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Canadian Asia-Based Personnel Direct Deposit Enrollment Form ` For Office Use Only

Company Code: TAA8

Company Name: English Language Institute in China Society Date: ____________________

Payroll Mgr. Name: Courtney McPherson

Payroll Mgr. Signature: _________________________________________________

Please complete this form, and attach a voided cheque for chequing accounts. If depositing to a savings account, ask your bank to provide you with the transit number, bank number, and account number. This will help ensure that you are paid correctly. Below is a sample cheque MICR line, detailing where the information necessary to complete this form can be found. Memo________________________

⑈000⑈ ⑆01234⑉012⑆ Transit # (A 5-digit number always between these two marks)



Bank # A 3-digit number

Chequing Account # (The number of digits varies and may include dashes)

Important! Please read and sign before completing and submitting. I hereby authorize my employer (hereinafter “ELIC”) to deposit any amounts owed me by initiating credit entries to my account at the financial institution (hereinafter “Bank”) indicated on this form. Further, I authorize my Bank to accept and to credit any credit entries indicated by ELIC to my accounts. In the event that ELIC deposits funds erroneously into my account, I authorize ELIC to debit my account for an amount not to exceed the original amount of the erroneous credit. This authorization is to remain in full force and effect until ELIC and my Bank have received written notice from me of its termination in such time and in such manner as to afford ELIC and my Bank reasonable opportunity to act on it. Employee Name: ______________________________________ Social Insurance #: ___ ___ ___-___ ___ ___- ___ ___ ___ Employee Signature: ___________________________________ Date: ___________________________________________________ Bank Name: _________________________________________ Branch: __________________________________________________ Bank Address: _________________________________________________________________________________________________ Transit #: ___ ___ ___ ___ ___ Account #: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___  Chequing


Attach voided cheque here

Rev. 05/127