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1. Account Holder Information: Details of the account holder including full name, address, contact information, and valid ID information as required by BSP regulations
2. Bank Account Details: Complete bank account information including account number, account type, branch details, and bank name
3. Merchant/Biller Information: Details of the company/entity being authorized to debit the account
4. Authorization Declaration: Clear statement of authorization for direct debit, including the purpose and nature of the debits
5. Debit Parameters: Specification of authorized debit amounts (fixed or variable), frequency, and duration of the authorization
6. Terms and Conditions: Standard terms governing the direct debit arrangement, including processing timeframes and failed transaction procedures
7. Cancellation Rights: Information about how and when the account holder can cancel the authorization
8. Signatures and Date: Space for account holder signature(s) and dating of the document
1. Joint Account Declaration: Required when the bank account is a joint account, including additional signature requirements
2. Variable Amount Authorization: Required when the debit amount may vary, including maximum amount limits and notification requirements
3. Multiple Account Authorization: Used when authorizing debits from multiple accounts, including priority order if applicable
4. Special Instructions: Section for any specific requirements or conditions for the direct debit processing
1. Schedule A - Fee Schedule: Details of any fees associated with the direct debit arrangement, if applicable
2. Schedule B - Supporting Documents: List of required supporting documents submitted with the authorization form
3. Appendix 1 - Valid ID Requirements: List of acceptable identification documents as per BSP regulations
4. Appendix 2 - Bank Branch Directory: List of relevant bank branches and contact information for queries or concerns
Banking and Financial Services
Insurance
Utilities
Telecommunications
Real Estate and Property Management
Education
Healthcare
Retail and E-commerce
Subscription Services
Professional Services
Legal
Compliance
Operations
Customer Service
Finance
Treasury
Risk Management
Collections
Account Management
Payment Processing
Documentation
Retail Banking
Corporate Banking
Banking Operations Manager
Compliance Officer
Financial Services Manager
Account Manager
Treasury Manager
Payment Solutions Specialist
Customer Service Manager
Legal Counsel
Risk Management Officer
Operations Director
Finance Manager
Collections Manager
Billing Coordinator
Corporate Banking Officer
Retail Banking Manager
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