Appendix to Annex B.2 - Particulars to be supplied in the batch debit order
Order for batch debiting by diskette
Name and address of user:
Number of user's deposit account:
Number of diskette:
Date diskette prepared:
Number of fees to be debited:
Total payments in euro:
Number (quantity) of applications:
Immediate printout of debited fees:
Yes/No
Contact person in case of problems:
– name
– telephone
– fax
– e-mail
Place
Date
Signature