FS-91 UoA Students with Overseas Bank Account

Purpose of this form:

Use this form to get a UoA student set up to receive a payment via bank transfer to an overseas bank account, after you have completed FS-41 ‘Request for payment form’.

If you need any assistance completing the FS-41 for your reimbursement your group service staff will be able to assist.

This form is not to be used for a refund.

Instructions for completing FS-91:

You will need to attach proof of bank account which is current and obtained within the last twelve months. The documentation must show the bank logo, bank account name matching the student's name and bank account number and must be in English where possible (examples).

Please ensure the relevant bank codes have been included eg IBAN, routing number, Swift code

UoA Student's Details

First name

Last name

Contact phone number

Please include country and area codes

Student ID

Address 1

Address 2

City

State / province

(if aplicable)

Country

Zip / Postal Code

Bank Details

Please select which region your bank is located in from the options below

Bank account number

Bank account number should be 8 or 9 digits

Bank name

Bank ID (if Japanese Yen)

Branch ID (if Japanese Yen)

Bank ID (if Canadian Dollar)

Branch ID (if Canadian Dollar)

Bank address

Enter BSB number

BSB (bank-state-branch) number should be 6 digits

Enter ABA routing number

Enter IBAN code

Swift code - to locate swift codes worldwide go to https://www.theswiftcodes.com/

Enter swift code

To locate swift codes worldwide go to https://www.theswiftcodes.com/

Please attach proof of bank account

Must be a PDF, JPG, GIF or PNG file

This must show the bank logo, bank account name matching student name and bank account number

Additional information to support this reimbursement

Attach FS-41 and supporting documents for payment

Upload file

Please do not enter any credit card information into this form.