Declaration on GIRO for MediShield premiums

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I hereby authorise the Bank to debit or credit the Selected Account, as instructed to the Bank by CPF Board. By clicking ‘Submit’, I agree to the Terms & Conditions for this GIRO Application.

 

I shall not hold CPF Board nor the Bank liable for any losses incurred by me arising out of or in connection with this GIRO arrangement at my cpf Online Services.

 

Where I am not the account holder of the Selected Account, I confirm that I have been authorised by the account holder concerned to:

 

i. give instructions to the Bank on his/her behalf to debit or credit the Selected Account, as instructed to the Bank by CPF Board.

ii. make the following declarations and agree to the Terms & Conditions for GIRO Application, on his/her behalf.

iii. declare that he/she will not hold CPF Board nor the Bank liable for any losses incurred by me arising out of or in connection with this GIRO arrangement at my cpf Online Services.
 

iv. declare that he/she is aware that the payment of MediShield Life premiums is done on my behalf and any payment in excess will be refunded without interest to me.

 

For the purposes of this Declaration

“Losses” means all direct or indirect liabilities, losses, damages, actions, claims, demands, costs, expenses and penalties.

 

These instructions will remain in force until they are terminated in accordance with the Terms & Conditions for GIRO Application.