Registration form bank customer Page 1 of 3 Paying and receiving payment service agreement for businesses – between <enter name of bank> and <enter name of business/account holder> Already registered as Nets customer 6. eFaktura (e-Invoice B2C) 1. Customer (account holder) Organization no. Name to appear in the netbank: Line of business: Name Name/dept. for inquiries: Address 1 (att. person or dept.) Telephone no. Address 2 (street/mailing address) Business offers AvtaleGiro: Yes No Postal code and city If yes, will eFaktura be offered In combination with AvtaleGiro: Yes No Country Telephone no. e-mail: Contact person eFaktura reference Use as eFaktura reference: (I.e. customer no.) e-mail No. of digits. Ordering account (apply not eFaktura): Only numerical: Alt.2: Yes Alt.3: - No This information will be used as a security check when registering in the Internet Bank. 2. Services Nets agreement ID Agreement for: Alt.1: Invoice account: Accounts attached to agreement for the netbank List acct. no. to check for eFaktura agreement: Acct. no.: Acct. no.: Acct. no.: Direct remittance For more than 3 accounts, please use field for remarks (space 14) Autogiro (Direct Debit) KID Total no. of digits in KID including control digits: Autogiro paid by creditor (recipient pays all charges) Indicate position of eFaktura reference in KID: AvtaleGiro (Direct Debit) from - to AvtaleGiro paid by creditor (recipient pays all charges) eFaktura assignment OCR giro Egiro (CREMUL) Format Nets Egiro pluss (CREMUL) e-mail distribution Agreement eFaktura (e-Invoice) Invoice/payment XML Program Other Name, version Receipt Want the pilot run in production: (applies to AvtaleGiro) Yes No Wish to notify by SMS distributed via nets: (applies to AvtaleGiro) Existing invoice volume per year. Amount: eBilling Hotel Fill in if other than bank’s eBilling Hotel Organization no.: 3. Fill in 3 KID number for verification/test KID example no. 1: KID example no. 2: KID example no. 3: 4. Default text who follows the transactions (if you don’t fill in, the customer/account holder will be default) Name: Contact person: Telephone no.: e-mail: Only for direct remittance, autogiro (max 30 pos) and/or AvtaleGiro (max 25 pos) Integration partner, if any 5. Changing accounts Name: Old account no.: (AvtaleGiro, autogiro and direct rem) Fill in only if using other than Nets format or standard invoice template. Agreement ID: Contact person: New account no.: Valid from (date): Telephone no.: e-mail: Version 4 – 2014/updated august 2014 Registration form bank customer Page 2 of 3 7. Autogiro Choose repetition of transactions denied by payers bank: 1 day 2 days 11. Recipient of account data OCR giro – Nets customer ID: 3 days Egiro – Nets customer ID: Nets sends reminder when payment is rejected by payers bank Autogiro – Nets customer ID: Direct remittance – Nets customer ID: AvtaleGiro FBO – Nets customer ID: (Additional info can be specified under remarks) 8. OCR giro, egiro payment and egiro payment plus 11.1 Autogiro Electronic return of mandate 8.1 – KID agreement Deny payments with lack of or invalid KID Daily: We wish all payments to be denied if KID is lacking or invalid. Ref. terms of agreement 5.2 Noon Afternoon Final settlement Choose one. If not specified above, entry data will be sent once per day (final settlement). Or: 8.2 – KID credit note Our financial system has this function. Weekday(s) (1-5) Day(s) each mo. (1-31) Our credit notes have KID and we wish to receive these electronically in OCR file with ordinary KID payments. 11.2 Periodic updates of return AvtaleGiro, standing orders 9. KID information KID for AvtaleGiro Mod 10 Mod 11 Daily: No. of digits including control digits: Customer no.: to Afternoon Final settlement once per day (final settlement). - Or: Position from Noon Choose one. If not specified above, entry data will be sent Position from Payment type: Morning - Weekday(s) (1-5) to Day(s) each mo. (1-31) 11.3 Periodic updates of entry data OCR giro can have up to 3 KID alternatives: Mod 10 Mod 11 Mod 10 Mod 11 Mod 10 Mod 11 No of digits including control digits: No of digits including control digits: No of digits including control digits: dispatcher that transfers the file to Nets, i.e. via the Online Bank) egiro pluss Autogiro – Return of approved transactions - Customer-ID in Nets Autogiro – Return of denied transactions Daily: Morning Noon Afternoon Final settlement Choose one (or several). If not specified above, entry data Receipt for registered transmissions: by e-mail egiro Direct remittance - 10. Data dispatcher Distributor ID (the data OCR giro - by enett L226 is the confirmation that the assignments are according to Nets standard. Customers are responsible for checking that the L226 is received and the status of receipt. Can’t be avoided Name: Telephone no.: e-mail address: (Additional info can be specified under remarks) 10.1 Autogiro Electronic mandate Version 4 – 2014/updated august 2014 will be sent once per day (final settlement). Or: Weekday(s) (1-5) Day(s) each mo. (1-31) Entry data for payments settled in bank will be sent customer via Nets according to existing regulations. See to it that KID is correct filled in. The consequence if KID is filled in wrong is that the payment must be updated manually. Registration form bank customer Page 3 of 3 12. e-mail distribution for notification of crediting 13. Recipient of list of receipts by e-mail as mandatory channel e-mail address: If the name and address differs from item 1, use the remarks field (Please use PC or caps/block letters) Nets customer ID The lists should be sent to e-mail: (shared e-mail address for recipient) No receipt lists 14. Remarks IMPORTANT! Always refer to which field the note applies. 15. Contacts We use: Self developed program Program delivered by software supplier At customer (technical contact) Telephone e-mail Software supplier Telephone e-mail Program Bank Telephone e-mail Banks reg. no. 16. Signatures Account holder has read and accepts agreement terms and conditions Place, date Place, date Customer’s signature Bank’s signature and stamp 17. Agreement registered by Nets place, date Version 4 – 2014/updated august 2014 Signature