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					                       THE UNIVERSITY OF SHEFFIELD
                               External Payroll
         BANK AUTHORISATION FOR AN EXTERNAL EXAMINER FOR A TAUGHT
                           PROGRAMME OF STUDY

PLEASE USE BLOCK CAPITALS

Name of External Examiner                                        ……………………………………………………………………

Home address                                                     ……………………………………………………………………

                                                                 ……………………………………………………………………

                                                                 ……………………………………………………………………

Email address                                                    ……………………………………………………………………

National Insurance no.                                           …………………………

Date of Birth                                                    …………………………

I hereby request you to credit my fees and expenses to the under-mentioned bank account until further notice.

NAME OF ACCOUNT HOLDER                                           ……………………………………………………………………
NAME OF BANK                                                     ……………………………………………………………………
FULL ADDRESS OF BANK BRANCH                                      ……………………………………………………………………
                                                                 ……………………………………………………………………
                                                                 ……………………………………………………………………

BANK SORT CODE                                                   ………………….                         BANK ACCOUNT NO …………………

          ACCOUNT TYPE:

          Please indicate the type of account by ticking one of the boxes provided:

          Current Account                                       National Giro                                                         Savings Account                            
          Deposit Account                                       Building Society                                        (please give details below)

Where your fees and expenses are to be directed to a Building Society, please state the Society name, its bank account
number and roll number below, otherwise leave blank.

BUILDING SOCIETY NAME                           ..........................................................................................................................................
BUILDING SOCIETY BANK ACCOUNT NUMBER ...................................................................................... ...............
BUILDING SOCIETY ROLL NUMBER                                     ...................................................................................................................



Signature    ....................................................................      Date           .....................................................................


Notes:

1.        Any bank including National Giro may be nominated, with the exception of the Post Office Savings Bank.
2.        If any account has not already been opened, arrangements to do so should be made by you with the Bank, National Giro or
          Building Society nominated before returning this completed form.
3.        Any future change of bank account must be notified without delay, using a revised bank authorisation form.
4.        This form to be completed and sent to Rebecca Swift, Learning and Teaching Services, 205 Brook Hill, Sheffield, S3 7HG.
          Examiners@sheffield.ac.uk

AG/m:Tl_share/EEStandardDocuments/bank 2009-10

				
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