r esidences fees & associated charges – direct debit mandate section 1 - box b to be completed by nominated account payer only section 2 -

R ESIDENCES FEES & ASSOCIATED CHARGES – DIRECT DEBIT MANDATE
Section 1 - Box B to be completed by Nominated Account Payer only
Section 2 - To be completed by Student or Nominated Account Payer
SECTION 1 STUDENT NUMBER: ____________________
Student & Nominated Account Payer Details
Address Box A – Student Details
Student Name and University Residences Address:
Mr/Mrs/Miss/Ms: ………………………………………………………….…….
Hall of Residence Address (or Student House): ………………………….…
……………………………………………………………………………………
……………………………………………………………………………………
Address Box B – Nominated Account Payer Details (if applicable):
Mr/Mrs/Miss/Ms:……………………………………………………..………
Address: …………………………………………………………………..….
…………………………………………………………………………………
Postcode: …………………………………………………….………………
Email address:………………………………………………………………..
_________________________________________________________________________________________________
SECTION 2


Instruction to your Bank or Building Society to pay by Direct Debit
Please fill in the whole form using a ball point pen and send it to:
Finance Office
Campus Facilities
Cardiff University
Southgate House
PO Box 533
Cardiff CF14 3XZ
Name and Full Postal Address of your Bank or Building Society
Name of Bank/Building Society
Address
Postcode
Name(s) of Account Holder(s)
Bank/Building Society Account Number
Branch Sort Code
Service User Number
9
7
3
2
3
3
Reference Number (student number)
16/
Instruction to your Bank or Building Society
Please pay Cardiff University Direct Debits from the account detailed
in this Instruction subject to the safeguards assured by the Direct
Debit Guarantee. I understand that this Instruction may remain with
Cardiff University and, if so, details will be passed electronically
to my Bank/Building Society.
Signature(s):
Date:
Banks/Building Societies may not accept Direct Debit instructions for
some types of account


This guarantee should be detached and retained by the Payer
THE DIRECT DEBIT GUARANTEE
*
This Guarantee is offered by all banks and building societies that
accept instructions to pay Direct Debits
*
If there are any changes to the amount, date or frequency of your
Direct Debit, Cardiff University will notify you 10 working
days in advance of your account being debited or as otherwise agreed.
If you request Cardiff University to collect a payment,
confirmation of the amount and date will be given to you at the time
of the request
*
If an error is made in the payment of your Direct Debit by Cardiff
University or your bank or building society you are entitled to a
full and immediate refund of the amount paid from your bank or
building society
- If you receive a refund you are not entitled to, you must pay it
back when Cardiff University asks you to
*
You can cancel a Direct Debit at any time by simply contacting
your bank or building society. Written confirmation may be
required. Please also notify us.

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