International Civil Aviation Organization
APPENDIX D / AP?NDICE D-63545615300INTERNATIONAL CIVIL AVIATION ORGANIZATIONHUMAN RESOURCES BRANCHBANKING INSTRUCTIONS FORM PAYMENTS CANNOT be made until YOUR BANKING INSTRUCTIONS HAVE BEEN PROVIDED TO human resources branch AT ICAO HEADQUARTERS.Name: FORMTEXT ?????Staff No. FORMTEXT ?????Home address: FORMTEXT ?????Home address 2: FORMTEXT ?????E-mail address: FORMTEXT ?????Home country: FORMTEXT ?????Country of service (Duty station): FORMTEXT ?????To: Chief, Human Resources BranchI hereby request that payment of salary and entitlements due to me be made to the following financial institution:Note:The below banking instructions will be used for all future payments unless we are notified otherwise.Please provide full bank address. PLEASE ATTACH VOID CHEQUE OR BANK STATEMENT.* ALL PAYMENTS IN CANADA AND THE USA ARE DONE BY DIRECT DEPOSIT *** PAYMENTS OUTSIDE NORTH AMERICA ARE SENT BY ELECTRONIC FUNDS TRANSFER **Full name of bank: FORMTEXT ?????Street address: FORMTEXT ?????City: FORMTEXT ?????State/Province: FORMTEXT ?????Country: FORMTEXT ?????Postal/Zip code: FORMTEXT ?????Account number /currency (in USA): FORMTEXT ?????ABA or Swift routing number (for accounts in North America): FORMTEXT ?????Account number /currency (in CAN): FORMTEXT ?????Bank code: FORMTEXT ?????Transfer code: FORMTEXT ?????Swift Code or IBAN (for accounts outside North America): FORMTEXT ?????Currency of bank account if outside North America :Please Specify FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????(Signature of staff member)DateFOR OFFICE USE ONLYType of Contract:Professional Staff HQ FORMCHECKBOX Professional Staff RO FORMCHECKBOX GS Staff HQ FORMCHECKBOX SSA FORMCHECKBOX Short-Term FORMCHECKBOX FORMTEXT ?????Human Resources OfficerDate ................
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