All-in-One GIRO Application - DOC

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					                                                                                                     SECTION B: PAYMENT CONSENT
                                             All-in-One GIRO Application
NOT ES:                                                                                                   I hereby authorize the following Billing Organization(s) to debit my FairPrice Plus account for payment of my bill.
1) Please complete this form and mail it back to us at: FairPrice Plus c/o O ersea-Chinese Banking
                                                                            v                        Name of Billing Organisation                                Customer’s            Reference Number Guide
Corporation Limited, Account Services, Bras Basah Post Office, Locked Bag Serv ice No. 8,                                                                        BO’s Ref
Singapore 911886                                                                                                                                                 Number
2) Please call our FairPrice Plus Customer Service at 1800 820 2020 (9am to 10pm) if you have any
enquiries.                                                                                           COF-Domestic Foreign Worker Levy                                                  Billing reference in letter from ministry of Manpow er, i.e. one of the following formats – “W” or “E” prefix followed by
3) If you make any amendment or cancellation on the form, please sign against the amendment or                                                                                         5 digits with “-“ or 6 digits (e.g. E12345- or E123456) or 7 digits (e.g. 1234567)
                                                                                                     HDB Payments                                                                      Please write HDB Property Address & Contact No.
SECTION A: FOR APPLIC ANT’S COMPLET ION (ALL FIELDS MUST BE COMPLET ED)                              HDB address (mandatory):                                                          If unsure of HDB Account detail, please call HDB at 100-2255432 or access HDB w ebsite at

                                                                                                     Contact No (mandatory):
My Name as in FairPrice Plus Bank Account:                                 Applicant’s
(Please underlin e surname f or indiv iduals)                              NRIC/Passport Number:     a) HDB – Mortage Loan Instalment                                                  11 digit HDB Account No. for mortgage loan instalment payment
Mr     Mdm  Ms  Dr 
                                                                                                     b) HDB – Upgrading Cost Instalment                                                12 digit HDB Account No. for upgrading cost instalment payment (inclusive of an additi onal „9‟ in front of the HDB
                                                                                                                                                                                       Account No.

                                                                                                     c) HDB - Rent                                                                     11 digit HDB Account No.
My FairPrice Plus Bank Account Number to be debited:
                                                                                                     IRAS - Income T ax For Individual T axpayer                                       Taxpayer‟s Income Tax Reference No. (NRIC No. for Singapore Citizen & PR)

My Email Address(s):                            My Contact Number(s):
                                                                                                     IRAS - Property Tax                                                               Taxpayer‟s Property Tax Reference No. as show n on the top left hand corner of the property tax bill

By signing below, I hereby :                                                                         Ministry of Education                                                             Student‟s Birth Cert/NRIC No. with prefix

1) conf irm that I hav e read and agree to be bound by the Terms and Conditions
                                                                                                     MobileOne Ltd                                                                     Account No. as shown on the MobileOne bill statement
Gov erning FairPrice Plus Deposit Accounts and the Terms and Conditions
Gov erning Electronic Banking Serv ices (Personal) as the same may be amended                        NT UC Income Insurance Cooperative Limited                                        Insurance Policy No. as shown on the first page of the policy contract
by OCBC Bank f rom time to time (which are av ailable f or viewing at and that I consent to the disclosures as prov ided therein;                            OCBC Auto Loan (Car Loan)                                                         10 digit Loan Account No. (HP Agreement No.) as show n on the first page of the Hire Purchase Agreement
2) instruct and authorize OCBC Bank to process the Billing Organi zation(s)
instructions to debit my account;                                                                    OCBC Credit Card                                                                  16 digit Credit Card No.
3) agree and conf irm that OCBC Bank is entitled to reject the Billing
Organi zation(s) debit instructions if my account does not hav e sufficient f unds                   OCBC Securities Pte Ltd                                                           7 digit Trading Account No. on statements or call OSPL Call Centre at 1800-3388688
and charge me/us a f ee for this. OCBC Bank may also at its discretion allow the
                                                                                                     Singapore T elecommunications Ltd                                                 Account No. as shown at the top of the Singtel bill statement
debit ev en if this results in an ov erdraf t on the account and impose charges
accordingly ;
                                                                                                     Starhub Ltd (Mobile, IDD, Digital Voice & Data)                                   Payment Code can be found on the top right hand corner of the bill
4) agree and conf irm that this authorization will remain in f orce until terminated by
OCBC Bank’s written notice sent to my address last known to OCBC Bank or                             Starhub Cable Vision Ltd (Digital Cable & MaxOnline)                              Customer No. as show n on the bill statement
upon receipt by OCBC Bank of my written rev ocation through the relev ant Billing
Organi zation(s), and                                                                                T he Great Eastern Life Assurance Corporation Ltd (Life                           8 digit Insurance Policy No. as shown on the first page of the policy contract. Starts with 0, 1, 2 or 5
5) conf irm that I hav e read, understood and agree to be bound by the Terms and                     Policy)
Conditions ov erleaf .                                                                               T he Great Eastern Life Assurance Corporation Ltd                                 8 digit Insurance Policy No. as shown on the first page of the policy contract. Starts with 6 or 8
                                                                                                     (Accident & Health Policies)

                                                                                                     T he Oversea Assurance Corporation Ltd                                            8 digit Insurance Policy No. as shown on the first page of the policy contract. Starts with 1, 8 or 28
                                                                                                     (both OAC Life and Accident & Health Policies)
_______ _____ ______ _____ _____ _____ _____ __                                 ___________ _____
                                                                                                     T own Councils                                                                    Participating Town Councils:
My Signature as in my FairPrice Plus account records                             Date
Co.Reg.No.: 193200032W                                                                               a) ________________________                                                       + Aljunied               + Ang Mo Kio - Yio Chu Kang      + Bishan –Toa Payoh
                                                                                                      (Name of T own Council)                                                          + East Coast             + Holland – Bt. Panjang          + Hong Kah
                                                                                                                                                                                       + Hougang                + J alan Besar                   + Jurong
                                                                                                                                                                                       + Pasir Ris _ Punggol    + Sembawang                      + Tampines
                                                                                                     b) ________________________                                                       + Tanjong Pagar          + West Coast
                                                                                                      (Name of T own Council)
                                                                                                                                                                                       Town Council Scheme Account No. (Begin with “C” and follow ed by 11 digits as show n on the receipt book or
                                                                                                                                                                                       paper receipt issued by Town Council. If unsure of account no., please fill in your property address which you w ant
                                                                                                                                                                                       the service and conservancy charges to be deducted for.)
                                                                                                                                                                                                                                                FairPrice Plus is a collaboration between NTUC FairPrice Co-operative Limited and Oversea-Chinese Banking Corporation Limited. All banking products and services, unless otherwise stated,
                                                                                                                                                                                                                                  Fold here 

                                                                                                                                                                                                                                                                                                                                                                                                                                             FPP/ 080916
Please check with the respective Billing Organisations as to their terms for GIRO arrangement.
Information on HDB’s Terms for GIRO Arrangements:
1) The IBG deduction date is on the 28 th of the month. If the 1 st deduction is unsuccessful, a second
deduction will be attempted on the 6 th of the following month. HDB will inform you of the
commencement date for the deduction once IBG application has been approved.
2) If CPF is used to pay for the monthly instalment and the full amount is not remitted by the CPF

                                                                                                          Singapore only.
Board, HDB w ill inform you of the shortfall before deducting it from your IBG bank account in the

                                                                                                           For posting in
                                                                                                            Postage will
follow ing month.

                                                                                                             be paid by
3) HDB will notify you in advance of the amount to be deducted from your bank account if the
intended deduction exceeds a month‟s charge
4) Upon closure of your HDB‟s account (eg resale of your HDB premises, transfer of your flat
ownership or termination of tenancy), HDB will automatically delete your IBG account from its
records and inform your bank accordingly. However, if you wish to terminate your IBG arrangement
for any other reasons, you need to inform HDB.
5) If you wish to change the bank account used for your IBG deduction from one bank to another,
you are required to submit to HDB a fresh IBG application for the new IBG bank account. HDB will
automatically terminate your existing IBG arrangement upon commencement of the new IBG
6) OCBC Bank shall not be responsible for any inaccuracies in the above information


 1 By appl ying for this Interbank GIRO arrangement you agree to be bound by
    thes e ter ms and conditions.
 2 Only complete applications will be process ed. OCBC Bank is entitled to r eject

                                                                                                                                                     c/o Oversea-Chinese Banking Corporation Limited,
    applications which are in its opinion incompl ete.
 3 You warrant that the i nfor mation you have provi ded is true and accurate and
    you c onsent for OCBC Bank to disclos e suc h information or any part thereof
    to any person or any organization as may be nec essar y to facilitate this

                                                                                                                            BUSINESS REPLY SERVICE
    Interbank GIRO arrangement.
 4 Your OCBC Bank acc ount mus t be in good s tanding and r emain valid for the
    bills to be debited success full y.
 5 Please allow at least si x (6) weeks for the pr ocessing of your application.

                                                                                                                                                                 Locked Bag Service No. 8,
                                                                                                                                PERMIT NO. 08181
 6 The approval of your application is s ubject to approval bei ng obtained from

                                                                                                                                                                   Bras Basah Post Office,
    the res pec tive Billing Organizati on(s). Please c ontinue to pay your bills to the
    various Billing Organizati ons until your bill is succ essfully debited from your

                                                                                                                                                                     Singapore 911886
                                                                                                                                                                     Account Services,
    OCBC Bank acc ount and the debited amount is r eflected on your OC BC

                                                                                                                                                                       FairPrice Plus
    monthl y account statement.
 7 If your payments are c urrentl y made pursuant to an existing GIRO
    arrangement, the existing GIRO payment will be ter minated upon the
    successful application of this Interbank GIRO arrangement.
 8 Should you cl ose your OCBC Bank acc ount or wish to ter minate this payment

                                                                                                                                                                                                                                                are provided by Oversea-Chinese Banking Corporation Limited for FairPrice Plus.
    arrangement, pl ease notify the res pec tive Billing Organizati on(s)and/or make
    alternative payment arrangements .
 9 For payments uns uccessfully debited from your acc ount, you remain
    responsi ble for making payment to the relevant Billing Organization(s) by
    other means .
 10 OCBC Bank shall not be liabl e for any loss or damage due to any failure to
    accept or act on, or for errors or delays or defaults of any kind in accepting, or
    acting on, any ins tructions given by you or any person to debit or credit any
    amount in c onnecti on with or pursuant to Interbank GIRO arrangement, or
    any failure to terminate any existing GIRO arrangement with any other bank,
    or in respect of any cl aims made against you by any person in relation

                                                                                                                                                                                                        Co. Reg. no.: 19320032W
 11 FairPrice Plus Giro applications may not be entitled to promotions l aunched to
    applicants applyi ng for GIRO arrangements via the OCBC Bank All-In-One
    GIRO for m.
 12 OCBC Bank may at its discretion and at any time add to, alter, var y or modify
    all or any of the above terms and conditions.