Standing Order Application | Bank of St Helena Ltd

This form is for Personal Current Account Holders requesting a Standing Order from their Account.

Before you apply, here are a few things we would like to make you aware of:

All compulsory fields are marked with ‘*’.

Debit Account Number *

Your Account

Debit Account Name *

Credit Account Number *

Credit Account Name *

Payment Amount (£) *

Payment Amount (in words) *

Start Date *

End Date

Leave blank if there is no end date at this time

Number of Payments

If known

Payment Reference *

Frequency *

Signature (if signature is not legible, you may upload a copy of your signature in the upload box below)

Application can not be accepted without a signature

Signature 2 (if applicable) (if signature is not legible, you may upload a copy of your signature in the upload box below)

Application can not be accepted without a signature

Signature upload (if required)

Click or drag files to this area to upload. You can upload up to 2 files.

Email *

Telephone Number *

Date *

Captcha *

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