GIRO form - SPRING Singapore

APPLICATION FOR INTERBANK GIRO DIRECT CREDIT
AUTHORISATION FOR ELECTRONIC FUND TRANSFER
(FOR ICV)
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Please complete Part 1 and submit this form to your bank for verification on Part 2. Both parts MUST be
completed.
Please submit the ORIGINAL GIRO Form to SPRING Singapore. Fax copy is NOT acceptable. Alterations made are to
be endorsed by the authorised signatory.
If there are no changes to the account details, submission of the GIRO form is required only once.
Please indicate the email address at which you wish to receive notification upon successful electronic fund transfer.
Please read the ”INFORMATION ON APPLICATION FOR INTER-BANK GIRO” on page 2
PART 1 – TO BE COMPLETED BY APPLICANT
Name of Company:
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Company UEN:
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ICV Number (if applicable):
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Address:
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Tel:
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Email:
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Fax:
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Handphone:
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Name of Bank Account Holder:
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Bank Account No.
Name of Bank & Branch:
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Bank No.
Branch No.
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I/We authorise SPRING Singapore to credit payments due to me/us to the above bank
account. Amounts credited shall constitute a valid and full discharge of obligations due to
me/us. This authorisation shall continue to be in force until it is expressly revoked by me/us
in writing delivered to SPRING Singapore giving 30 days notice in advance. I/We shall inform
SPRING Singapore in writing 30 days in advance for any change in the bank details.
Authorised Signature(s) & Name(s):
Company Stamp: (if applicable)
(as in bank records)
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Name of contact person furnishing the
above information:
Date:
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PART 2 – TO BE COMPLETED BY APPLICANT’S BANK
We hereby certify that the signature(s) and other particulars as stated in Part 1 agree with
that contained in our files.
Signature of Authorised Bank Officer:
Name:
Bank’s Tel:
Official Stamp:
Date:
PART 3 – TO BE COMPLETED BY SPRING
Received by OIC:
Grant Application No:
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IMPORTANT INFORMATION ON APPLICATION FOR INTER-BANK GIRO
1. Please complete Part 1 of the GIRO form and submit to your bank for verification on
Part 2 of the form.
2. Please ensure that all information such as bank account number, bank number and
branch number are correct. If you are unsure of the bank number and/or branch
number, please verify with your bank or use the bank code listing for reference.
3. Disbursement will only be credited to a corporate account, with exception for soleproprietorship applicants.
4. For sole-proprietorship applicants, please attach your ACRA Bizfile (updated within
recent 6 months) with the GIRO form submission if the disbursement is credited to
an individual account.
5. Amendments made on the form must be countersigned by account holder. Use of
correction fluid/tape is not allowed.
6. Please send the completed GIRO form to:
Attn : Registry – ICV Claims Giro Form <ICV Application ID>
SPRING Singapore, Financing & Incentive Schemes Mailbox,
Level 14, 1 Fusionopolis Walk,
South Tower, Solaris, Singapore 138628
7. Please note that incomplete GIRO form and/or incorrect information in the GIRO
form and/or lack of required supporting documents will result in a delay in
disbursement.
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