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Mandate Form 74956773

The document is a mandate authorization form allowing HERO FINCORP LTD to debit an account at Punjab National Bank for an amount of 91,800 Rupees. It specifies the frequency of the debit as monthly and includes details such as the account number, period of authorization, and the signatory's consent. The signatory acknowledges understanding the terms and conditions, including the right to cancel or amend the mandate.
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0% found this document useful (0 votes)
21 views1 page

Mandate Form 74956773

The document is a mandate authorization form allowing HERO FINCORP LTD to debit an account at Punjab National Bank for an amount of 91,800 Rupees. It specifies the frequency of the debit as monthly and includes details such as the account number, period of authorization, and the signatory's consent. The signatory acknowledges understanding the terms and conditions, including the right to cancel or amend the mandate.
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 2 0 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 7 7 0 7 0 0 1 5 0 0 0 0 2 3 9 5
CANCEL

With Bank PUNJAB NATIONAL BANK IFSC P U N B 0 7 7 0 7 0 0 or MICR

an amount of Rupees Ninety One Thousand Eight Hundred Rupees 91800


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

Reference 1 74956773 Phone Number 9262902432

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 4 2 0 2 5
To* 0 3 0 2 2 0 6 5 Sign. Primary Acc. Holder Sign Acc. Holder Sign Acc. Holder

Or Until Cancelled Md Mumtaz Alam

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 : 500001022065447190 Reference1 : 74956773

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

With Bank PUNJAB NATIONAL BANK IFSC P U N B 0 7 7 0 7 0 0 or MICR

an amount of Rupees Ninety One Thousand Eight Hundred Rupees 91800


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

Reference 1 74956773 Phone Number 9262902432

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 4 2 0 2 5
To* 0 3 0 2 2 0 6 5 Sign. Primary Acc. Holder Sign Acc. Holder Sign Acc. Holder
Or Until Cancelled Md Mumtaz Alam

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 : 500001022065447190 Reference1 : 74956773

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 74956773 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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