BANK DETAILS FORM

IF YOU ARE A NEW FIELD RESEARCHER OR AN EXISTING FIELD RESEARCHER WANTING TO AMEND YOUR BANK DETAILS PLEASE COMPLETE THIS FORM AND EMAIL TO EOLAS Please complete Box A, B or C depending on what country your bank account is held in. Please do not leave a row blank as we may not be able to pay you without the required data.

BOX A Bank Account in Ireland

BOX A Account Name Account Number Bank Branch Sort Code Bank Name Bank Address Example Mr Paddy Flynn 234565789 02369 Allied Irish Bank 20 Main Street, Cork, Ireland Your Data

BOX B Bank Account in Andorra, Austria, Belgium, Bosnia and Herzegovina, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Faeroe Islands, Finland, France, Germany, Gibraltar, Greece, Greenland, Hungary, Iceland, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Macedonia, Malta, Mauritius, Monaco, Netherlands, Norway, Poland, Portugal, Romania, Serbia and Montenegro, Slovak Republic, Slovenia, Spain, Sweden, Switzerland, Tunisia, Turkey, United Kingdom
BOX B Account Name IBAN Bank Swift/BIC Code Example Mr Joe Black See next page for e.g. Mix of letters and numbers. Total of 8 or 11 characters. e.g. GHYDGB21784 or GHYDGB21 Bank of Scotland 22 High Street, Glasgow, UK Example Mr David Joseph 536248, if possible 41230989565 Mix of letters and numbers. Total of 8 or 11 characters. e.g. FNYDNG68635 or FNYDNG68 If possible If possible First Bank of USA High Road, LA Dollars Your Data

Bank Name Bank Address

BOX C Bank Account based in North America

BOX C Account Name Account Number ABA Routing number Bank Swift/BIC Code Your Data

Transit number Institution number Bank Name Bank Address Routing Currency

BOX D Bank Account based in a country not listed above.

BOX D Account Name Account Number Bank Branch Sort Code Bank Swift/BIC Code Example Mr David Joseph 536248 41230 Mix of letters and numbers. Total of 8 or 11 characters. e.g. FNYDNG68635 or FNYDNG68 First Bank of Nigeria High Road, Lagos, Nigeria Mix of letters and numbers. Total of 8 or 11 characters. e.g. GHYDGB21784 or GHYDGB21 Dollars Your Data

Bank Name Bank Address Routing Bank Swift/BIC Code

Routing Currency

IBAN Examples Country Andorra Austria Belgium Bosnia and Herzegovina Bulgaria Croatia Cyprus Czech Republic Denmark Estonia Faeroe Islands Finland France Germany Gibraltar Greece Greenland Hungary Iceland Ireland Italy Latvia Liechtenstein Lithuania Luxembourg Macedonia Malta Mauritius Monaco Netherlands Norway Poland Portugal Romania Serbia and Montenegro Slovak Republic Slovenia Spain Sweden Switzerland Tunisia Turkey United Kingdom

Length 24 20 16 20 22 21 28 24 18 20 18 18 27 22 23 27 18 28 26 22 27 21 21 20 20 19 31 30 27 18 15 28 25 24 22 24 19 24 24 21 24 26 22

Examples AD12 00012030200359100100 AT611904300235473201 BE68539007547034 BA391290079401028494 BG80BNBG96611020345678 HR1210010051863000160 CY17002001280000001200527600 CZ6508000000192000145399 DK5000400440116243 EE382200221020145685 FO1464600009692713 FI2112345600000785 FR1420041010050500013M02606 DE89370400440532013000 GI75NWBK000000007099453 GR1601101250000000012300695 GL8964710001000206 HU42117730161111101800000000 IS140159260076545510730339 IE29AIBK93115212345678 IT60X0542811101000000123456 LV80BANK0000435195001 LI21088100002324013AA LT121000011101001000 LU280019400644750000 MK07300000000042425 MT84MALT011000012345MTCLAST001S MU17 BOMM 0101 1010 3030 0200 000M UR MC5813488000010051108001292 NL91ABNA0417164300 NO9386011117947 PL27114020040000300201355387 PT50000201231234567890154 RO49AAAA1B31007593840000 CS73260005601001611379 SK3112000000198742637541 SI56191000000123438 ES9121000418450200051332 SE3550000000054910000003 CH9300762011623852957 TN5914207207100707129648 TR330006100519786457841326 GB29NWBK60161331926819