Plan Number
Name
Email
New Bank Account Name
*
New BSB
*
New Bank Account Number
*
Request to update Direct Debit Details
*
I request and authorise StudentPay to update my nominated bank account for my direct debit arrangement using the details provided in this form. I confirm I am the account holder or authorised signatory on the account. I acknowledge I have read and accepted the Direct Debit Request Service Agreement, and I authorise future debits in accordance with my payment arrangement and that agreement.
Signature
*
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