712 H Street NE Suite 1802

Washington, DC, 20002

USA

Authorization for Direct Deposit

Student Name: Yonas Gebrehiwet Tekle
Amount to be Refunded (in USD): $3712.50 USD

BANK INFORMATION
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Beneficiary (Name on Account):
Yonas Gebrehiwet Tekle

Beneficiary Address:
Hai-Cinema, Juba - South Sudan

Bank Name:
Ecobank South Sudan Ltd
Bank City, State, and Country:
Juba, Central Equatoria, South Sudan
Bank Account Number: Checking Savings
6950000105 X
Bank Routing Number:
Bank ABA/SWIFT/BIC Code:
ECOCSSJB

I authorize Pedago, LLC (dba “Quantic”) to deposit my pay automatically to the account(s) indicated
above and, if necessary, to adjust or reverse a deposit for any pay entry made to my account in error. I
also understand that I will be responsible for all fees charged in the event that Quantic’s bank returns
the transfer due to an error on my behalf or in the event the receiving bank charges a fee. This
authorization will remain in effect until I cancel it in writing and in such time as to afford Quantic a
reasonable opportunity to act on it.

Signature:

Print Name: Yonas Gebrehiwet Tekle

Date:
05-Jan-2024