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    Mandate FRM

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    themonaandcompany
    M

    Copyright:

    © All Rights Reserved
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    Mandate FRM

    Uploaded by

    themonaandcompany
    19 views1 page
    M

    Original Title

    Mandate Frm

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    M

    Copyright:

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

    Mandate FRM

    Uploaded by

    themonaandcompany
    M

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    MANDATE FORM

    ELECTRONIC CLEARING SERVICE (CREDIT CLEARING)/ REAL TIME GROSS


    SETTLEMENT ( RTGS) FACILITY FOR RECEIVING PAYMENTS
    A. DETAILS OF BANK ACCOUNT HOLDER:-

    NAME OF THE ACCOUNT HOLDER


    COMPLETE CONTACT ADDRESS

    TELEPHONE NUMBER/FAX/MAIL

    B. BANK ACCOUNT DETAILS (GOVERNMENT BANK AND SAVING ACCOUNT ONLY)

    BANK NAME

    BRANCH NAME WITH COMPLETE


    ADDRESS, TELEPHONE NUMBER AND
    EMAIL

    WHETHER THE BANK IS COMPUTERISED?

    WHETHER THE BANK IS RTGS ENABLED?


    IF YES, THEN WHAT IS THE BRANCH’S
    IFSC CODE

    IS THE BRANCH IS ALSO NEFT ENABLED?


    TYPE OF BANK ACCOUNT
    (SB/CURRENT/CASH CREDIT )

    COMPLETE BANK ACCOUNT NUMBER


    (LATEST)

    MICR CODE OF BANK

    DATE OF EFFECT:-

    I hereby declare that the particulars given above are correct and complete. If the transaction is delayed
    or not effected at all for reasons of incomplete or incorrect I would not hold the user Institution
    responsible. I have read the option invitation letter and agree to discharge responsibility expected of me
    as a participant under the scheme.

    ( )
    Date:
    Signature of Customer

    Certified that the particulars furnished above are correct as per our records.

    (Bank’s Stamp) ( )

    Date Signature of Bank Manager

    Please attach a photocopy of cheque along with the verification obtained from the bank.
    In case your Bank is presently not “RTGS Enabled”, then upon its up gradation to “RTGS Enabled”
    branch, please submit the information again in the above proforma to the Department at earliest.

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