Branch office: ____________
Date: _____________
Please transfer through NEFT (National Electronic Funds Transfer)/RTGS (Real Time Gross Settlement)/MT ________________ for Rupees _______________as under.
Please debit the total amount Rupees ______________ to my SF/CA/OD/CC account or I tender Rupees ___________by cash /enclose chques______________ drawn on ___________
I agree _____________________________ .
Date: _____________
Please transfer through NEFT (National Electronic Funds Transfer)/RTGS (Real Time Gross Settlement)/MT ________________ for Rupees _______________as under.
Account No. for NEFT/RTGS/Name of Beneficiary | Beneficiary Bank and Branch Name | IFSC (Indian Financial System Code) No./Daft No./MT No. | Amount(In Rupees) | Commission(In Rupees) | Total(In Rupees) |
Please debit the total amount Rupees ______________ to my SF/CA/OD/CC account or I tender Rupees ___________by cash /enclose chques______________ drawn on ___________
I agree _____________________________ .
Applicant Name: _________
Applicant Signature______________
Address _____________
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