'(V . ~ ...
-
le formulaire dOment rempli a Service Nouveau-Brunswick par courriel a
veuillez envoyer ou par la paste a Place Brookside, 435, promenade
. bureau 30, Fredericton (N.-8.) E3A 8V4. Si vous avez des questions, composez
Broo1<S1d!, _ so. veuillez lire au verso les instructions pour remplir le formulaire.
50
le 1-BBB- 87
Banking Details Renseignements bancaires
I/ Please attach a « Void » cheque
OR have your financial institution
Annexez un cheque annule OU
demandez j /'institution financi~re de
complete all fields below. remplir tousles champs
Financial Institution Address - Adresse de l'institution financiere
\v 4 D k e'\"\e.,½ c~ r
-
M~\~ oO ' oa~or~o
\ j
Beneficiary Name - Norn de beneficiaire
J-lhFSA- H 11-KMA-D
Transit Number - Numero de transit :woo~U9114" Stamp Requiree04
Le sceau de la banque est
/3/o /s- /8/aj t THE TORGll'l'. . . . .1111 IIINl
Bank Identification - Numero d'identification
MAY 1 7 2022
1°1° llf I
Account Number - Numero de compte
1040 Kennedlj ClreJe
Mfflnn_ ON I OT n 11"\
30582-004
The bank validation stamp certifies that the beneficiary name and information nave Deen
verified.
Le sceau de la banque certifie que le nom du beneficiaire et Jes renseignements
bancaires ont ete verifies.
Financial Institution/ Institution financiere
Authorized Signature - Signataire autorise :
SI l 1/ z0 ZZ
- Date
M
h5erv1ce
Br un sw,ck
;::::; .NcW
Nou11:,1U
REHABILITATION (REHAB) AGREEMENT
- -
~Borrower Information:
-
-Full Name·. AHMAD, HAFSAH IQBAL
-
Account Number: 219250
Current Balance: $9,567.97
Date of Rehab Quote: May 02, 2022
Expiry Date: -
Nov 02, 2022
Amount of R~hab Quote: $488
Rehab/Quote Repayment Arrangement· 6 Monthly OR Lump Sum Amount
(for processing, final payment must be ~ade 5 Payments of
business days prior to expiry date)
$82 $488
F~rt1CAI Al~
Reason for rehab request:
YOUR RESPONSIBILITY TO FULFILL THIS REHABILITATION PROCESS IS AS FOLLOWS:
1. Make y~ur ~~~ents a~ indicated above. Please ,do not make any additional payments.
2. Prior to the above expiry ~ust-sign ~nd r~~u;n=this form by email, mail or fax.
3. It is very important for you to notify us if your contact information has changed.
Telephone at 1-855-806-2472 or 1-506-444-3461
Email at
Please note: your file will be returned to National Student Loans SeNice Centre (NSLSC) when
all conditions for this rehabilitation agreement have been fulfilled. You will be notified in writing
that you are required to contact NSLSC to setup a payment arrangement or to apply for the
Repayment Assistance Plan (RAP).
Please be advised that your loan may be registered with the Canada Revenue Agency. Any tax
refunds and/or GST credits owing to you may be withheld and applied against this debt until it
Is paid In full, or the rehabllltatlon process is complete.
~t-M3/vJ':>-.
I confirm the arrangements outlined in this rehab agreement are accurate and binding upon me.
Signature: .,
Date: [7 -fli 9?#~
WW'//. 51
Central Collectioo Services / Servires centraux de 19C01Nrement
PO.Box 6000 / Ca.58 Po.5tale 6000
Frederict>n NB/ Fredericton (N.-8.) E3B 5H1
Prone I Tar:: 1.ass-ao&-2472 Fax/ Telec:.: 506-444-2054 -r/t \
E-Ma~ I Courriel : I t~ (J
TD Canada Trust
Ho tO Info Sheet
W Set up Direct Deposits or Pre-Authorized Debits
T'DCAIWl,\TAUST
12'lMAIN!fflEET
Customer Name
YOUR TONN, PROIIINcE l1L1L1
HAFSAH AHMAD
h• Transit No. Inst. No. Account No.
Transit No. Inst. No.
/3/0/s/g/2/ Io Io I 4 I I 6 I2 I4 I 4 I 9 I 3 I 7 I
Account No.
You can find your branch address information on your cheques or by using our branch locator tool:
WWW. tdcanadatrust.com/locator
·····------------------------------ -------------·····-----------------------------------------
Direct Deposit
I
~irect Deposit ~s t~e mos~ convenient way to receive recurring deposits (i.e. pay, pension, government payments, annuity,
st
I
mtere , etc.) with unmediate access to funds. There are no holds on your funds or a need for special trips to your local branch
or ATM to deposit your cheques.
To set up a Direct Deposit with the federal government:
1. Visit WWW .directdeposit.gc.ca for a Government of Canada Direct Deposit enrolment form and use your account
information from the fields above when completing the form.
2. If you do not have a cheque to void, have your local TD Canada Trust branch stamp the enrolment form.
3. Once complete, mail the enrolment form to the address provided.
Note: Additional information may be required on the form such as y our Social Insurance Number or date of birth. The form
includes a toll free number for support with completing the form.
To set up a Direct Deposit with your employer:
I. Provide your account information from the fields above to the payroll department of your employer or company pension
provider.
Pre-Authorized Debit (PAD)
A Pre-Authorized Debit (PAD) is an automatic withdrawal t~en directly from your TD Canada Trust account by a company or
financial institution that you have authorized to do so. PAD is a great way for you to save time with bill payments (i.e. utilities,
credit cards) you pay by mail, at the ATM, in branch or by phone; and may help you avoid late fees .
To set up a PAD:
J. Call or visit the website of the company you wish tofrset uiha ~re dAuthorized Debit (PAD) with to obtain a PAD
Agreement and use your account information noted ~m e . e1 s above when completing the Agreement.
°
2. If the company allows for ooline fo_rm submission 0 its website, you will need to ftrst register for its website and
should follow the instructions provided.
Note: Ifyour billing company accepts Visa Debit in Can~da (or Vis~inrernati?nally) and you have the enhanced TD Access
Card, setting up a PAD will be easier than ever! Simply prov, e th em with the card's 16 digit number in place ofrhe
account information noted above.
