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2019 [v3] PAGE [1] of 2Ambledown is an Authorized Financial Services Provider, No. 10287Constantia Insurance Company Limited, an authorized FSP 31111GAP COVER SERIES CLAIM FORM Underwritten by Constancia

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How to fill out debit order authorisation declaration

01

Fill in your personal details such as name, address, contact number, and ID number.

02

Provide the details of your bank account including account number, branch code, and bank name.

03

Specify the amount to be deducted on a recurring basis and the frequency of the payments.

04

Sign and date the debit order authorisation declaration form.

Who needs debit order authorisation declaration?

01

Individuals or businesses who wish to make regular payments to a service provider or supplier.

02

Organizations collecting membership fees or subscriptions from members.

03

Utility companies collecting monthly payments from customers.

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What is debit order authorisation declaration?

Debit order authorisation declaration is a document that gives permission to a third party to debit funds from a bank account.

Who is required to file debit order authorisation declaration?

Any individual or company that wishes to set up a debit order arrangement with a customer.

How to fill out debit order authorisation declaration?

The declaration should include the details of the bank account from which funds will be debited, the amount to be debited, the frequency of debits, and the contact information of the debiting party.

What is the purpose of debit order authorisation declaration?

The purpose is to formalize the agreement between the debiting party and the account holder, ensuring that the debit order arrangement is authorized and legitimate.

What information must be reported on debit order authorisation declaration?

The bank account details, debit amount, debit frequency, and contact information of the debiting party must be reported.

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