PAYMENT METHOD SELECTION FORM - GE Money

Direct Debit Request<strong>GE</strong> <strong>Money</strong> can only accept bank account details that are in the name of the <strong>GE</strong> <strong>Money</strong> Personal Loan account holder or from a joint bankaccount including the name of the <strong>GE</strong> <strong>Money</strong> Personal Loan account holder. Direct Debit payments cannot be made using credit cardaccounts (e.g. Visa, MasterCard). Please initial all alterations.PLEASE USE BLOCK LETTERSSection 1 - Details of the Personal Loan accountBorrower(s) name(s):Section 2 - Details of bank account to be debited (must not be a business account)Account holder(s):(eg Joe Smith or Joe & Jane Smith)Name and location of financial institution where bank account is held:Institution / Bank Name:Branch:BSB number:-Account No.:Section 3 - Repayment - Please select frequency & repayment amountFrequencyMinimum required amountOr specify a higher amountCommencement date*WeeklyFortnightlyMonthly(Monthly repayment divided by 4)(Monthly repayment divided by 2)(This amount is listed in your contract#)$ ……………………..$ ……………………..$ ……………………..*The first direct debit date will commence one week/fortnight/month after the loan settlement date.# The minimum monthly repayment amount is stated in your loan contract and includes the monthly loan service feeSection 4 - Your authorisationI request you, <strong>GE</strong> Personal Finance Pty Ltd trading as <strong>GE</strong> <strong>Money</strong> (User Identification Number 230693) to debit funds from my nominatedaccount at the financial institution, shown above. I acknowledge that this direct debit arrangement is governed by the Direct Debit Serviceagreement provided overleaf. By signing I confirm that, the information recorded above is correct and that I authorise <strong>GE</strong> <strong>Money</strong> to continueto debit payments until the loan is paid in full. If my account to be debited is a joint account I acknowledge that I must ensure the accountauthority is for either party to sign.Account holder name:Account holder signature:Date:Account holder name:Account holder signature:Date:Credit is provided by <strong>GE</strong> Personal Finance Pty Ltd ABN 54 008 443 810 trading as <strong>GE</strong> <strong>Money</strong>. Australian Credit Licence Number 392163Page 1 of 2

Direct Debit Request Service AgreementThe meaning of words printed like this in this Direct Debit Request Service Agreement is explained in 8 below.1 Debiting your account1.1 By signing a direct debit request, you have authorised us to arrange for funds to be debited from your account.1.2 We will arrange for your financial institution to debit your account in accordance with the repayment schedule inrespect of the loan account referred to in the direct debit request. If, however, a debit payment is due on a day:(a) which is not contained in a particular month; or(b) which is not a business day,then the debit payment will be made on the next business day. If you are uncertain as to when a debit paymentwill be processed, you should contact your financial institution for assistance.2 Changes by us2.1 We may vary any details of this agreement or the direct debit request at any time (including cancelling it). We willgive you notice in writing of any such change at least fourteen (14) days before the change takes effect.3 Changes by you3.1 You may request to stop or defer a debit payment or alter, suspend or cancel the direct debit request at any time. When we receive sucha request, we will inform you of our notification requirements for such a request.4 Your Obligations4.1 It is your responsibility to ensure that there are sufficient clear funds available in your account to allow a debit payment to be madein accordance with the direct debit request.4.2 If there are insufficient clear funds in your account to meet a debit payment:(a) you may be charged a fee and/or interest by your financial institution,(b) you may also incur fees or charges imposed or incurred by us, and(c) you must arrange for the debit payment to be made by another method or arrange for sufficient clear funds to be in your account byan agreed time so that we can process the debit payment.4.3 You should check your account statement to verify that the amounts debited from your account are correct.4.4 If we are liable to pay goods and services tax (“GST”) on a supply made by using connection with this agreement, then you agree to payus on demand an amount equal to the consideration payable for the supply multiplied by the prevailing GST rate.5 Dispute5.1 If you believe that there has been an error in debiting your account, you should notify us immediately by contactingus on 1300 555 202. Before you make the call, make sure you have all the relevant documentation available.5.2 We will investigate and deal promptly and in good faith with any such query, claimor complaint. If your query, claim or complaint cannot be resolved to your satisfaction in that call, we will inform youat that time of the length of time which we estimate the investigation will take.5.3 If we conclude as a result of our investigations that your account has been incorrectly debited we will refund theamount of the debit payment and any charges by sending you a cheque for that amount and also adjust youraccount (including interest) accordingly. We will also notify you of the adjustment either orally or in writing.5.4 If we conclude as a result of our investigations that your account has not been incorrectly debited we will respond toyour query by providing you with reasons and any evidence for this finding.5.5 Any queries you may have about an error made in debiting your account should be directed to us in the first instance so that we canattempt to resolve the matter between you and us. If we cannot resolve the matter you can still refer it to your financial institution which willobtain details from you of the disputed transaction and may lodge a claim on your behalf.6 Accounts6.1 You should check:(a) with your financial institution whether direct debiting is available from your account as direct debiting is not available on all accountsoffered by financial institutions;(b) that your account details which you have provided to us are correct by checking them against a recent account statement; and(c) with your financial institution if you are uncertain about either of the above matters before completing the direct debit request.7 Confidentiality7.1 We will keep any information (including your account details) in your direct debit request confidential. We will make reasonable efforts tokeep any such information that we have about you secure and to ensure that any of our employees or agents who have access toinformation about you do not make any unauthorised use, modification, reproduction or disclosure of that information.7.2 We will only disclose information that we have about you:(a) to the extent specifically required or authorised by law; or(b) for the purposes of this agreement (including disclosing information in connection with any query or claim); or(c) with your implied or express consent.8 Definitionsaccount means the account held at your financial institution from which we are authorised to arrange for funds to be debited.agreement means this Direct Debit Request Service Agreement between you and us.business day means a day other than a Saturday or a Sunday or a public holiday listed throughout Australia.debit payment means a particular transaction where a debit is made.direct debit request means the Direct Debit Request between you and us.us, we or our means you have authorised <strong>GE</strong> <strong>Money</strong> to debit your account by signing a direct debit request.you or your means the person(s) who sign the direct debit request.your financial institution means the financial institution where you hold the account that you have authorised us to debit.Credit is provided by <strong>GE</strong> Personal Finance Pty Ltd ABN 54 008 443 810 trading as <strong>GE</strong> <strong>Money</strong>. (User identification Form 230693)Australian Credit Licence Number 392163.Page 2 of 2