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Mandate Form 78225149

The document is a NACH mandate authorization for HERO FINCORP LTD to debit an account at BANK OF BARODA for an amount of 79,680 Rupees. The mandate is set to be effective from July 3, 2025, to May 3, 2065, with a monthly frequency. The primary account holder, Mahesh, confirms understanding of the terms and the ability to cancel or amend the mandate as needed.

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0% found this document useful (0 votes)
36 views1 page

Mandate Form 78225149

The document is a NACH mandate authorization for HERO FINCORP LTD to debit an account at BANK OF BARODA for an amount of 79,680 Rupees. The mandate is set to be effective from July 3, 2025, to May 3, 2065, with a monthly frequency. The primary account holder, Mahesh, confirms understanding of the terms and the ability to cancel or amend the mandate as needed.

Uploaded by

anurudraverma123
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 0 5 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 5 6 3 6 0 1 0 0 0 0 3 1 3 9
CANCEL

With Bank BANK OF BARODA IFSC B A R B 0 S A F I P U or MICR 2 0 8 0 1 2 5 1 8

an amount of Rupees Seventy Nine Thousand Six Hundred and Eighty Rupees 79680
Frequency Monthly Qtly H-Yrly Yearly As & when prensented Debit Type Fixed Amount Maximum Amount

Reference 1 78225149 Phone Number 9026550452

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 7 2 0 2 5
To* 0 3 0 5 2 0 6 5 Sign. Primary Acc. Holder Sign Acc. Holder Sign Acc. Holder

Or Until Cancelled MAHESH .

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 : 500001051983101267 Reference1 : 78225149

UMRN Date 1 9 0 5 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 5 6 3 6 0 1 0 0 0 0 3 1 3 9
CANCEL

With Bank BANK OF BARODA IFSC B A R B 0 S A F I P U or MICR 2 0 8 0 1 2 5 1 8

an amount of Rupees Seventy Nine Thousand Six Hundred and Eighty Rupees 79680
Frequency Monthly Qtly H-Yrly Yearly As & when prensented Debit Type Fixed Amount Maximum Amount

Reference 1 78225149 Phone Number 9026550452

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 7 2 0 2 5
To* 0 3 0 5 2 0 6 5 Sign. Primary Acc. Holder Sign Acc. Holder Sign Acc. Holder
Or Until Cancelled MAHESH .

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 : 500001051983101267 Reference1 : 78225149

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 78225149 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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