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    Enets Giro Form

    Uploaded by

    Klinton

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Enets Giro Form

    Uploaded by

    Klinton
    10 views1 page

    Original Title

    ENETS_GIRO_FORM

    Copyright

    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    10 views1 page

    Enets Giro Form

    Uploaded by

    Klinton

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    APPLICATION FORM FOR INTERBANK GIRO

    351 Braddell Road #01-03 Singapore 579713


    Tel: 62741212 • Email: info@nets.com.sg • Website: www.nets.com.sg

    FOR APPLICANT’S COMPLETION

    Date: _____________/_____________/________________________ (DD/MM/YYYY)


    Name of Financial Institution: _________________________________________________________________________________________
    Billing Organisation (‘BO’): ENETS PTE LTD
    Branch: __________________________________ eNETS’ Customer’s Reference Number: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

    a) I/We hereby instruct you to process eNETS’ instructions to debit my/our account.
    b) You are entitled to reject eNETS’ 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 dedit even if this results in an overdraft on the account and impose charges accordingly.
    c) This autorisation 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 eNETS.
    d) By submitting this form and signing hereunder, I confirm that the personal data submitted is true and accurate and that I consent to the collection,
    use, disclosure and sharing of this data by eNETS for purpose reasonably required to process my application as set out in NETS’ Data Protection Policy.

    My/Our Company Name(s): ___________________________________________________________________________________________


    My/Our Bank Account No.: ___________________________________________________________________________________________
    My/Our Company Contact No.: __________________________ (Tel) __________________________ (Fax)
    My/Our Email Address: ___________________________________________________________________________________________

    My/Our Signature(s)/Thumbprint(s)* Company Stamp

    * Signature(s) & thumbprint(s) must be as per your bank’s record. For thumbprints, please go to the branch with your identification.

    Complete the form above and mail to:


    ENETS PTE LTD
    351 Braddell Road #01-03 Singapore 579713
    Attention : Finance Department ( GIRO )

    FOR OFFICIAL USE ONLY

    FOR eNETS COMPLETION

    SWIFT BIC: DBSSSGSG eNETS’ Bank Account No.: 0010736280 eNETS’ Customer Reference No.: ___________________________
    SWIFT BIC: _______________ Account No. To Be Debited: _______________

    FOR BANK COMPLETION

    To: eNETS, 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
    Account operated by Signature / Thumbprint^ by others: _____________________________________________

    Name of Approving Officer Authorized Signature Date

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