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    Ecs Cancellation Form-New

    Uploaded by

    Pritam Mukherjee
    This document is an Electronic Clearing Service (Debit Clearing) Mandate Cancellation Form. It authorizes Standard Chartered Bank and their service providers to cancel an ECS Debit Mandate. The form requires the customer's name, bank account details including account number and type, debit reference number, upper limit for ECS debit, and bank/utility name. The customer declares the details are correct and authorizes their representative to get the cancellation recorded by the bank. The bank certifies the customer details are correct as per their records and the effective date of the ECS Mandate Cancellation.

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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Ecs Cancellation Form-New

    Uploaded by

    Pritam Mukherjee
    4K views1 page
    This document is an Electronic Clearing Service (Debit Clearing) Mandate Cancellation Form. It authorizes Standard Chartered Bank and their service providers to cancel an ECS Debit Mandate. The form requires the customer's name, bank account details including account number and type, debit reference number, upper limit for ECS debit, and bank/utility name. The customer declares the details are correct and authorizes their representative to get the cancellation recorded by the bank. The bank certifies the customer details are correct as per their records and the effective date of the ECS Mandate Cancellation.

    Original Description:

    ECS cancellation form(standard chartered bank)

    Original Title

    Ecs Cancellation Form-new

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    © Attribution Non-Commercial (BY-NC)

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    This document is an Electronic Clearing Service (Debit Clearing) Mandate Cancellation Form. It authorizes Standard Chartered Bank and their service providers to cancel an ECS Debit Mandate. The form requires the customer's name, bank account details including account number and type, debit reference number, upper limit for ECS debit, and bank/utility name. The customer declares the details are correct and authorizes their representative to get the cancellation recorded by the bank. The bank certifies the customer details are correct as per their records and the effective date of the ECS Mandate Cancellation.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    4K views1 page

    Ecs Cancellation Form-New

    Uploaded by

    Pritam Mukherjee
    This document is an Electronic Clearing Service (Debit Clearing) Mandate Cancellation Form. It authorizes Standard Chartered Bank and their service providers to cancel an ECS Debit Mandate. The form requires the customer's name, bank account details including account number and type, debit reference number, upper limit for ECS debit, and bank/utility name. The customer declares the details are correct and authorizes their representative to get the cancellation recorded by the bank. The bank certifies the customer details are correct as per their records and the effective date of the ECS Mandate Cancellation.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    ELECTRONIC CLEARING SERVICE (Debit Clearing) MANDATE CANCELLATION FORM

    Authorization of Customer to remit funds/payments to Standard Chartered Bank (SCB)through Electronic Clearing Service

    I/We hereby, authorize SCB and their authorized service providers, to record the cancellation of the ECS Debit Mandate (Form to be filled up in capital letters only)

    CUSTOMER'S NAME
    Applicant Name Co - Applicant Name (Please attach an original cancelled cheque leaf for this bank account)

    PARTICULARS OF BANK ACCOUNT


    Account holder/s Name as in Bank Account
    (All Account holders)

    Bank Name

    Branch Name Bank City Account Number Account Type 9 Digit MICR Codes

    Savings

    Current

    Cash Credit

    Over Draft

    PARTICULARS OF DEBIT INSTRUCTION


    DEBIT REFERENCE NO (loan, cell, phone, policy no. etc) UPPER LIMIT FOR ECS DEBIT ( IN INR) BANK/UTILITY NAME DATE OF NEXT PRESENTMENT: d d m m y y y y

    DECLARATION AND SIGNATURE/S I/We hereby declare that the particulars given above are correct and complete. I/We have read all the terms and conditions as are applicable for availing of this ECS Debit service and agree to discharge the responsibility expected of me/us as a participant under the scheme. I/We also hereby authorize our representative carrying this ECS Debit Mandate Form to get it verified and cancellation recorded by my/our Bank. I/We also undertake to record the cancellation with the presenting banker/utility company as the case may be. I/We also understand that the cancellation will be effective only when the presenting banker presents the file with the appropriate debit reference number as mentioned above. I/We understand First Account Holder Second Account Holder

    Third Account Holder

    Fourth Account Holder

    All Signatures as in the Bank Records. All Joint Account holders are required to sign For use by Customer/Account Holder's Bank We hereby certify that the particulars of the customers furnished above are correct as per our records, and we hereby declare that a copy of this mandate form, duly complete and signed, has been submitted to us

    Effective date of ECS Mandate Cancellation: D Bank Stamp Name Designation

    Y Y Y Signature of Authorised Official of the Bank Branch Date ECS/March 2007/V 1.0

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