"Refund to the Cda - One-Time Direct Debit Authorisation (Dda)" - Singapore

This fillable "Refund to the Cda - One-Time Direct Debit Authorisation (Dda)" is a document issued by the Singapore Ministry of Social and Family Development specifically for Singapore residents.

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Refund to the CDA
One-Time Direct Debit Authorisation (DDA)
Date:
Services Processing Officer
Ministry of Social and Family Development
Family Development Group (Baby Bonus & Leave Branch)
Family@Enabling Village
20 Lengkok Bahru, #04-02
Singapore 159053
Dear Sir/Mdm
One-Time Set Up of DDA for Refund to Child Development Account (CDA).
1. We enclose the DDA form for your processing.
2. For clarification, please contact me at __________________________.
___________________________
Name:
Name of Approved Institution:
FOR MSF’S USE
Date sent to DBS:
DDA Arrangement with MSF Date :
Processed by and date:
Refund to the CDA
One-Time Direct Debit Authorisation (DDA)
Date:
Services Processing Officer
Ministry of Social and Family Development
Family Development Group (Baby Bonus & Leave Branch)
Family@Enabling Village
20 Lengkok Bahru, #04-02
Singapore 159053
Dear Sir/Mdm
One-Time Set Up of DDA for Refund to Child Development Account (CDA).
1. We enclose the DDA form for your processing.
2. For clarification, please contact me at __________________________.
___________________________
Name:
Name of Approved Institution:
FOR MSF’S USE
Date sent to DBS:
DDA Arrangement with MSF Date :
Processed by and date:
APPLICATION FORM FOR INTERBANK GIRO
PART 1: FOR APPLICANT’S COMPLETION (fill in the spaces indicated with
)
Name of Billing Organisation (“BO”):
Date:
____________________________________________
MINISTRY OF SOCIAL AND FAMILY DEVELOPMENT
Billing Organisation’s Customer’s Name:
To: Name of Bank:
____________________________________________
MSF-CHILD DEV CO-SAVINGS SCHEME
Billing Organisation’s Customer’s Reference Number (AI
Branch:
Institution Code):
____________________________________________
____________________________________________________
(a) I/We hereby instruct you to process the BO’s instructions to debit my/our account.
(b) You are 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. You may also at your 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 terminated by your written notice sent to my/our address last known to you or upon
receipt of my/our written revocation through the BO.
(d) It is the BO’s responsibility to inform banks upon the expiry of this authorisation and to ensure no deductions are made thereafter.
My/Our Name(s) as in Bank’s record
My/Our Contact (Tel/Fax) Number(s):
_________________________________________________
___________________________________________________
My/Our Account Number:
My/Our Company Stamp/Signature(s)/Thumbprint(s)*:
_________________________________________________
___________________________________________________
(as in bank’s records)
PART 2: FOR BILLING ORGANISATION’S COMPLETION
Billing Organisation’s Account Number
Billing Organisation’s Reference Number
Bank
Branch
7 1 7 1 0
0
3
0
0
3
9
2
7
6
4
9
4
Bank
Branch
Account Number To Be Debited
PART 3: FOR BANK’S COMPLETION
To: Billing Organisation
This Application is hereby REJECTED (please tick) for the following reason(s):
differs from Bank’s records
#
Signature/Thumbprint
Wrong account number
#
#
Signature/Thumbprint
incomplete/unclear
Amendments not countersigned by customer/BO
#
Account operated by signature/thumbprint
Other reason(s): __________________________________
__________________________________________________
________________________________
________________________________
_______________________________
Name of Approving Officer
Authorised Signature
Date
#
* For thumbprints, please go to the branch with your identification.
Please delete where inapplicable
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