DBS Bill Payment Service Multi-Purpose Form - Corporate

Please mail the printed and signed form to us at DBS Bank Ltd, Simpang Bedok Post Office, PO Box 216, Singapore (914808).

Please call 1800 111 1111 for assistance. From overseas, please call (+65) 6327 2265.

Note:

* Denotes mandatory field.

My Company Details

Special characters < > \ are not allowed

Please provide a valid input

My Bill Payment Arrangement

Select an option

  • -
  • -
  • -
  • -

Ensure that you enter a valid account number

Name of Representative NRIC/Passport Number

Special characters < > \ are not allowed

Please provide a valid input

Billing Organisation Bill Reference

Ensure that you enter a valid Billing Organisation

Ensure that you enter a valid Bill Reference

My Bill Payment Termination

Select an option

  • -
  • -
  • -
  • -

Ensure that you enter a valid account number

Name of Representative NRIC/Passport Number

Special characters < > \ are not allowed

Please provide a valid input

Billing Organisation Bill Reference

Ensure that you enter a valid Billing Organisation

Ensure that you enter a valid Bill Reference

DBS Bill Payment Service Multi-Purpose Form - Corporate

Please ensure that the details below are correct and click on "Submit" to complete this application.

My Company Details Edit

My Bill Payment Arrangement Edit

My Bill Payment Termination Edit

Declaration

Please accept the terms and conditions

DBS Bill Payment Service Multi-Purpose Form - Corporate

IB 9

Your application is complete.

Please mail the printed and signed form to us at DBS Bank Ltd, Simpang Bedok Post Office, PO Box 216, Singapore (914808).

Please call 1800 111 1111 for assistance. From overseas, please call (+65) 6327 2265.

My Company Details

Company Name
Registration/ Gazette No.

My Bill Payment Arrangement

Account Type
Debiting Account
Please activate the following nominated representatives:
Name (as in NRIC/Passport)
NRIC/Passport Number
I would not like to activate any representative at this time.
Please arrange bill payment for the following corporations:
Billing Organisation
Bill Reference
I would not like to arrange bill payment for any corporation at this time.

My Bill Payment Termination

Account Type
Debiting Account
Please terminate the following nominated representatives:
Name (as in NRIC/Passport)
NRIC/Passport Number
I would not like to terminate any representative at this time.
Please terminate bill payment for the following corporations:
Billing Organisation
Bill Reference
I would not like to terminate bill payment any corporation at this time.

Declaration

Authorised Signatories
(with maximum signing limit) & Company Stamp, if applicable

(Please sign according to Bank records)

For Bank Use
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