Authority to Operate Cancellation T 1300 655 116 F 02 9965 1222 P Locked Bag 7003 Concord West NSW 2138 E
[email protected]
On 1 February 2018, the business of My Credit Union Limited was transferred to Community CPS Australia Ltd ABN 15 087 651 143, AFSL/Australian Credit Licence 237 856 trading as Beyond Bank Australia
Personal details Account to cancel access
Member number
Specify account types (S1, S3, etc) or ALL
Member name(s) Please remove the persons named below as a signatory from this membership. Signatory name(s)
/
Effective date
/
Member authority
I/we authorise the Credit Union to revoke the above signatories authority to operate account(s) for the above membership.
Member 1 signature
Date
/
/
Member 2 signature
Date
/
/
Note: You will still be responsible for all transactions your authorised person carries out prior to this cancellation taking effect. Where the signatory has authorised a direct debit on a Visa Debit card issued, you will need to request the signatory to cancel the authority direct with the biller.
Branch use only
Head Office use only
Member 1 sig verified
New sig card received
Member 2 sig verified
Chq bk sig card received
P60M updated
ATOs card cancelled
Old sig card removed
Completed by Op No. Date
Completed by Op No.
/
/
Date
/
/ F005_2 02/18
Authority to Operate Cancellation T 1300 655 116 F 02 9965 1222 P Locked Bag 7003 Concord West NSW 2138 E
[email protected]
On 1 February 2018, the business of My Credit Union Limited was transferred to Community CPS Australia Ltd ABN 15 087 651 143, AFSL/Australian Credit Licence 237 856 trading as Beyond Bank Australia
NAME:
MEMBER NO.
SPECIMEN SIGNATURES: Signing specification Any one may sign All parties to sign Name:
Two to sign
Name:
Other:
Name:
Name:
EFFECTIVE DATE
2
0 member signatory card
CREDIT UNION USE ONLY: SEFF UPDATED
ACCOUNT NAME:
BSB
LINK NO.
0 8 2 1 7 0 NEW ACCOUNT
VARIATION TO EXISTING A/C
SPECIMEN SIGNATURES: 1
2
Signing specification Any one may sign All parties to sign
3
Two to sign
4
Other:
5
6
CU OFFICER
CUSCAL
AUTHORITY EFFECTIVE DATE
2
0
FINANCIAL INSTITUTION NAME
MY CREDIT UNION LIMITED
CHEQUE signatory card
F005_2 02/18
