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ATENEO DE MANILA UNIVERSITY
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AUTHORIZATION FOR DIRECT CREDIT
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This form is to be used for submitting the bank information to the Central Accounting Office of Ateneo de Manila University. The bank details will be used by the University for direct crediting of payment to the payee's bank account. Direct credit will be done through the BPI Bizlink or BDO Business Online Banking System facilities.

The processing of all personal data shall be governed by the University’s privacy policy which can be found in this link: https://www.ateneo.edu/privacy/service-providers-other-payees and all relevant data protection laws, including Republic Act No. 10173, also known as the Data Privacy Act of 2012.
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Payee's Name:
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<Last Name, First Name, Middle Name> or <Company Name>
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TIN
Unit/Dept:
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Email address:
Mobile No.:
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Address:
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Purpose of payment:
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Complete Bank Account Name:
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Bank Name:
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Bank Account Number:
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If the bank account indicated belongs to another person, please indicate your relationship to the account holder:
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I certify that the information provided in this form is true and correct.

I authorize the Ateneo de Manila University to credit payments due me/my company to the bank account indicated in this form. I also authorize the University to reverse any deposit made in error to the said bank account.
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I understand that the bank information will be used until revoked by my written request.

I have read and consent to the University's processing of my personal data as indicated in the Privacy Notice found in this link: https://www.ateneo.edu/privacy/service-providers-other-payees .

If applicable, I certify that I have the capacity to give this certification in behalf of the Corporation/Partnership/Sole Proprietorship.
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Name and Signature of Payee/Company RepresentativePosition (for company representative only)
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Instructions:
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a.  Fill out this form and prepare the proof of bank account ownership such as scanned copy /picture of proof of bank account like deposit slip, withdrawal slip, statement of account, passbook, blank check, with only bank account number and account name disclosed.
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b. Email the accomplished form directly to the Central Accounting Office, together with proof of bank account ownership.
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To: controls.masterdata.cao@ateneo.edu
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Subject: ADC - < Name of Payee>
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Attachment filename: ADC - <Name of Payee>
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c. If bank account belongs to another person: Bank account holder will accomplish Authorization form (page 2 below) and email it together with a scanned copy or picture of any government-issued ID of the bank account holder.
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version 09.02.2024
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page 2
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Authorization
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(If bank account holder is different from the payee)
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I, name of bank account holder
, residing at
address
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do hereby authorize bank transfer transactions from Ateneo de Manila University to my
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bank account maintained at
Bank Name and Bank Account Number
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representing
description of payment and payee (ex. Professional fee of Mr. Juan dela Cruz)
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I also authorize the University to reverse any deposit made in error to my account.
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Attached is the scanned copy/picture of my government-issued ID.
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Name and Signature of Bank Account Holder
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Government ID No:
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