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Preauthorized Debit Form
"I need a Preauthorized Debit Form for my Singapore-based telecommunications company to collect monthly subscription fees from customers, with variable payment amounts up to SGD 300 and the ability to adjust rates with 30 days notice."
1. Account Holder Information: Personal/company details of the account holder authorizing the debit, including name, ID/registration number, contact details and address
2. Bank Account Details: Complete banking information for the account to be debited, including bank name, branch, account number and account type
3. Payment Details: Specification of payment amount, frequency, and duration of the authorization
4. Authorization Declaration: Explicit consent statement for the debit arrangement and acknowledgment of terms
5. Data Protection Notice: PDPA-compliant statement about data collection, usage, and processing of personal information
1. Variable Payment Instructions: Additional section used when payment amounts may vary, specifying maximum debit limits and variation terms
2. Multiple Account Authorization: Optional section when debits may be made from multiple accounts, including details for each account
3. Joint Account Declaration: Additional declaration required when the account has multiple signatories, including all signatories' details
1. Payment Schedule: Detailed breakdown of payment dates and amounts if fixed, including commencement date and end date if applicable
2. Terms and Conditions: Detailed terms governing the direct debit arrangement, including rights and obligations of all parties
3. Cancellation Form: Template form for future cancellation of the direct debit authorization, including notice period requirements
Authors
Account Holder
Authorization
Bank
Banking Day
Billing Organization
Business Day
Cancellation Notice
Debit Date
Direct Debit
GIRO
Instruction
Maximum Debit Amount
Payment
Payment Date
Personal Data
Processing Bank
Receiving Bank
Reference Number
Schedule of Payments
Standing Instruction
Transaction
Variable Amount
Bank Account Details
Payment Terms
Cancellation Rights
Data Protection
Liability
Amendment
Notice Requirements
Force Majeure
Dispute Resolution
Governing Law
Verification
Account Holder Declaration
Processing Terms
Error Resolution
Fee Schedule
Refund Rights
Transaction Limits
Electronic Authorization
Third Party Rights
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