6127 - Direct Debit Order Authorization Form

For collection only. NII is happy to offer you a more convenient way to pay insurance contributions: a standing order at the bank. The payments will be deducted from your account at the date determined by law. The NII commits itself to collect only the monthly payments with the automatic charge, and no other debts. If you choose this arrangement, please fill in the form and submit it to the local branch in which your account is managed.