Transcription of Online Banking Service – Pre-Designated …
1 HBAA413 MOS 07/20 Issued by hsbc Bank Australia Limited ABN 48 006 434 162 AFSL 232595 Online Banking ServicePre-Designated Payee/Limit RequestOffice Use OnlySVChecking officer nameDateSignatureComplete this form to set up transfers to Pre-Designated 3rd party accounts using Online Banking , OR to amendthe daily transactional limit that applies to Pre-Designated transfers. If you require assistance on how to completethis form, please call our Contact Centre on 1300 306 to: 1300 765 150 ORMail the completed form to: GPO Box 5302, SYDNEY NSW 2001 TRANSFER LIMIT FOR Pre-Designated 3RD PARTY ACCOUNTSS pecify the daily transaction limit for transfers to Pre-Designated AUD $250,000$ Pre-Designated 3RD PARTY ACCOUNTS NOMINATED PAYEE DETAILS* Refer to the Personal Banking Booklet for applicable bank codeOffshore HSBCP remier account?
2 Type of Transfer *(Select one boxonly)If the account is not held in Australia the following details are also requiredNoYe sNoYe sCurrencyDescription/NarrativeTelegraphi c TransferLocal paymentLocal Telegraphic TransferTelegraphic TransferLocal paymentLocal Telegraphic TransferGive details of payee(s) to whom you wish to make regular paymentsAccount nameNominated payee 1 Bank nameBSBA ccount numberNominated payee 2 CUSTOMER DETAILSO nline Banking Service Username (if applicable)First name(s)SurnameTitleCustomer number (9 digits)/Personal Banking Number (PBN 10 digits)ORAccount numberBSBAUTHORISATIONP lease action the above request(s).
3 NameSignatureDateDD MM YY
