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    Debit Mandate Form NACH / ECS / DIRECT DEBIT: Mthly Qtly H-Yrly Yrly As & When Presented

    Uploaded by

    sujeet kumar
    This document is a debit mandate form authorizing a company to debit funds from a customer's bank account. It contains information such as the UMRN number, sponsor bank code, date, type of bank account to debit, bank name, account number, IFSC/MICR codes, debit amount, frequency, reference numbers, contact details, signatures and a confirmation that the customer has read and agrees to the debit terms. The customer authorizes the company to debit their account as per the instructions provided in the form.

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    © All Rights Reserved
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    Debit Mandate Form NACH / ECS / DIRECT DEBIT: Mthly Qtly H-Yrly Yrly As & When Presented

    Uploaded by

    sujeet kumar
    593 views1 page
    This document is a debit mandate form authorizing a company to debit funds from a customer's bank account. It contains information such as the UMRN number, sponsor bank code, date, type of bank account to debit, bank name, account number, IFSC/MICR codes, debit amount, frequency, reference numbers, contact details, signatures and a confirmation that the customer has read and agrees to the debit terms. The customer authorizes the company to debit their account as per the instructions provided in the form.

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    nach form

    Original Title

    Nach Form Data

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    This document is a debit mandate form authorizing a company to debit funds from a customer's bank account. It contains information such as the UMRN number, sponsor bank code, date, type of bank account to debit, bank name, account number, IFSC/MICR codes, debit amount, frequency, reference numbers, contact details, signatures and a confirmation that the customer has read and agrees to the debit terms. The customer authorizes the company to debit their account as per the instructions provided in the form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    593 views1 page

    Debit Mandate Form NACH / ECS / DIRECT DEBIT: Mthly Qtly H-Yrly Yrly As & When Presented

    Uploaded by

    sujeet kumar
    This document is a debit mandate form authorizing a company to debit funds from a customer's bank account. It contains information such as the UMRN number, sponsor bank code, date, type of bank account to debit, bank name, account number, IFSC/MICR codes, debit amount, frequency, reference numbers, contact details, signatures and a confirmation that the customer has read and agrees to the debit terms. The customer authorizes the company to debit their account as per the instructions provided in the form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Debit Mandate Form NACH / ECS / DIRECT DEBIT

    UMRN Date
    D D D D Y Y Y Y

    Tick ( ) Sponsor Bank Code Utility Code


    CREATE ICICI MERCHANT SERVICES SB/CA/CC/SBNRE/SB-NRO/Other
    I/We hereby authorize to debit (tick )
    MODIFY
    CANCEL Bank a/c number

    with Bank Name of customers bank IFSC or MICR

    an amount of Rupees Amount in words

    FREQUENCY Mthly Qtly H-Yrly Yrly As & when presented DEBIT TYPE Fixed Amount Maximum Amount

    Reference 1 Phone No.

    Reference 2 Email ID

    I agree for the debit of mandate processing charges by the bank whom I am authorizing to debit my account as per latest schedule of charges of the bank
    PERIOD
    From

    To Signature Primary Account holder Signature of Account holder Signature of Account holder
    Or Until Cancelled
    1. Name as in Bank records 2. Name as in Bank records 3. Name as in Bank records
    • This is to confirm thet the declaration has been carefully read, understood & made by me/us. I am authorizing the user entity/corporate to debit my account, based on the instructions as agreed and signed by me.
    • I have understood thet I am authorized to cancel/amend this mandate by appropriately communicating the cancellation/amendment request to the User entity/Corporate of the bank where I have authorized the debit.

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