Creditor Application Form

The Creditor Application Form has been updated to ensure that all the required information is collected for the form to be processed. If you have any questions or problems with the new form please call Treasury Operations on (02) 4349 4546. Before completing this form please check to see if supplier already exists in Technology One.

Please allow up to 5 business days to process successfully completed applications.

Location

Domestic (Australia) International

University of Newcastle Staff Contact Details

* indicates required field

The University of Newcastle staff member who you have been in contact with regarding your payments

Entity *

Name *

Name is required

Phone Number *

Phone Number is required

Email Address *

Email Address is required

Form Completed By

* indicates required field

Name *

Name is required

Position

Phone Number *

Phone Number is required

Email Address *

Email Address is required

Your Personal Details

* indicates required field

Student or Visitor *

Name *

Name is required

Student Number *

Address *

Address is required

City *

City is required

State *

State is required

Postcode *

Postcode is required

Country *

Country is required

According to Australian Banking Regulation an international payment leaving the country requires a street address for the beneficiary

Phone Number *

Phone Number is required

Fax Number

Email Address

Your remittance advice will be sent to the email address indicated. Failure to provide an email address will result in no remittance being forwarded.

Product/Service Category *

Product/Service Category is required

Brief Description of Product/Service *

Description is required

Company Details

* indicates required field

Entity Name *

Entity Name is required

Trading Name

ABN *

ABN is required

The entity/trading name must be registered against the nominated ABN.

Registered for GST * Yes No

Registered for GST is required

Address *

Address is required

City *

City is required

State *

State is required

Postcode *

Postcode is required

Country *

Country is required

According to Australian Banking Regulation an international payment leaving the country requires a street address for the beneficiary

Phone Number *

Phone Number is required

Fax Number

Email Address

Your remittance advice will be sent to the email address indicated. Failure to provide an email address will result in no remittance being forwarded and a hard copy of the purchase order being sent.

Product/Service Category *

Product/Service Category is required

Brief Description of Product/Service *

Description is required

Purchase Order Address

* indicates required field

As Above *

Selection is required

If 'No' please complete the following details

Contact

Address

City

State

Postcode

Country

Phone Number

Fax Number

Email Address

Banking Details

* indicates required field

If unsure of banking details please confirm with your financial institution prior to completing this form

Payee Name *

The payee name listed on the account must match the name listed on this form

Payee Name is required

BSB Number *

Please enter BSB in xxx-xxx format

BSB Number is required

Account Number *

Account Number is required

Bank *

Bank is required

Branch

Banking Details

* indicates required field

If unsure of banking details please confirm with your financial institution prior to completing this form

Payee Name *

The payee name listed on the account must match the name listed on this form

Payee Name is required

Currency *

This is the currency you will invoice the University. If other please enter your currency in the comments below

Currency is required

IBAN

International Bank Account Number - mandatory for Europe, United Kingdom and Scandinavia.

Account Number

Routing Number

ABA/Branch Code

Routing Number is mandatory in USA and Canada, Branch Code is mandatory in New Zealand

SWIFT Code

Mandatory for all countries except USA and Canada. You must provide a SWIFT Code or Routing Number to be paid.

Bank Address must the street address of the bank (not a post office box) as per Australian Banking information.

Bank Name*

Bank is required

Bank Address *

Bank Address is required

Bank City *

Bank City is required

Bank Country *

Bank Country is required

Comments

Additional bank details specified by your bank

The University of Newcastle, Australia

Creditor Application Form