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1. Account Holder Information: Details of the person/entity giving payment consent, including full name, account number, and contact information as per UAE Central Bank requirements
2. Payment Authorization Details: Specific details of the payment arrangement being authorized, including payment amount, frequency, and duration
3. Beneficiary Information: Complete details of the party receiving the payments, including their bank details and account information
4. Payment Terms: Clear specification of payment terms, including timing, method, and any conditions attached to the payments
5. Declaration and Consent: Explicit statement of consent and understanding of the terms, including acknowledgment of rights and obligations
6. Cancellation Rights: Information about the right to cancel the payment consent and the process for doing so
7. Authentication: Space for signature/electronic signature and date, with necessary witness fields if required
1. Multiple Account Authorization: Additional section when consent covers payments from multiple accounts
2. Variable Payment Terms: Used when payment amounts may vary, including maximum limits and variation terms
3. International Transfer Provisions: Required when payments involve cross-border transfers, including relevant compliance declarations
4. Third Party Authorization: When consent is given by an authorized representative rather than the account holder
5. Digital Banking Provisions: Specific terms for digital/electronic payment methods when applicable
1. Schedule A - Payment Schedule: Detailed breakdown of payment dates, amounts, and frequencies if payments are recurring
2. Schedule B - Supporting Documents: List of required supporting documents such as ID proof, trade license, or power of attorney
3. Appendix 1 - Terms and Conditions: Detailed terms and conditions governing the payment consent arrangement
4. Appendix 2 - Bank's Rights and Obligations: Specific terms relating to the bank's role and responsibilities in executing the payment consent
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