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PURCHASING CARD APPLICATION PROCESS.
PURCHASING CARD APPLICATION PROCESS. Before a University Purchasing card can be ordered, the intended Card Holder needs to complete the form on the following page. Steps Required: 1. Print and complete the National Australia Bank Application Form. Only complete fields marked with a (Required fields will also be shaded light yellow on screen). 2. Sign the National Australia Bank form in two (2) places where indicated. Seek approval signature from delegated officer (Band 4 or Higher). 3. Send completed form to Card Services: Scan and email to: Spendvisione3helpdesk@newcastle.edu.au OR Fax to: Card Services – 02 49215152 OR Internal Mail: Card Services, 1st Floor, The Chancellery, You will be contacted once the application has been received. The card will ordered and usually takes 5 working days to arrive. Card Services will be in touch once the card has been delivered to the University. Please bring along some photo Identification with you (Drivers Licence or Passport will suffice). By Signing the application form you are declaring you have read the University's Purchasing Card policy and agree to the below conditions of use. I agree to use the University Purchasing Card in accordance with the following conditions:- 1. I will read the purchasing card policy found at http://www.newcastle.edu.au/service/purchasing/creditcards.html 2. I will use the Purchasing Card solely to purchase goods and services for official University use and in accordance with the approved Policy and Procedures for use of Purchasing Cards. 3. I will ensure that the Purchasing Card will be kept in a safe place when not in use. 4. I understand that action may be taken against me of the amounts recovered if I misuse the card. 5. I will advise the Bank and the University immediately if the card is lost or stolen. 6. I will return the card to the University in the event of my resignation or termination of employment. 7. I will abide by the "Conditions of Use" issued by the Bank which apply to the University Visa Purchasing Card. National Australia Bank Limited ABN 12 004 044 937 Visa Purchasing - Cardholder Request Customer Details Company ID Account Company/Business Name Customer Number (CIS#) Billing Account 9133 4715 27 THE UNIVERSITY OF NEWCASTLE 797310344 4715 2798 0000 0505 Cardholder Details Surname (NM2L) Given Name (NM2 F) Mid Initial (NM2 M) Title (Mr / Ms etc) (NM2 S) * * * * System Administrators Name (ADR1) System Administrators Address (ADR2) City State Postcode (ADR 3) Attn: Brent Matthews Procurement – The Chancellery CALLAGHAN NSW 2308 Type Appr Own BSB Dom BSB Credit Limit PIN (Y/N) Staff Number Uni Id Y 082748 086992 * N * * Job Title Email * * Faculty / Division Phone Fax * * Cardholder Consent I, the person named above as Cardholder consent to the issue of a card of the card type selected above (“Card”) in my name for my use as Agent of the Customer named herein. I acknowledge that use of the Card issued will be governed by Conditions of Use which will accompany the Card (as the same may be amended from time to time) and by which I agree to be bound. Cardholder Signature (1 of 2) Date * School/Division Authorised officer - I authorise the issue of a “Corporate Card” to the person named above. signature Name (Print) Date Faculty PVC/Division Head - I authorise the issue of a “Corporate Card” to the staff member named above. PVC / Division Head signature Name (Print) Date * * Customer Authority The Customer hereby requests issue of a Card to the abovementioned Cardholder in terms of and pursuant to the Customer’s National Australia Bank Limited Card Facility Offer Letter and Terms and Conditions (“Card Facility”). The Cardholder’s signature is verified and Cardholder Request approved with the above credit limit. Signed for and on behalf of the Customer Authorised Signature/s Date Certificate of Identity under Regulation 5 Financial Transaction Reports Act 1998 (“FTR Act”) I declare that I am an authorised Verifying Officer for the Customer referred to above in relation to the Card Facility. In accordance with the FTR Act I certify that the Cardholder whose details are completed above is authorised by the above Customer to be a signatory to the Card Facility. Verifying Officer’s Signature Date Verifying Officers Public Authorities and Incorporated Bodies as defined under the FTR Act (these include incorporated associations and Cardholder Signature (2 of 2) Date proprietary companies that have traded for a continuous period * of two years, or maintained an account with a financial institution for a continuous period of two years) may nominate Cardholder Acknowledgment (on receipt of Card & conditions of use) a Verifying Officer under the FTR Act. I hereby acknowledge receipt of my: Card and copy of “Conditions of Use” Business Banker use PIN Request signed in terms of customer authority held Copy of “Conditions of Use for Electronic Banking” (if PIN issued) AUSTRAC ID held (if Certificate of Identity not completed) Cardholder’s signature: Date: Manager/Business Banker signature and Outlet stamp Cards Use Only Card Type 1 1IS ASN Suffix (Plastic Type) Create Plastic V 1 9 77 Y Input by - Initials: Date: Card Number: 4 7 1 5 2 7
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