6/27/2018 Online Giro Form

APPLICATION FORM FOR INTERBANK GIRO SS-01UG

Please print and return this form to One stop @ SAC, Nanyang Technological University, NS3-01-03 North Academic
Complex, 50 Nanyang Avenue Singapore 639798
PART 1 : FOR APPLICANT'S COMPLETION
(Please fill in all the fields. Incomplete forms may not be processed)

Date : Name of Billing Organisation("BO")

27-JUN-2018 NANYANG TECHNOLOGICAL UNIVERSITY
To: My / Our Bank ("Bank") Student's Name:
DBS BANK LTD DING ZHENG YANG

Student's NRIC / Passport No (For Foreigner) Student's Matric No

S9601173C U1821807B
(a) I/We hereby instruct the bank to process the BO's instructions to debit my / our account.
(b) The Bank is entitled to reject the BO's debit instruction if my / our account does not have sufficient funds and
charge me / us a fee for this. The Bank may also at its 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:
(i) the Bank's written termination notice sent to my / our address last known to the Bank;
(ii) upon the Bank's receipt of my / our written revocation; or
(iii) upon the Bank's receipt of the notice of expiry from the BO
Name of Bank Account holder(s): My / Our Contact (Tel/Fax) Number(s):
DING HONG BENG 92243288

Bank Account Number: Signature(s)/Thumbprint(s):

0250037243
For thumbprint(s), please go to the respective Bank
branch with your identification document(s)
Amendments made on the form must be countersigned by the bank account holder. Use of correction fluid / tape is not allowed

PART 2 : FOR BILLING ORGANISATION'S COMPLETION

SWIFT BIC NTU's Account No. Student's NRIC / Passport No.
OCBCSGSGXXX 537010027001 S9601173C

SWIFT BIC Account No. To Be Debited

DBSSSGSGXXX 0250037243

PART 3: FOR FINANCIAL INSTITUTION'S COMPLETION

To : NANYANG TECHNOLOGICAL UNIVERSITY
NTU Shared Services Finance (Accounts Receivable)

This application is hereby REJECTED (please tick) for the following reason(s) :

Signature/Thumbprint# differs from Financial Institution's records Wrong Account Number

Signature/Thumbprint# incomplete/unclear# Amendments not countersigned by customer
Account operated by Signature/Thumbprint# Others : ________________________________

___________________________________ ___________________________________ ___________________________________

Name of Approving Officer Authorised Signature Date
# Please delete where inapplicable

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FAQ on GIRO Payment

GIRO is a convenient, cashless mode of payment. To help you better understand the GIRO payment method,
here are some answers to the most frequently raised questions on GIRO:

Question: How do I get started?

Print out the completed online GIRO form and obtain Signatures/Thumbprints.
Return the original form to the below address:
One Stop @ SAC,
Nanyang Technological University,
NS3-01-03 North Academic Complex,
50 Nanyang Avenue Singapore 639798

Question: How long do I need to wait before my GIRO arrangement is effective?

Processing of the GIRO applications generally takes 6 to 8 weeks. We will inform you within 8 weeks
from your date of submission if your GIRO application has been rejected.

Once the GIRO arrangement is effective, the following will appear in your Student E-Bill.
- Statement "Payment to be deducted through GIRO on DD/MM/YY"
- Amount of deduction
- GIRO Bank account

In the meantime, continue to pay all your bills by other cashless modes of payment (NETS, cash card, EZ-Link,
cheque, bank draft, cashier's order and credit card) at One-Stop @ SAC until your GIRO arrangement is effective.

Question: When will the GIRO deduction be made?

Your GIRO arrangement is only effective when the statement "Payment to be deducted through GIRO"
appears on your student E-bill. The GIRO deduction date will be advised in the E-Bill.

Question: Can I scan or email a copy of the GIRO form to One Stop @ SAC?

No. The Banks require the original hardcopy application for processing. Photocopies of the GIRO form
or E-signatures are not accepted by the banks.

Question: What happens if there are insufficient funds in my bank account?

A late fee of $25 will be levied by NTU if the GIRO collection fails. We will send you an email notification
to inform you of the failure and a subsequent collection date (if any).

Please note that some banks do charge a service fee for unsuccessful GIRO deductions due to
insufficient funds. Kindly ensure there are sufficient funds in your bank account by due date.

Question: What happens to my GIRO arrangements that are no longer used?

You should review all your GIRO arrangements periodically and terminate those arrangements that are no
longer required with your bank.

Question: Can I terminate my GIRO arrangement?

For termination of GIRO arrangements, please download the "Termination of Interbank GIRO" form found
from NTU's website and submit the completed form to the following address:
One Stop @ SAC,
Nanyang Technological University,
NS3-01-03 North Academic Complex,
50 Nanyang Avenue Singapore 639798

Question: Do I still have to submit the GIRO application again if I have already submitted it for my studies
previously?
Yes, this GIRO application is strictly for deduction of tuition, compulsory miscellaneous and/or hostel fees related to your
Undergraduate studies in NTU. Any disbursement of scholarship and bursary will be credited directly into your bank account as
well.

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