card Expiry Date:
Cash Rebate
Please indicate your choice of Town Council(s) by ticking (
any of the boxes below.
MSIG
1. Name of Policy Owner:
Policy No.:
2. Name of Policy Owner:
Policy No.:
3. Name of Policy Owner:
Signature of Applicant
Ang Mo Kio Town Council
–
Reference No.:
Bishan-Toa Payoh Town Council
–
Reference No.:
–
–
–
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Holland-Bukit Panjang Town Council
–
–
Reference No.:
–
(MMYYYY)
By signing this form, I certify that I have read and agree to the Terms and Conditions
stated herein and hereby authorise and give my consent to the respective billing
organisation(s) to charge the bills/fees/charges/premiums to my POSB Everyday
Card. The approval of this authorisation will supercede existing payment instructions
with the respective billing organisations listed on this form. My account name with
the relevant billing organisations is the same as the name shown on my POSB Bank
Everyday Card statement, unless otherwise specified. POSB will not notify me
separately with regard to the status of this application.
1%
Cash Rebate
0.3%
TOWN COUNCILS
Aljunied-Hougang-Punggol East Town Council
–
–
–
Reference No.:
Mailing Address:
Home Tel No.:
0.3%
Date
SP SERVICES
Cash Rebate#
Utility Account No.(s):
I hereby authorise SP Services to charge my monthly
SP Services bills for the above-stated Account No.(s)
to my POSB Everyday Card.
Important note: This authorisation will remain in full force until terminated in
writing by me to SP Services or the account with SP Services is closed whichever is
earlier. I understand that this is applicable only to accounts under the name of Main
or Supplementary Cardholder.
Policy No.:
I hereby authorise MSIG to charge the premium(s) of
the above policy(s) to my POSB Everyday Card.
This Facility is available to customers applying for/who currently have MSIG Insurance
(Singapore) Pte Ltd Products purchased through DBS Bank.
1. You can charge the recurring premium(s) of the policy(s) belonging to you to your POSB
Everyday Card.
2. Upon the approval of your application, the premium(s) willl be charged to your POSB
Everyday Card on the due date of the premium(s) and your POSB Everyday Card
statement will show the proposal/policy number(s) and the amount deducted. No
renewal premium notices or official receipts will be issued. The relevant entries in your
POSB Everyday Card statement will be recognised as evidence of your payments.
3. If you are not the owner of a policy, you shall have no right under the Contracts (Rights
of Third Parties) Act, Cap 53B, to enforce any of the Terms and Conditions of such policy.
This is regardless of whether or not you have made premium payments on the policy.
Cash rebate will be awarded on a maximum spend of S$100 per card account, per calendar
month, per respective billing organisation.
#
Jalan Besar Town Council
–
Reference No.:
–
–
Marine Parade Town Council
–
Reference No.:
–
–
Nee Soon Town Council
–
Reference No.:
–
–
Pasir Ris-Punggol Town Council
–
Reference No.:
)
Do your bit for our children by pledging a donation
through the Community Chest and earn 0.3% cash rebate.
How Your Donation Helps
S$10 allows one special education student with multiple disabilities to receive
therapy for a week, such that the student can feed and dress himself or herself.
S$30 allows one child below 6 years old with learning disabilities to undergo
early intervention training for a week to help him or her walk and climb.
I pledge (please tick):
Donation amount:
S$10
Frequency:
Monthly
S$30
One-time
Other: S$
I hereby authorise Community Chest to charge my
donation to my POSB Everyday Card. I understand that
my details may be submitted to Community Chest to
facilitate the relevant tax deduction for my donation.
Important note: If a donation is authorised with incomplete information, the
default pledge amount to Community Chest will be S$10 on a monthly basis
payable with your POSB Everyday Card.
1% STARHUB LTD
Cash Rebate#
StarHub Ltd Account No.(s):
•
•
–
–
Sembawang Town Council
–
Reference No.:
–
–
Tampines Town Council
–
Reference No.:
–
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Tanjong Pagar Town Council
–
Reference No.:
–
–
•
I hereby authorise StarHub Ltd to charge my monthly
StarHub Ltd bills for the above-stated Account No.(s)
to my POSB Everyday Card. This arrangement will
supercede the existing payment arrangement that I
have made with StarHub Ltd. I agree to StarHub Ltd
collecting, using and disclosing my personal data for
the purposes of processing this recurring payment
arrangement, payments and refunds.
Important note: Please complete and attach your original StarHub Ltd Payment
Slip (at the bottom of StarHub Ltd bill), sign and mail it with this application form.
Cash rebate will be awarded on a maximum spend of S$100 per card account, per calendar
month, per respective billing organisation.
#
West Coast Town Council
–
Reference No.:
COMMUNITY
CHEST
–
–
I hereby authorise the above selected Town Council(s) to
charge my monthly Service and Conservancy Charges
(S&CC) to my POSB Everyday Card.