Direct Debit Request

By continuing your Direct Debit Request, you grant Zai Australia Pty. Ltd. (BECS User ID’s 342203 and 481561) permission to debit your nominated account for any payments you owe. This agreement encompasses the terms and conditions specified in the Direct Debit Request Service Agreement located here Direct Debit Service Agreement — Knit.

I request and authorise Zai Australia Pty. Ltd. trading as Zai & User ID’s 342203 and 481561 to arrange, through its own financial institution, a debit to your nominated account any amount Zai Australia Pty. Ltd. trading as Zai, has deemed payable by you. You acknowledge that Zai Australia Pty. Ltd. trading as Zai has different user id’s depending on the financial institution it uses.

This debit or charge will be made through the Bulk Electronic Clearing System (BECS) from your account held at the financial institution you have nominated above and will be subject to the terms and conditions of the Direct Debit Request Service Agreement.

Acknowledgment

By signing and/or providing us with a valid instruction in respect to your Direct Debit Request, you have understood and agreed to the terms and conditions governing the debit arrangements between you and Zai Australia Pty. Ltd. trading as Zai as set out in this Request and in your Direct Debit Request Service Agreement. ACH Debit Agreement Zai Australia Pty. Ltd. Authorisation Agreement For Automated Clearing House Transactions (ACH Debits)

I (we) hereby authorise: Zai Australia Pty. Ltd., hereinafter called COMPANY, to initiate debit entries and to initiate, if necessary, credit entries and adjustments for any debit entries in error to my (our) account. indicated below and the depository named below, hereinafter called DEPOSITORY, to debit and/or credit the same to such account.

This authority is to remain in full force and effect until COMPANY has received written notification from me (or either of us) of its termination in such time and in such manner as to afford COMPANY and DEPOSITORY a reasonable opportunity to act on it.

AUTHORIZATION I (We) acknowledge that the origination of ACH transaction to my (our) account must comply with the provision of U.S. Law and the Rules of the National Automated Clearing House Association. I (We) further acknowledge that I (we) have retained a copy of this authorization when I (we) confirmed it. You hereby authorise and request Zai Australia Pty. Ltd. to debit funds from your account at the Financial Institution indicated, and credit the funds according to the above instructions. Funds need to be on deposit at the designated Financial Institution on the evening prior to the effective date of the ACH debit. In the event of an error, you authorise Zai Australia Pty. Ltd. to take any and all action required to correct the error. You must notify Zai Australia Pty. Ltd. in writing if you would like to make any changes or to cancel the authorization. You agree to indemnify and hold Zai Australia Pty. Ltd. harmless from all costs, including attorney’s fees, (to the extent permitted by law), damage or claims related to Zai Australia Pty. Ltd.’s action in refusing payment of the item, including claims of any joint account-holder, payee, or endorsee, or in failing to cancel or process an item as a result of incorrect information provided by you. By signing below, you certify that the information you have given on this ACH Debit Authorization Agreement for Direct Payments is complete, true, and submitted for the purpose selected above.