T&O - Account Services
Channel Application Unit 60 Alexandra Terrace #05-16/17 The Comtech Singapore 118502
iB 6: DBS iBANKING Multi-purpose Form (DBS d2pay INDIVIDUAL)
(Submit by mail only) Tel: 1800 111 1111 From overseas, please call (+65) 6327 2265
PERSONAL PARTICULARS
Mr
Mrs
Miss
Mdm
Dr
Full name as in NRIC / Passport
*NRIC / Passport Number
Mobile Phone
(Mobile no. supplied may be used in SMS communication)
Account No. (Please Include hyphens)
A/C Type: *DBS Autosave/Current/Savings or POSBank Current/Savings
SERVICE PARTICULARS Please 1. where applicable: I wish to *apply / reactivate for DBS d2pay Service. (Please complete 2 and 3) I wish to *set / revise my DBS d2pay Daily E-Commerce Limit. I acknowledge that the limit will be applicable to E-commerce sites and electronic channels that accept DBS d2pay. My Daily E-Commerce Limit: *$100 / $200 / $300 / $400 / $500 / $1,000 / $1,500 / $2,000 / Above $3,000, please specify:
(Maximum $25,000)
2.
3.
I wish to *set / change my designated debiting account for DBS d2pay: Account No. (Please include hyphens):
A/C Type: *DBS Autosave/Current/Savings or POSBank Current/Savings
4.
I wish to deactivate my DBS d2pay
Note:
Upon activation of service(s), notification (if applicable) will be sent to your designated Primary Account address
* Delete accordingly
I agree to abide by the Terms and Conditions Governing Electronic Services (copies available at www.dbs.com/sg and all Branches)
Applicant’s Signature / Thumbprint
Please sign according to bank records
Date
(For thumbprint, call at any branch with proof of identification to have your thumbprint verified by a branch staff.)
For Bank Use
Verified by / Date: Issuance Authorised by: Checked by:
Approved by:
Keyed by:
DBS Bank Ltd Sep08 Co. Reg. No. 196800306E