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Central Provident Fund Board

79 Robinson Road, CPF Building, Singapore 068897


Website: www.cpf.gov.sg CPF Call Centre: 1800-227 1188

Form WSD78A

Request to Change Payment Details for Withdrawal on Non-Retirement Grounds


This form may take you 5 minutes to complete.
It is an offence to make any false statement or to produce any document which is false for any purpose in connection with the Central
Provident Fund Act (Cap. 36). Please sign against any amendment made. Use of correction fluid/tape may render the application void.

PART 1 PARTICULARS OF APPLICANT (as shown on the identity card or passport)


Name: _______________________________________________________ NRIC or CPF Account Number
Malaysian IC / Foreign Passport Number: ___________________________

*S / T

Contact Number: ______________________________________________

Deceaseds CPF Account Number


(if applicable)

Email Address: ________________________________________________

*S / T

Address (only required for non-NRIC holder): ___________________________________________________________


______________________________________________________________________________________________________________________

For Banks Certification Only

PART 2 CHANGE OF PAYMENT DETAILS


Please complete the details below (Tick only one box):
Interbank GIRO
[complete (i) only]

Telegraphic Transfer
[complete (i) and (ii)]

The Bank hereby certifies that the bank


account, name and identification / passport
number on this form belong to the applicant.

(i) Bank Account Number : ______________________________________


(Bank account must not be a trust account)
Name of Bank : _____________________________________________
(ii) SWIFT Code : ___________________ (Can be obtained from the bank)
Bank Address : _____________________________________________

__________________________________________________________

...................................................
Bank Officers Name, Signature,
Banks Stamp & Date

I authorise CPF Board (Board) to obtain verification of information relating to me and to my bank account from the
bank, and the bank to disclose any information whatsoever relating to me and to the account for the purpose of
account validation. My authorisation here shall survive the termination of any of the account with the bank and may be
relied on and enforced as fully and effectively by the bank as if it is addressed to the bank.
I authorise the Board to use the above bank account for payments under CPF Withdrawal, Retirement Sum Scheme,
CPF LIFE, Silver Housing Bonus Scheme and Enhanced Lease Buyback Scheme (if applicable).
______________________________________________
____________________
Signature / Right Thumbprint of Applicant
Date
IMPORTANT NOTES:
Please get your bank to certify your bank account information above. Bank certification is not required for a Singapore
POSB (excluding DBS), OCBC or UOB bank account maintained under your Singapore NRIC.
The Board has the discretion to decide whether or not to perform verification of information relating to you and your
account with the bank.
Alternatively, please mail your original bank statement to us for verification. You can also submit a copy of your bank
statement / passbook certified true by either a Notary Public or an official from the Singapore High Commission / the
Embassy of the Republic of Singapore with his official seal / stamp duly affixed. Online bank statements and
certifications by a Justice of Peace or Commissioner for Oaths are not acceptable.

FOR OFFICIAL USE ONLY

Our ref: LM/MC/MGS/D: ______________________________

Accepted and Checked by/Date: ______________________________________________

WDL Ground: ________

Authorised by: ___________________

Date of Processing: _____________________

Code: _______________

Keyed by: _______________________

Verified by: ____________________________

Remarks: _______________________________________________________________________________________
* Delete whichever is inapplicable.
(03/2015)

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