Research Office
Direct Electronic Funds Transfer (EFT) form
To enable this electronic form, you must first SAVE it then REOPEN as a PDF file (it will not function properly when used in a browser window).
Charles Sturt University provides Electronic Funds Transfer (EFT) as a payment option to our Vendors. To facilitate setting up
this arrangement, would you please provide the following information and return to the Research Office .
1. Your Details
Title
First Name
Last Name
Email
Phone
Date of Birth
Staff/Student ID
Address
City
State
Post Code
State
Post Code
2. Your Bank Details
Bank Name
Bank Address
City
BSB
Account Number
13. Approvals and Authorisations
PLEASE NOTE: This is an electronic form and requires your below authorisation. After authorisation this form needs to be
emailed to the Research Office by clicking the `submit by email to the Research Office' button below.
If you do not have an electronic signature, you may create one in the signature field below. If you do not wish to create one,
please print this form, sign, scan and email.
Name
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Signature
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Date:
Submit by Email to the Research Of
Research Office: Direct Electronic Funds Transfer (EFT) form 081111
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