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company account application form uob platinum business card

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BILL PAYMENT SERVICE APPLICATION FORM<br />

SIGN ME UP NOW. HERE ARE MY DETAILS<br />

YES, I would like to pay my bills<br />

with my UOB Business Card.<br />

PAYMENT CONSENT<br />

DHL Express (S) Pte Ltd<br />

Bill Account No.(s)<br />

Registered Company Name<br />

Registration No.<br />

Name as in NRIC/Passport Mr Ms Mrs Mdm Dr<br />

Estimated monthly bill size: S$ ___________________________<br />

I hereby authorize DHL EXPRESS (S) PTE LTD to charge my monthly DHL<br />

bills for the above-stated Account No.(s) to my UOB Business Card.<br />

NRIC<br />

UOB Business Card No.<br />

Contact No.<br />

Business Cardmember Signature Date<br />

Note: The approval of this authorisation will supersede existing payment instructions<br />

with DHL EXPRESS (S) PTE LTD, for the respective Account No.(s) indicated above.<br />

PAYMENT CONSENT<br />

Expiry Date:<br />

MM YY<br />

M1 Bill Account No.<br />

I would like to request for an increase in credit limit to cater<br />

for the recurring payments.<br />

PLEASE SIGN<br />

By signing here, I certify that I have read and agreed to the<br />

Terms and Conditions mentioned below.<br />

Sign for and on behalf of the Company:<br />

Name and Signature of Authorised Signatory(ies)<br />

Estimated monthly bill size: S$ ___________________________<br />

I hereby authorise M1 to charge my monthly M1 bills for the above-stated<br />

Account No. to my UOB Business Card..<br />

Business Cardmember Signature Date<br />

Note: The approval of this authorization will supersede existing payment instructions<br />

with M1, for the respective Account No.(s) indicated above.<br />

PAYMENT CONSENT<br />

Pacific Internet Account No.(s)<br />

Signature of Business Cardmember<br />

Date<br />

Terms and Conditions<br />

1. You warrant that the in<strong>form</strong>ation you have provided is true and correct and authorise<br />

United Overseas Bank Limited (UOB) to disclose such <strong>account</strong> details to the<br />

relevant merchants as may be necessary to facilitate your participation in this<br />

service.<br />

2. The <strong>company</strong> authorizes UOB to increase the credit limit of the Card to cater for<br />

the requested recurring payments, provided there is sufficient corporate credit<br />

limit.<br />

3. Your UOB Business Card <strong>account</strong> must be in good standing and remain valid for<br />

the monthly bills to be debited successfully.<br />

4. Please allow at least 6 weeks for processing of your <strong>application</strong>.<br />

5. Please continue to pay to the relevant merchants until you see the amount reflected<br />

on your monthly UOB Business Card statement.<br />

6. All <strong>application</strong>s are subject to approval from the relevant merchants. UOB will not<br />

notify customers of their <strong>application</strong> status.<br />

7. Your <strong>company</strong> name with the relevant merchants must be the same as the name<br />

shown on your UOB Business Card statement.<br />

8. Should you cancel or replace your UOB Business <strong>card</strong>, please make alternative<br />

payment arrangements with your relevant merchants.<br />

9. If your existing <strong>account</strong> is paid by GIRO, the GIRO payment arrangement will be<br />

terminated.<br />

10. Please contact the relevant merchants to make alternative payment arrangements<br />

should you wish to terminate this payment arrangement.<br />

11. If any payment charged to your UOB Business Card is unsuccessful for any<br />

reason whatsoever, you will be responsible for arranging payment to that merchant<br />

by other means.<br />

12. UOB shall not be liable for any loss, expenses, delays, mistakes, neglect or<br />

omission in the transmission of payment under this facility or for any unsuccessful<br />

payment.<br />

13. UOB reserves the right to amend these Terms and Conditions without notice and<br />

reject or decline any <strong>application</strong> in its sole discretion without giving any reasons.<br />

Estimated monthly bill size: S$ ___________________________<br />

I hereby authorize Pacific Internet to charge my monthly Pacific Internet<br />

bills for the above-stated Account No.(s) to my UOB Business Card.<br />

Business Cardmember Signature Date<br />

Note: The approval of this authorization will supersede existing payment instructions<br />

with Pacific Internet for the respective Account No.(s) indicated above.<br />

PAYMENT CONSENT<br />

My SingTel Business Account No.(s)<br />

(Internet)<br />

(Mobile)<br />

Estimated monthly bill size: S$ ___________________________<br />

I hereby authorise SingTel to charge my monthly SingTel bills for the<br />

above-stated Account No.(s) to my UOB Business Card.<br />

Business Cardmember Signature Date<br />

Note:<br />

1. The approval of this authorisation will supersede existing payment instructions with<br />

SingTel, for the respective Account No.(s) indicated above.<br />

2. This service is strictly for Internet and mobile charges only.˚ SingTel would not be<br />

able to accept fixed line charges and 360 Plans that include fixed line charges.<br />

United Overseas Bank Limited Co. Reg. No. 193500026Z

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