Legal forms

Browse over 85,000 state-specific fillable forms for all your business and personal needs. Customize legal forms using advanced airSlate SignNow tools.

Form preview Starhub authorization letter f... For bank account holders please refer to the bank for GIRO termination. Kindly note that termination is only in effect when the message in note 5 above is not stated on your bill. Finance Department 67 Ubi Avenue 1 05-01 StarHub Green Singapore 408942 A consenting third party may pay for your StarHub bill. Please fill in your name address NRIC/FIN number/BRN and StarHub payment code in Part 1 of the GIRO application form. The third party is to fill in his/her name bank account number contact number and sign on Part 2 of the GIRO application form. In the event that the StarHub bill is paid by a consenting third party StarHub shall take written instructions from the StarHub Customer as stated overleaf only in respect of all matters pertaining to the StarHub Account as stated overleaf including but not limited to the payment instructions and services subscribed to. Please glue and seal here TO CHECK APPLICATION STATUS SEND NRIC GIRO STARHUB ACCOUNT NO TO 2455 VIA SMS* WE WILL REPLY VIA SMS* PLEASE TICK NEW APPLICATION CHANGE OF BANK ACCOUNT PART 1 PARTICULARS OF APPLICANT Date Name of Billing Organisation To Name of Bank STARHUB LTD Branch StarHub Customer Name StarHub Account Number StarHub Payment Code This can be found on the top right corner of the Bill a I/We hereby instruct you to process StarHub Ltd s instruction to debit my/our account. b You are entitled to reject StarHub Ltd 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 StarHub Ltd. d Amendments made on the form must be countersigned by the bank account holder. e This application will supersede existing payment arrangement of this account with StarHub Ltd. f I agree to StarHub Ltd collecting using and disclosing my personal data for the purposes of processing this recurring payment arrangement payments and refunds. My/Our Name s as in Bank Account My/Our Contact Number s My/Our Bank Account Number PLEASE REMEMBER TO SIGN HERE Company Stamp/Signature s /Thumbprints As in Financial Institution s Records For thumbprints please go to your respective bank branches with your identification* PART 3 TO BE COMPLETED BY BILLING ORGANISATION Bank StarHub Bank A/C No* Bank A/C No* To Be Debited To StarHub Ltd c/o DBS Bank Ltd Accounts Services 750E Chai Chee Road 04-01 Technopark Chai Chee Singapore 469005 Signature/Thumbprint differs from bank s records Wrong account number Amendments not countersigned by customer 1166/10/09 Account operated by signature/thumbprint Name of Approval Officer Please delete where appropriate Others Authorised Signature APPLICATION FOR INTERBANK GIRO NOTES ON GIRO Please fill up all the information in Part 1 of the GIRO application* This is to avoid any delay when we process your application form* If you wish to use different GIRO accounts to pay for the different services that are currently billed in one account please contact our billing hotline at 1637 from 8.
be ready to get more

Get legally binding signatures now!