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Mandate Form 74520721

The document is an authorization form for HERO FINCORP LTD to debit a bank account held at Punjab National Bank for a fixed amount of 82,407 Rupees. It includes details such as the bank account number, frequency of debit, and the period of authorization. The signatory confirms understanding of the terms and the ability to cancel or amend the mandate as needed.

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9234989701w
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13 views1 page

Mandate Form 74520721

The document is an authorization form for HERO FINCORP LTD to debit a bank account held at Punjab National Bank for a fixed amount of 82,407 Rupees. It includes details such as the bank account number, frequency of debit, and the period of authorization. The signatory confirms understanding of the terms and the ability to cancel or amend the mandate as needed.

Uploaded by

9234989701w
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 0 6 0 2 2 0 2 5

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 1 0 3 2 0 0 1 7 0 0 1 5 4 0 9 9
CANCEL

With Bank PUNJAB NATIONAL BANK IFSC P U N B 0 1 0 3 2 0 0 or MICR 8 0 5 0 2 4 5 0 7

an amount of Rupees Eighty Two Thousand Four Hundred and Seven Rupees 82407
Frequency Monthly Qtly H-Yrly Yearly As & when prensented Debit Type Fixed Amount Maximum Amount

Reference 1 74520721 Phone Number 7541986157

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 3 0 3 2 0 2 5
To* 0 3 0 1 2 0 6 5 Sign. Primary Acc. Holder Sign Acc. Holder Sign Acc. Holder

Or Until Cancelled ROHIT KUMAR CHAUDHRAY

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 : 500001020663948350 Reference1 : 74520721

UMRN Date 0 6 0 2 2 0 2 5
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 1 0 3 2 0 0 1 7 0 0 1 5 4 0 9 9
CANCEL

With Bank PUNJAB NATIONAL BANK IFSC P U N B 0 1 0 3 2 0 0 or MICR 8 0 5 0 2 4 5 0 7

an amount of Rupees Eighty Two Thousand Four Hundred and Seven Rupees 82407
Frequency Monthly Qtly H-Yrly Yearly As & when prensented Debit Type Fixed Amount Maximum Amount

Reference 1 74520721 Phone Number 7541986157

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 3 0 3 2 0 2 5
To* 0 3 0 1 2 0 6 5 Sign. Primary Acc. Holder Sign Acc. Holder Sign Acc. Holder
Or Until Cancelled ROHIT KUMAR CHAUDHRAY

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 : 500001020663948350 Reference1 : 74520721

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 74520721 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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