Homestay Creditor Request Form

In order to be added as an Homestay creditor to the University of Newcastle this form MUST be completed at the request of a University of Newcastle staff member.

On completion a Creditor Code will be sent to the University of Newcastle staff member, as identified below.

For further information about the University of Newcastle's Procurement Policies and Procedures please go to Procurement Central.

Please complete this application and press submit for processing, inaccurate and/or incomplete forms will not be processed.

* Mandatory Field

Section A - University of Newcastle Staff Member Details

* UoN Contact Name

Section B - University Payment History

Have you previously received a payment from the University of Newcastle?

Section C – Your Details

* Last Name
* First Name
Phone Number
* Address:
* State:
Country
* Postcode:
* Email Address For remittance advice

Section D – Banking Details

* Payee Name: (The bank account name must be the same as the Name noted in Section C)
* Bank Name:
* Branch:
* BSB Number: (6 digits xxx-xxx)
* Account Number:

Declaration by Supplier

* I confirm that all information provided on this form are correct.	Yes
* I am authorised on behalf of the Payee nominated on this form to complete and submit this form.	Yes
* I have read and agree to be bound by the University of Newcastle terms and conditions.	Yes
* Form Completed By

The University of Newcastle operates under our standard terms and conditions as expressed on our purchase order or contract.

The University of Newcastle terms and conditions for payment to Creditors, available via the following link:

http://www.newcastle.edu.au/unit/rcs/po-terms-conditions

For further information contact Financial Services on 02 4921 6555 or email Creditors Codes.

The University of Newcastle acknowledges the traditional custodians of the lands within our footprint areas: Awabakal, Darkinjung, Biripai, Worimi, Wonnarua, and Eora Nations. We also pay respect to the wisdom of our Elders past and present.