APPLICATION FOR FUNDS TRANSFER-RTGS/NEFT
Date : 07/01/2025
Dear Sir/ Madam,
Please remit a sum of Rs._______________________
500000000.00 (Rupees _______________________________________________)
Fifty Crores Only only
as per details given below and debit the amount with your charges to my/our account with you.
DETAILS OF APPLICANT DETAILS OF BENEFICIARY
NAME : SYED HISHAM A K IFSC CODE: BARB0VJFERO
ACCOUNT NO. : 40940097811 BANK: BANK OF BARODA
TYPE OF ACCOUNT : HSS/CD/CC/OD BRANCH: FEROKE
CUSTOMER ID NO. : 10103360598 ACCOUNT NUMBER: 68790100006422
ADDRESS: ASMERY MAHAL VALIYAPARAMBA PO PULIKKAL REPEAT ACCOUNT NUMBER: 68790100006422
MALAPPURAM, KERALA, 673637 TYPE OF A/C HSS/CD/CC/OD
AMOUNT. : 500000000
Transfer Charge Paid By Sender: 8400.00
E-mail ID: syedhishamasmery@gmail.com Transfer Status: Debited from Applicant Account
Credit the Amount on Beneficiary account by 09 Jan 2025 On time.
SENDER PAN NO.: DOTPA8041H
Amount In Words: FIFTY CRORES ONLY.
Terms & Conditions
This transfer is valid for a single transaction.
Due care is taken while filling up the beneficiary account number & IFSC Code.
Transfer of an amount up to Rs.49,999/- in cash permissible using this facility.
Photo ID proof to be given by non-customer for cash payment.
RBI/2020-21/82 dt.05/01/2021
Declaration
We agree to abide by the Real Time Gross Settlement (RTGS) Guidelines/Regulation/Rules etc. issued by Reserve Bank of India
from time to time and also the guidelines and or terms and conditions of Central Bank of India from time to time.
We understand that as per RBI Circular dated October 14, 2010 credit will be based solely on the account number of beneficiary.
Name of beneficiary will not be considered as a criteria for providing credit.
Under normal circumstances, the Beneficiary Bank/ Branch would credit the beneficiary’s account on the same days (i.e. on the
date of this application) at the beneficiary Bank/Branch Centre subject to the RTGS guidelines/rules/regulations of RBI.
Yours Faithfully,
________________________
For Office Useonly (Applicant’s Signature(s))
Applicant’s Signature(s) Verified by: S.S.No. (Maker): S.S.No. (Checker):
Signature : Signature :
___________ _______________________
S.S.No. Officer-HSS/CD/CC/OD Deptt. Date ___________ Time : ________ Date ___________ Time _______
Transaction Reference No. :
Acknowledgement
Received application from (Name)__________________________________HSS/CD/CC/OD A/C No._____ __________
Rs._____________________________on (Date)____________ at Time ________for funds transfer under RTGS/NEFT.
Reference No. ______________________________________________
Seal Signature of Officer
