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Please note: ALL SECTIONS of this form need to be completed. If a box or section does not apply, please place N/A or NOT APPLICABLE
in that box rather than leaving it blank. ANY AREAS THAT ARE LEFT BLANK MAY DELAY YOUR REQUEST.
National Australia Bank Limited ABN 12 004 044 937 (“you”)
Full name or Company name (inc A.C.N./A.R.B.N./A.B.N.)
My/Our Loan
Account name Account number BSB number
(“the Loan”)
My/Our Nominated Account (this is the account funds are to be drawn from)
Name of account
Account number BSB number
Name of financial institution
Address of financial institution
(my/our “Nominated Account”)
Request and Authority to debit
Please select and complete one option only. Option 2 is not available in relation to loans with interest only repayments.
I/We request and authorise National Australia Bank Limited (Debit User Identification Number 244344) to debit,
through the Bulk Electronic Clearing System, my/our Nominated Account with:
Option 1 any amount you may charge me/us under our loan (such as my/our scheduled repayments and any overdue amounts),
as and when those amounts become due.
Option 2
each week fortnight month other (please specify)
with the first drawing to be made on
until further notice
subject to the terms and conditions of the Direct Debit Request Service Agreement.
I/We acknowledge that you can amend the amount drawn under this authority in accordance with clause 2 of the Direct Debit Request Service Agreement.
I/We further acknowledge that if I/we have not properly selected and completed one of the drawing options above, I/we will be deemed to have selected
Option 1.
Direct Debit Request
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Acknowledgement and Signatures
By signing this Direct Debit Request, I/we acknowledge having read and understood the terms and conditions governing the debit arrangements between me/us
and you as set out in this Request and in my/our Direct Debit Request Service Agreement.
• If the Nominated Account is a joint account, all signatories to that account must sign.
• If the Nominated Account is a company account, sign and print full name and capacity for signing (e.g. director) below.
Name Capacity (companies only)
Signature Date
/ /
Name Capacity (companies only)
Signature Date
/ /
Name Capacity (companies only)
Signature Date
/ /
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Direct Debit Request Service Agreement
agreement means this DDR Service Agreement.
business day means a day other than a Saturday or a Sunday or a
public holiday listed throughout Australia.
DDR means the Direct Debit Request between you and us.
debit day means the day that a direct debit is to be made under
your DDR and this agreement.
drawing means a particular transaction where a debit is made.
nominated account means the account held at your financial
institution from which we are authorised to arrange for funds to
be debited
we/us means National Australia Bank Limited.
you/your means the person or entity providing the DDR.
your financial institution is the financial institution where you hold
the nominated account.
1. Debiting your nominated account
1.1 By signing a DDR, you have authorised us to arrange for funds
to be debited from your nominated account. You should refer to
the DDR and this agreement for the terms of the arrangement
between you and us.
1.2 If the debit day falls on a day that is not a business day, we may
direct your financial institution to debit your nominated account
on the following business day. If you are unsure about which day
your nominated account has or will be debited you should ask
your financial institution.
2. Changes by us
2.1 W e may vary any details of this agreement or a DDR (including
the amount drawn to ensure your obligations under your loan
(as set out in your DDR) are met) at any time by giving you
written or through the national media. If we believe a change
is unfavourable to you, we will give you at least thirty (30) days’
prior notice of the change. However, we may give a shorter
period of notice or no notice, if that is in accordance with the
law and applicable industry codes and if it is reasonable for us
to manage a material and immediate risk. Any new or changed
government charges can be notified reasonably promptly after
the government notifies us – but we may not have to tell you
about them if the government publicises the change.
3. Changes by you
3.1 If you wish to stop or defer a drawing you can either:
(a) notify us in writing at least five (5) business days or contact
us on 13 22 65 at least two (2) business days before the next
debit day that you wish to do so; or
(b) arrange it through your financial institution.
3.2 Y o u may also cancel your authority for us to debit your
nominated account by either:
(a) giving us five (5) business days notice in writing or
contacting us on 13 22 65 at least two (2) business days
before the next debit day that you wish to do so; or
(b) arranging it through your financial institution.
3.3 Y o u may make other changes to the arrangements under a DDR
by writing to us or contacting us on 13 22 65.
3.4 If you stop or defer a drawing, or cancel your authority, this does
not change your obligations to us under your loan. You must
make sure that payments due under your loan will be paid in
some other way. If you are experiencing financial difficulty, then
you or a representative should contact us as soon as possible.
4. Your obligations
4.1 It is your responsibility to ensure that there are sufficient clear
funds available in your nominated account to allow a drawing to
be made in accordance with the DDR and this agreement.
4.2 If there are insufficient clear funds in your nominated account to
meet a drawing:
(a) y o u may be charged a fee and/or interest by your financial
institution and/or by us; and
(b) y o u must arrange for the drawing to be made by another
method or arrange for sufficient clear funds to be in your
nominated account by an agreed time so that we can process
the drawing.
5. Dispute
5.1 If you believe that there has been an error in debiting your
nominated account, you should notify us directly by contacting us
on 13 22 65 and confirm that notice in writing with us as soon as
possible so that we can resolve your query more quickly. Alternatively,
you can take this up with your financial institution directly.
5.2 If we conclude as a result of our investigations that your
nominated account has been incorrectly debited we will respond
to your query by arranging for your financial institution to
adjust your nominated account (including interest and charges)
accordingly. We will also notify you in writing of the amount by
which your nominated account has been adjusted.
5.3 If we conclude as a result of our investigations that your
nominated account has not been incorrectly debited we will
respond to your query by providing you with reasons and any
evidence for this finding.
6. Nominated Accounts
6.1 Before completing your DDR, you should check:
(a) with your financial institution whether direct debiting is
available from your nominated account as direct debiting is
not available on all accounts offered by financial institutions;
(b) your nominated account details which you have provided to
us are correct by checking them against a recent nominated
account statement;
(c) with your financial institution if you have any queries about
how to complete the DDR.
7. Confidentiality
7.1 W e will keep any information (including your nominated account
details) in your DDR confidential. We will make reasonable
efforts to keep any such information that we have about you
secure and to ensure that any of our employees or agents
who have access to information about you do not make any
unauthorised use, modification, reproduction or disclosure of
that information.
7.2 W e will only disclose the information we have about you to the
extent specifically required by law or for the purpose of this
agreement (including disclosing information in connection with
any query or claim).
8. Banking Code of Practice
8.1 W e have adopted the Banking Code of Practice, and relevant
provisions of the Code apply to this service if you are an
individual or a small business as defined by the Code.
8.2 You can obtain from us upon request:
(a) information on our current interest rates and standard fees
and charges relating to the service if any;
(b) general descriptive information concerning our banking
services including:
(i) for accounts with cheque access, general descriptive
information about cheques;
(ii) account opening procedures;
(iii) our obligations regarding the confidentiality of your
(iv) complaint handling procedures;
(v) bank cheques;
(vi) the advisability of you informing us promptly when you
are in financial difficulty;
(vii) the advisability of you reading the terms and conditions
applying to each banking service we provide to you;
(c) general descriptive information about:
(i) the identification requirements of the Anti-Money
Laundering and Counter-Terrorism Financing Act 2006;
(ii) the options available to you under the tax file number
legislation; and
(d) a copy of the Banking Code of Practice.
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8.3 ‘Banking Code of Practice’ or ‘Code’ mean the Banking Code of
Practice, but before 1 July 2019 it means the Code of Banking
Practice (2013 version).
9. Notice
9.1 If you wish to notify us in writing about anything relating to this
agreement, you should write to us at:
National Australia Bank Limited GPO Box 14597
Melbourne, Victoria, 8001
9.2 W e will notify you by sending a notice in the ordinary post to the
address you have given us in the DDR.
9.3 Any notice will be deemed to have been received on the date it
would have been delivered in the ordinary course of post.
© 2019 National Australia Bank Limited ABN 12 004 044 937 AFSL and Australian Credit Licence 230686 A144750-1219