Change of Bank Details

• Published date: 19 November 2020
• Issuer: Department of Education

TO CHANGE BANK ACCOUNT DETAILS FOR PAYMENT

OF SALARY OR PENSION THROUGH A BANK

IARRATAS CHUN SONRAÍ CUNTAIS BHAINC UM ÍOC

TUARASTAIL NÓ PINSIN TRÍ BHANC A ATHRÚ

Name / Ainm:

Address /

Seola

dh

:

Post Code / Cód Poist :

Phone Number

/

Uimh

Teileafóin:

PPS Number

/ Uimh. PSP:

Letters / Litreacha

Payroll Number

/ Uimh.

Phárolla:

NEW BANK ACCOUNT DETAILS /

SONRAI CUNTAIS BAINC

Bank Sort Code / Cód S

ó

rtála

Bainc:

Bank

Account No. /Uimhir

Chuntais Bainc:

IBAN / IBAN:

A/C BIC/SWIFT :

A/C

BIC/SWIFT

Bank Name & Address/ Ainm agus Seoladh an Bhainc:

__________________________________________________________________________________

Signature of applicant /

Síniú an iarratasóra: __________________________ Signature 2nd Account holder/ _______________________________

Síniú an 2ú Sealbhóra cuntais (Applies to Joint Accounts Only / Maidi le

comhchuntais amháin

Please

do not close your Bank Account U

ntil

Your Salary or Pension is Paid to Your New Account

/

Ná

dún do Chuntas Bainc, le do thoil, go dtí go n-íoctar Do Thuarastal nó do Phinsean isteach i do Chuntas Nua

Please tick below for bank account details you wish to change. Tick for each account/payroll if more than one to be changed / Feic thíos le

haghaidh sonraí chuntais bhainc. Cuir tic(eanna) sa bhosca(í) cuí :

Primary Payroll (Párolla: Múinteoirí Bunscoile )  Post Primary Payroll (Párolla Múinteoirí Iar-bhunscoile) 

Retired Persons Payroll (Párolla:Foireann ar Scor)  NTS 

POSTAL ADDRESS FOR COMPLETED FORM SEOLADH POIST DON FHOIRM COMHLÁNAITHE

Payroll: Primary OR Post Primary OR Retired Persons OR NTS Payroll Párolla: Múinteoirí Bunscoile NÓ Múinteoirí Iar-bhunscoile NÓ

Foireann ar Scor NTS

Department of Education An Roinn Oideachais

Cornamaddy Corr na Madadh

Athlone Baile Átha Luain

Co. Westmeath Co. na hIarmhí

N37 X659 N37 X659

________________________________________________________________________________________________________________

OFFICIAL USE ONLY / ÚSÁID OFIGIÚIL AMHÁIN

INPUT FOR PAY ISSUE

/ IONCHUR LE HHAG

hAGHAIDH EISIÚINT PHÁ

SIGNED/SÍNITHE_____________________________ CHECKED/SEICEÁILTE_________________________________

DATE/ DÁTA_________________________________ DATE/DÁTA__________________________________________