James Cook University
Australian Student Account Details Form
Student Number
Student Full Name
Phone Number
Email Address
Bank Account Name
Bank Name
BSB
Bank Account Number
Student Authorisation - Mandatory
Please scan and email all signed forms to:
Privacy Statement
James Cook University recognises the importance of protecting your personal and sensitive information and is bound by the Privacy Private Sector Act 2000. The above
mentioned information is collected for the express purpose of ensuring payments for invoices you are electronically transferred to your nominated bank account. The
information contained in this form will not be disclosed. Full details of the University’s Privacy Policy are available at:
http://www.jcu.edu.au/policy/allitoz/JCUDEV_005373.html
Signature
Physical Signature required
Full Name
Date
suppliers@jcu.edu.au
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signature
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