ar [oe] PAYMENT INSTRUCTIONS / CHANGE OF POSTAL ADDRESS Account No: [313 IO No: Namo: PLEASE TAKE NOTE OF THE FOLLOWING CHANGES:~ ur [1] s31 * PAYMENT INSTRUCTIONS. For purpose of payment of allowance ADDRESS: + [R] SEND TO MY” COLLEGE, College Name: ‘CREDIT MY BANK ACCOUNT NO. teeny i I Bil. LPP.06 Bank Name: (ADDRESS is as indicated below) rene + [B] SEND To My POSTAL ADDRESS as incicated below Pe ac (ADDRESS is as indicated below) cio (it applicable) House No Street District” Town’ State/ Country 2] $32 * CHANGE OF POSTAL ADDRESS For Correspondence Only iO. (if applicable) House No./ Street District’ Town State/ Post Code Country Telephone No. © DELETE where not applicable Date Student Signature FOR OFFICIAL USE ONLY Checked by Approved by Data entered by Signature Name Date