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Direct Debit Authorization Form
"I need a Direct Debit Authorization Form for my telecommunications company in Saudi Arabia that will allow monthly variable payments from customers, with a maximum cap of 5000 SAR per transaction, and must include both English and Arabic versions."
1. Customer Information: Essential details including full name (as per ID), ID number, contact information, and address
2. Bank Account Details: Customer's bank account information including IBAN, account number, and bank name
3. Biller Information: Details of the organization/company authorized to collect payments
4. Payment Details: Specifics about the payment arrangement including maximum amount, frequency, and start date
5. Authorization Declaration: Formal statement authorizing the direct debit arrangement
6. Terms and Conditions: Standard terms governing the direct debit arrangement including cancellation rights and dispute procedures
7. Signature Block: Space for customer signature, date, and any required witness signatures
1. Secondary Account Holder Details: Required when the account has joint holders who need to authorize the direct debit
2. Variable Amount Declaration: Required when the direct debit amount may vary from month to month
3. Special Instructions: Used when customer needs to specify any special conditions or requirements for the direct debit
4. Corporate Authorization: Required when the account holder is a company rather than an individual, including authorized signatories
5. Sharia Compliance Declaration: Optional section confirming the arrangement complies with Islamic banking principles
1. Schedule A - Fee Structure: Detailed breakdown of any applicable fees and charges
2. Schedule B - Payment Schedule: Detailed timeline of payments if following a specific payment plan
3. Appendix 1 - Required Documents: List of supporting documents required to be submitted with the form
4. Appendix 2 - Cancellation Form: Standard form for cancelling the direct debit authorization
Authors
Account Holder
Authorization
Bank
Biller
Business Day
Cancellation Notice
Collection Date
Direct Debit
Direct Debit Instruction
Due Date
Effective Date
Electronic Transfer
Fees
IBAN
Identity Document
Maximum Amount
Merchant ID
Payment Date
Payment Schedule
Reference Number
SAMA
Service Provider
Settlement Date
Sharia Compliant
Signature
Standing Order
Term
Transaction
Variable Amount
Working Day
Payment Terms
Variable Amount Authorization
Cancellation Rights
Amendment Rights
Data Protection
Privacy
Dispute Resolution
Bank's Rights and Obligations
Customer's Rights and Obligations
Biller's Rights and Obligations
Force Majeure
Governing Law
Sharia Compliance
Indemnification
Fees and Charges
Notices
Term and Termination
Liability
Representations and Warranties
Banking & Financial Services
Utilities
Telecommunications
Insurance
Real Estate & Property Management
Education
Healthcare
Retail
Subscription Services
Government Services
Operations
Customer Service
Compliance
Legal
Finance
Treasury
Collections
Risk Management
Account Management
Payment Processing
Banking Operations Manager
Compliance Officer
Account Manager
Financial Controller
Billing Coordinator
Customer Service Representative
Treasury Manager
Collections Specialist
Relationship Manager
Operations Supervisor
Legal Counsel
Finance Director
Accounts Receivable Manager
Payment Services Manager
Risk Assessment Officer
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