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Payment Authorization Form
Note: The issuance of this form is to facilitate Payment for the amount due to you (if any) in respect of Commission / Claim(s) / Premium Refund / Invoice(s) or any other
payment(s),
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How to fill out e-payment authorisation form
How to fill out e-payment authorisation form
01
Obtain the e-payment authorization form from the relevant financial institution or online platform.
02
Fill in your personal details such as name, contact information, and account number.
03
Provide the details of the recipient such as their name, bank account number, and purpose of payment.
04
Specify the amount to be transferred and the currency.
05
Sign and date the form to confirm your agreement to the transaction.
06
Submit the completed form to the financial institution for processing.
Who needs e-payment authorisation form?
01
Individuals or businesses who wish to make electronic payments to another party.
02
Employers who want to set up direct deposit for their employees.
03
Service providers who offer online payment options to their customers.
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What is e-payment authorisation form?
The e-payment authorisation form is a document used to authorize electronic payments to be processed from a payer's account to a payee's account.
Who is required to file e-payment authorisation form?
Individuals or businesses that wish to make electronic payments or set up recurring payments may be required to file an e-payment authorisation form.
How to fill out e-payment authorisation form?
To fill out the e-payment authorisation form, provide necessary information such as the payer's name, account details, amount to be paid, and authorization signature.
What is the purpose of e-payment authorisation form?
The purpose of the e-payment authorisation form is to ensure that the payer gives consent for the transaction and to establish a legal record of agreement for electronic payments.
What information must be reported on e-payment authorisation form?
The information that must be reported includes payer's name, payer's bank account number, payee's details, payment amount, and date of authorization.
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