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1. Account Holder Information: Full legal name, contact details, and official identification details of the account holder as per SAMA requirements
2. Bank Information: Complete details of the bank including branch information where the account is held
3. Account Details: Specific account number(s) and type(s) to be debited
4. Authorization Declaration: Clear statement authorizing the bank to debit the account, including the purpose of the authorization
5. Debit Details: Specific amount or calculation method, frequency, and timing of authorized debits
6. Duration and Validity: Period of validity for the authorization and any expiry conditions
7. Cancellation Rights: Terms and process for cancelling or modifying the authorization
8. Account Holder's Declaration: Statement confirming understanding and acceptance of terms
9. Signature and Date: Space for account holder's signature and dating of the document
1. Multiple Beneficiary Details: Used when the authorization covers payments to multiple beneficiaries
2. Variable Amount Instructions: Include when debit amounts may vary, specifying maximum limits and notification requirements
3. Joint Account Provisions: Required when the account is jointly held, specifying authorization requirements from other account holders
4. Digital Authorization Provisions: Include when the authorization can be provided through electronic means
5. Insufficient Funds Protocol: Optional section detailing procedures in case of insufficient funds
6. Language Declaration: Used when providing the authorization in multiple languages, typically Arabic and English
1. Schedule A: Payment Schedule: Detailed breakdown of payment dates, amounts, and frequencies if applicable
2. Schedule B: Supporting Documents: List of attached documents such as ID copies or commercial registration
3. Schedule C: Terms and Conditions: Detailed terms and conditions referenced in the main letter
4. Appendix 1: Bank Account Details: Additional account information if multiple accounts are involved
5. Appendix 2: Authorized Signatories: List of authorized signatories if applicable for corporate accounts
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