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1. Form Title and Reference Number: Clear identification of the document as a Direct Credit Authorisation Form with unique reference number
2. Account Holder Information: Personal details of the account holder including full name, IC number/passport number, and contact information
3. Bank Account Details: Account holder's bank name, branch, account number, and account type
4. Purpose of Authorization: Statement specifying the purpose of the direct credit arrangement
5. Authorization Declaration: Formal declaration authorizing the bank to credit payments directly to the specified account
6. Terms and Conditions: Essential terms governing the direct credit arrangement
7. Data Protection Notice: Statement on personal data collection and usage in compliance with PDPA 2010
8. Signature Section: Space for account holder's signature and date
1. Joint Account Declaration: Additional declaration section for joint account holders when applicable
2. Corporate Authorization: Special section for corporate accounts including board resolution references and authorized signatories
3. Foreign Currency Declaration: Additional terms for foreign currency accounts if applicable
4. Employer/Payment Provider Details: Section for cases where the form is specific to receiving payments from a particular organization
5. Cancellation Terms: Optional section detailing the process for cancelling the direct credit authorization
1. Supporting Documents Checklist: List of required supporting documents to be submitted with the form
2. Bank Branch Codes Reference: Reference list of relevant bank branch codes if required by the processing bank
3. Terms and Conditions Appendix: Detailed terms and conditions that may be attached separately to keep the main form concise
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