DBS Bill Payment Service Multi-Purpose Form - Personal

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.

View the full list of Billing Organizations and Bill Reference

* Denotes mandatory field.

My Personal Details

Special characters < > \ are not allowed

Please provide a valid input

My Bill Payment Arrangement

Select an option

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Ensure that you enter a valid account number

Billing Organization Bill Reference

Ensure that you enter a valid Billing Organization

Ensure that you enter a valid Bill Reference

My Bill Payment Termination

Select an option

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Ensure that you enter a valid account number

Billing Organization Bill Reference

Ensure that you enter a valid Billing Organization

Special characters < > \ are not allowed

DBS Bill Payment Service Multi-Purpose Form - Personal

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

My Personal 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 - Personal

IB 8

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 Personal Details

Name (as in NRIC/Passport)
NRIC/Passport Number

My Bill Payment Arrangement

Account Type
Debiting Account
Bill Payment Arrangement 1
Billing Organization
Bill Reference

My Bill Payment Termination

Account Type
Debiting Account
Bill Payment Termination 1
Billing Organization
Bill Reference

Declaration

Applicant's Signature/Thumbprint and Date
(Please sign according to Bank records)

Thumbprint must be taken and witnessed at Branch. Please sign as per your DBS/POSB Bank account records.

For Bank Use
Pg 1/1

DBS Bank Ltd Aug 15
Co. Reg. No. 196800306E