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Direct Debit Form

The document is a direct debit form for a university that allows students to pay tuition and accommodation fees directly from their bank account. It includes fields for student and bank account details and confirms the direct debit guarantee.

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C D S
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© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
31 views

Direct Debit Form

The document is a direct debit form for a university that allows students to pay tuition and accommodation fees directly from their bank account. It includes fields for student and bank account details and confirms the direct debit guarantee.

Uploaded by

C D S
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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DIRECT DEBIT FORM

Instructions to your Bank or Building


Society to pay by Direct Debit
Please fill in the whole form using a ball point pen and send it to:-

Finance Division Originator’s Identification Number


The Registry 6 2 8 9 9 4
University of East Anglia
Norwich
Norfolk Students Registration Number

NR4 7TJ United Kingdom

Name and full postal address of your Bank or Building Society


To: The Manager Bank/Building Society Please delete whichever is not applicable:

Address: This Direct Debit is for payment of Tuition Fees

This Direct Debit is for payment of Accommodation Charges

Postcode: Instruction to your Bank or Building Society

Please pay the University of East Anglia Direct Debits from the
account detailed in this Instruction, subject to the safeguards
Name(s) of Account Holder(s)
assured by the Direct Debit Guarantee. I understand that this
Instruction may remain with the University of East Anglia and, if
so, details will be passed electronically to my Bank/Building
Society.

Bank/Building Society account number

Signature(s)

Branch Sort Code


Date:

Banks or Building Societies may not accept Direct Debit Instructions for some types of account.

This guarantee should be detached and retained by the Payer. DIRECT


Debit
The Direct Debit Guarantee

• This Guarantee is offered by all Banks and Building Societies that accept instructions to pay Direct Debits.

• If there are any changes to the amount, date or frequency of your Direct Debit the University of East Anglia will notify you five
working days in advance of your account being debited or as otherwise agreed. If you request the University of East Anglia to
collect a payment, confirmation of the amount and date will be given to you at the time of the request.

• If an error is made in the payment of your Direct Debit, by the University of East Anglia or your Bank or Building Society, you are
entitled to a full and immediate refund of the amount paid from your bank or building society.
- If you receive a refund you are not entitled to, you must pay it back when the University of East Anglia asks you to.

• You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be
required. Please also notify us.

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