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Mandate Form 69976421

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AKIB JAWED
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0% found this document useful (0 votes)
52 views1 page

Mandate Form 69976421

Uploaded by

AKIB JAWED
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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UMRN Date 1 9 1 0 2 0 2 4

Sponsor bankcode Utility Code NACH00000000002558

I/We hereby Authorize HERO FINCORP LTD To Debit SB/ CA/ CC/ SB-NRE/ SB-NRO/ OTHER

CREATE
MODIFY Bank a/c Number 4 5 9 2 5 1 1 1 0 0 9 3 9 9 3
CANCEL

With Bank KARNATAKA BANK LTD IFSC K A R B 0 0 0 0 4 5 9 or MICR 3 2 4 0 5 2 0 0 2

an amount of Rupees Seventy Nine Thousand Three Hundred and Twenty Four Rupees 79324
Frequency Monthly Qtly H-Yrly Yearly As & when prensented Debit Type Fixed Amount Maximum Amount

Reference 1 69976421 Phone Number 8852809481

Reference 2 EMail ID
PERIOD 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 bank

From 0 8 1 2 2 0 2 4
To* 0 8 1 0 2 0 6 4 Sign. Primary Acc. Holder Sign Acc. Holder Sign Acc. Holder

Or Until Cancelled RAEES JI

This is to confirm that declaration has been carefully read, understood & made by me/us. I'm authorizing the user entity/Corporate to debit my account, based on the instruction as agreed and signed by me. I've
understood that I'm authorized to cancel/amend this mandate by appropriately communicating the cancellation/amendment request to the user/entity/corporate or the bank where I've authorized the debit.

MandateId : 500001101983111510 Reference1 : 69976421

UMRN Date 1 9 1 0 2 0 2 4
Sponsor bankcode Utility Code NACH00000000002558

I/We hereby Authorize HERO FINCORP LTD To Debit SB/ CA/ CC/ SB-NRE/ SB-NRO/ OTHER

CREATE
MODIFY Bank a/c Number 4 5 9 2 5 1 1 1 0 0 9 3 9 9 3
CANCEL

With Bank KARNATAKA BANK LTD IFSC K A R B 0 0 0 0 4 5 9 or MICR 3 2 4 0 5 2 0 0 2

an amount of Rupees Seventy Nine Thousand Three Hundred and Twenty Four Rupees 79324
Frequency Monthly Qtly H-Yrly Yearly As & when prensented Debit Type Fixed Amount Maximum Amount

Reference 1 69976421 Phone Number 8852809481

Reference 2 EMail ID
PERIOD 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 bank

From 0 8 1 2 2 0 2 4
To* 0 8 1 0 2 0 6 4 Sign. Primary Acc. Holder Sign Acc. Holder Sign Acc. Holder
Or Until Cancelled RAEES JI

This is to confirm that declaration has been carefully read, understood & made by me/us. I'm authorizing the user entity/Corporate to debit my account, based on the instruction as agreed and signed by me. I've
understood that I'm authorized to cancel/amend this mandate by appropriately communicating the cancellation/amendment request to the user/entity/corporate or the bank where I've authorized the debit.

MandateId : 500001101983111510 Reference1 : 69976421

UMRN Date

Sponsor bankcode Utility Code NACH00000000002558

I/We hereby Authorize HERO FINCORP LTD To Debit SB/ CA/ CC/ SB-NRE/ SB-NRO/ OTHER

CREATE
MODIFY Bank a/c Number
CANCEL

With Bank IFSC or MICR

an amount of Rupees
Frequency Monthly Qtly H-Yrly Yearly As & when prensented Debit Type Fixed Amount Maximum Amount

Reference 1 69976421 Phone Number

Reference 2 EMail ID
PERIOD 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 bank

From
To* Sign. Primary Acc. Holder Sign Acc. Holder Sign Acc. Holder

Or Until Cancelled
This is to confirm that declaration has been carefully read, understood & made by me/us. I'm authorizing the user entity/Corporate to debit my account, based on the instruction as agreed and signed by me. I've
understood that I'm authorized to cancel/amend this mandate by appropriately communicating the cancellation/amendment request to the user/entity/corporate or the bank where I've authorized the debit.

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