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Antigua & Barbuda Social Security Board
ELECTRONIC FUNDS TRANSFER (EFT)
AUTHORIZATION FORM
Please complete and email this form to: remittance@socialsecurity.gov.ag after your EFT
transaction.
EFT transaction information
Company Name:
Antigua Barbuda Social Security Board
BANKING DETAILS
Payee Name on Account: Antigua Barbuda Social Security Board
Account Number:
Name of Bank:
Branch Location:
Branch Code:
Swift Code:
Account Type:
100-000-67
Caribbean Union Bank
Friar鈥檚 Hill Road
(070-28201)
CUNBAGAG
Cheque
Please complete the below form in details after your EFT payment.
Employer Name: _______________________________________________________________
Registration No. | : __________________________________
(six (6) digit only)
Remittance Month: ________________________________
(mm/yyyy)
EFT Transaction/Receipt No: ________________________
EFT Transaction Amount: __________________________
Remember to sign and date all R5As then email to remittance@socialsecurity.gov.ag
Having trouble?
Please contact us at 1 (268) 736-3000/1/2/3 or email us at customerserv@socialsecurity.gov.ag |
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