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Mandate

The document is a Direct Debit mandate form allowing GoCardless Ltd to collect payments directly from a customer's bank account. It contains the customer's name and account details as well as details of GoCardless and the Direct Debit Guarantee.

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87 views1 page

Mandate

The document is a Direct Debit mandate form allowing GoCardless Ltd to collect payments directly from a customer's bank account. It contains the customer's name and account details as well as details of GoCardless and the Direct Debit Guarantee.

Uploaded by

lesser9897
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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GoCardless Ltd

Sutton Yard, 65 Goswell Road, London,


Instruction to your bank or
EC1V 7EN, GB building society to pay by
Direct Debit

Customer Name or Company name Service User Number

2 7 5 0 6 9
Name(s) of account holder(s) Reference

JEWEL HOSSAIN

Bank/Building Society account number Instruction to your Bank or Building Society


Please pay GoCardless Ltd Direct Debits from the account
detailed in this Instruction subject to the safeguards assured
******11 by the Direct Debit Guarantee. I understand that this
instruction may remain with GoCardless Ltd and, if so, details
will be passed electronically to my bank/building society.
Branch sort code

**-**-**

Name and full postal address of your


Bank/Building Society

Date

2024-05-27

Banks and building societies may not accept Direct Debit Instructions for some types of account

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 GoCardless Ltd will notify you 3 working days
in advance of your account being debited or as otherwise agreed. If you request GoCardless Ltd 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 GoCardless Ltd 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 GoCardless Ltd 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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