Your
reference number
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Postcode/Eircode
First line of address as per the letter you received
Postcode/Eircode
Date of birth
I am the named account holder (
DEBTOR_NAME
) or I am acting on the consent of the named account holder and I am duly authorised to manage this account.
Warning:
IF YOU ARE NOT THE NAMED ACCOUNT HOLDER OR YOU ARE ACTING WITHOUT THEIR CONSENT, PROCEEDING BEYOND THIS POINT WILL BE CLASSED AS A FALSE DECLARATION RESULTING IN AN INFRINGEMENT OF THE ACCOUNT HOLDER'S DATA PROTECTION RIGHTS.
