Samart Bank Form - V 310118 PDF
Samart Bank Form - V 310118 PDF
Samart Bank Form - V 310118 PDF
This form is to be completed (in BLOCK CAPITALS) and returned by email without any delays, to ensure
timely processing of your pay.
For New Joiner, please quote your National Insurance Number (UK Only): _______________________________
Full Name
samart rukpanya
Rank
musician
Is the Bank Account Holder’s Address different than your address on HR records: YES NO /
If you tick YES, then please provide Account Holder’s Address (This is Not applicable if you have ticked NO):
Please provide the bank details of your designated account. This will be used to apply your payroll bank transfer to.
You may need to check with your bank to for any additional requirements to be submitted for international bank
transfers to be credited to your account.
samart rukpanya
Bank Name: -
bank of america
Account Number / IBAN: -
*If available, please attach a cancelled ‘Cheque’ or print out / screenshot of a Bank Statement / other Bank document indicating the
above account details. This will help in verifying your bank details for payroll bank transfer*
Disclaimer:
I am aware that if my bank transfer is returned due to incorrect or invalid bank details, the amount re-processed in the correct
account will be less any fee imposed as bank charges.
I understand that the company can only be responsible for tracing the bank transfer, at the banking institution performing the
service for the company; beyond this, I will be responsible for following up any problems with my bank. I am aware that the
company cannot be held responsible for varying exchange rates and any intermediary bank charges.
Your Signature
here : samart rukpanya Feb 9, 2019
Date:
Page - 2 - of 2