I certify that I am an authorized user of this credit card/bank account and
hereby authorize the scheduled payments as per my instructions. I undertake
to maintain adequate funds to effect the schedule payment transactions and
agree to notify HNB Assurance PLC in writing of any changes in my account
information or termination of this schedule payments at least 15 days prior
to the next billing date. Further , I understand that the schedule payment
arrangement will remain in effect unless I notify HNB Assurance PLC in
writing to effect the cancellation.
I acknowledge that these transactions are governed by & construed in
accordance with the law of Sri Lanka.