EMPLOYEE DIRECT DEPOSIT AUTHORIZATION AGREEMENT
NIIT
TECHNOLOGIES, INC.
I hereby authorize my employer, NIIT Technologies, Inc. (hereinafter COMPANY) to deposit any amounts owed me to initiating credit entries to my account at the financial institution (hereinafter BANK) indicated below. Further, I authorize BANK to accept and to credit entries indicated by COMPANY to my account. In the event that COMPANY deposits funds erroneously into my account, I authorize COMPANY to debit my account for an amount not to exceed the original amount of the erroneous credit.
Employee Name: _________________________________________________________
Employee Code: ___________________Social Security Number ______-____-_______
— Begin Deposit — Change Information — Cancel
Bank Name: _____________________________________________________________
Address: ________________________________________________________________
City State
— Checking-I wish to deposit (check one)
§ — $_______.00 — _____% Net — Entire Net Pay
— Savings-I wish to deposit (check one)
§ — $_______.00 — _____% Net — Entire Net Pay
(SUBMIT VOIDED CHECK, OR BANK LETTER OR FORM WITH THIS AGREEMENT AND RETURN THIS ORIGINAL FORM WITH ORIGINAL SIGNATURE TO HR DEPARTMENT)
This authorization is to remain in full force and effect until COMPANY and BANK have received written notice from me of its termination in such manner as to afford COMPANY and BANK a reasonable opportunity to act on it.
Employee Signature: ______________________________________________________
Date: _________________________________________________________________
(attach void check or bank letter/form here)