Form NEFT-2A Annexure - I
Please remit through NEFT a sum of Rs. _______________Rs. (In words)___________________________only
against Cash Cheque Debit to my/our account as per details given below and debit the amount with your
charges to my/our account with you:
DETAILS OF APPLICANT (REMITTER) DETAI LS OF BENEFI CI ARY
Amount to be Remitted (Rs.)
Charges (Rs.)
Service Tax (Rs.)
Total Amount to be debited (Rs.)
Account No.:
Type of Account: SB CA CC/ OD
Cheque Number:
Cheque Date:
Remitters Name:
Address:
Telephone / Mobile No.
FAX
E Mail ID:
City/Centre:
Bank:
Branch:
IFSC :
Beneficiarys Name:
Account No.:
Type of Account: SB CA CC / OD
Telephone/Mobile No.
FAX
Remarks or description, if any
I/We agree and abide by the Rules, that under the normal circumstances, the Beneficiary account would be credited by
Destination Bank/ Branch on the same day at the Destination Centre subject to Terms & Conditions mentioned overleaf &
NEFT Rules.
Date: (Applicants Signature/s)
FOR BANKS USE ONLY
Transactions entered as per details of
Beneficiary as given above.
Priority Code (If Any):
Time :
Date:
_____________________________
Authorized Official (Maker) with SS No.
Applicants Signature Verified, Transaction Authorized & Funds
Remitted through NEFT as per the details of Beneficiary given above.
IFSC : J ournal No.:
Txn Ref No:
Sequence No.:
_______________ ________ _______
Authorized Official Date Time
(Checker) with SS No.
CUT HERE
ALLAHABAD BANK _____________________Branch CUSTOMERS RECORD SLIP
Received from:_________________________________________________by Cash/Cheque (No.__________________)
/debit authority SB/CA/CC/OD Account No. for Rs._______________________Rs. (In Words)
________________________________ Only) on Date at Time Hours for Fund Transfer
under NEFT as detailed below:
Beneficiary Name
IFSC Code
Type of Account
Bank
Account Number
Branch & City
Cashier/ Authorized Signatory: _____________________________
ALLAHABAD BANK
Branch Name & Code
APPLICATION FORM FOR NATI ONAL
ELECTRONIC FUNDS TRANSFER
Banks
Seal
Cash Remittance permissible up to Rs. 50,000/ - only
Quote PAN for amount of Rs. 50,000/ -
() Where Applicable
To be filled by the Applicant in BLOCK LETTERS
PAN
TERMS & CONDITIONS FOR ACCEPTING THE REQUEST FOR
FUNDS TRANSFER (FT) THROUGH NEFT.
Funds Transfer shall be effected only when the Destination Bank/Branch is participating in NEFT.
Sufficient clear funds in the remitters account must be available.
The application form should be accompanied with the debit instrument for debiting the account.
Application Form must be received before the cut off time. If application is received after cut off
time, then transfer of funds shall be effected in the next batch/working day.
In case of holidays at the destination branch the credit will be afforded on next working day.
Once the Account is debited and funds are remitted / NEFT transfer effected, the remitter cannot
revoke the given mandate.
The remitting branch/bank shall not be liable for delay/non-payments to the beneficiary if: -
a) Incorrect and Insufficient details of beneficiary are provided by the applicant/remitter.
b) Dislocation of work due to the circumstances beyond the control of Remitting/Destination
Banks like non-functioning of computer system, disruption of work due to natural
calamities, strike, riot declared/undeclared holidays, etc., or internal problems or other
causes beyond the control of the Branch/Bank resulting in disruption of communication.
The NEFT batch time is as under
Monday-Friday 0930, 1030, 1200, 1300, 1500, 1600 Settlement-
Batch
Saturday 0930, 1030, 1200
Please note that the timings are subject to change as per RBI notification
PARTICULARS OF RECEIPT
Details Rs. P.
X 500
X 100
X 50
X 20
X 10
X 5
X 2
X 1
Coins
TOTAL
Form NEFT-2A Annexure - I
Please remit through NEFT a sum of Rs. _______________Rs. (In words)___________________________only
against Cash Cheque Debit to my/our account with you/your _______________________________Branch.
DETAILS OF APPLICANT (REMITTER) DETAI LS OF BENEFI CI ARY
Amount to be Remitted (Rs.)
Charges/Commission (Rs.)
Service Tax (Rs.)
Total Amount to be debited (Rs.)
Type of Account: SB CA CC/ OD
Account No.:
Cheque Number:
Cheque Date:
Remitters Name:
Address:
Telephone / Mobile No.
FAX
E Mail ID:
City/Centre:
Bank:
Branch:
IFSC :
Beneficiarys Name:
Type of Account: SB CA CC / OD
Account No.:
Telephone/Mobile No.
FAX
Remarks or description, if any
I/We agree and abide by the Rules, that under the normal circumstances, the Beneficiary account would be credited by
Destination Bank/ Branch on the same day at the Destination Centre subject to Terms & Conditions mentioned overleaf &
NEFT Rules.
Date: (Applicants Signature/s)
FOR BANKS USE ONLY
Transactions entered as per details of
Beneficiary as given above.
Priority Code (If Any):
Time :
Date:
__________________________________
Cashier/ Authorized Official (Maker) with SS No.
Applicants Signature Verified, Transaction Authorized & Funds
Remitted through NEFT as per the details of Beneficiary given above.
IFSC : J ournal No.:
Txn Ref No: UTR No.:
Sequence No.:
_______________ ________ _______
Authorized Official Date Time
(Checker) with SS No.
CUT HERE
ALLAHABAD BANK _____________________Branch CUSTOMERS RECORD SLIP
Received from:_________________________________________________by Cash/Cheque (No.__________________)
/debit authority SB/CA/CC/OD Account No. for Rs._______________________Rs. (In Words)
________________________________ Only) on Date at Time Hours for Fund Transfer
under NEFT as detailed below:
Remittance Amount
Commission
Beneficiary Name
Service Tax
IFSC Code
Type of Account
Bank
Account Number
Branch & City
Cashier/ Authorized Signatory: _____________________________
ALLAHABAD BANK
Branch Name & Code
APPLICATION FORM FOR NATI ONAL
ELECTRONIC FUNDS TRANSFER
Banks
Seal
Cash Remittance permissible up to Rs. 50,000/ - only
Quote PAN for amount of Rs. 50,000/ -
() Where Applicable
To be filled by the Applicant in BLOCK LETTERS
PAN
