Bexhill Funding Group Ltd

PO Box 3954 Wellington 6140

Bank Instructions Authority to Accept

Direct Debits
Name of bank account to be debited: Mitai (Not to operate as an assignment or
(Not bank name or account type) agreement)

BANK ACCOUNT FROM WHICH PAYMENTS TO BE MADE:

Authorisation Code
0 3 0 1 6 2 0 1 0 4 4 1 4 0 0 0
Bank Branch Account Number Suffix 0 3 1 1 3 0 9
(Please attach an encoded deposit slip to ensure your number is loaded correctly)

To: The Bank Manager,

BANK: Westpac
BRANCH: Rotorua Central
TOWN/CITY:

I/We authorise you until further notice in writing to debit my/our account with all amounts which

Bexhill Funding Group Ltd

(Hereinafter referred to as the Initiator)
the registered Initiator of the above Authorisation Code, may initiate by Direct Debit.
I/We acknowledge and accept that the bank accepts this authority only upon the conditions listed below.

I agree that this authority is subject to:

‡ The bank's terms and conditions that relate to my account, and
‡ The specific terms and conditions listed below.

INFORMATION TO APPEAR ON MY/OUR BANK STATEMENT

PAYER PARTICULARS PAYER CODE PAYER REFERENCE

B e x h i l l F u n d I N S U R A N C E

YOUR SIGNATURE(S) Wetini Mitai-Ngatai

BANK
DATE 13 05 2024 STAMP

For Bank Use Only Original - Retain at Branch

1130
2 2018 Date Received Recorded by Checked by

Conditions of this Instruction

1. The Initiator
(a) Has agreed to give notice of the net amount of each Direct Debit and the due date of the debiting at least 10 calendar days (but no more than 2 calendar months) before the date when the Direct
Debit will be initiated. This notice will be provided in writing (including by electronic means and SMS where the Customer has provided prior written consent (including by electronic means including
SMS) to communicate electronically).
The advance notice will include the following message: "Unless advice to the contrary is received from you by (date*), the amount of $...... will be directly debited to your Bank account on (initiating
date)."
*This date will be at least two (2) days prior to the initiating date to allow for amendment of Direct Debits.
(b) May, upon the relationship which gave rise to this Instruction being terminated, give notice to the Bank that no further Direct Debits are to be initiated under the Instruction. Upon receipt of such
notice the Bank may terminate this Instruction as to future payments by notice in writing to me/us.
(c) May, upon receiving written notice (dated after the date of this Instruction) from a bank to which I/we have transferred my/our bank account, initiate Direct Debits in reliance of that written notice
and this Instruction from the account identified in the written notice.
2. The Customer may:
(a) At any time, terminate this Instruction as to future payments by giving written notice of termination to the Bank and to the Initiator.
(b) Stop payment of any Direct Debit to be initiated under this Instruction by the Initiator by giving written notice to the Bank prior to the Direct Debit being paid by the Bank.
(c) Request the Bank to reverse any Direct Debits initiated by the Initiator under the Instructions by debiting the amount of the Direct Debits back to the Initiator through the Initiator¶s Bank where the
Initiator cannot produce a copy of the Instructions and/or Confirmation to me/us that I/we are reasonably satisfied demonstrate that I/we have authorised my/our bank to accept Direct Debits from the
Initiator against my/our account PROVIDED the request is made not more than 9 months from the date when the first Direct Debit was debited to my/our account by the Initiator under the
Instructions.
3. The Customer acknowledges that:
(a) This Instruction will remain in full force and effect in respect of all Direct Debits passed to my/our account in good faith notwithstanding my/our death, bankruptcy or other revocation of this
Instruction until actual notice of such event is received by the Bank.
(b) In any event this Instruction is subject to any arrangement now or hereafter existing between me/us and the Bank in relation to my/our account.
(c) Any dispute as to the correctness or validity of an amount debited to my/our account shall not be the concern of the Bank except in so far as the Direct Debit has not been paid in accordance with
this Instruction. Any other disputes lies between me/us and the Initiator.
(d) Where the Bank has used reasonable care and skill in acting in accordance with this Instruction, the Bank accepts no responsibility or liability in respect of:
- the accuracy of information about Direct Debits on Bank statements.
- any variations between notices given by the Initiator and the amounts of Direct Debits.
(e) The Bank is not responsible for, or under any liability in respect of the Initiator¶s failure to give notice in accordance with 1(a) nor for the non-receipt or late receipt of notice by me/us for any
reason whatsoever. In any such situation the dispute lies between me/us and the Initiator.
4. The Bank may:
(a) In its absolute discretion conclusively determine the order of priority of payment by it of any monies pursuant to this or any other Instruction, cheque or draft properly signed by me/us and given
to or drawn on the Bank.
(b) At any time terminate this Instruction as to future payments by notice in writing to me/us.
(c) Charge its current fees for this service in force from time-to-time.