PSB Neft Form
PSB Neft Form
PSB Neft Form
Details of applicant
(Remitter):
Transfer for NEFT/RTGS
Details of Beneficiary:
(7) Amount to be remitted: Rs. _______________________ (8) Bank Charge Rs. ______________________
(Rupees________________________________________) (Rupees_______________________________)
Remit the amount as per above details by debiting my/our account for the amount of remittance plus your
charges. A Cheque No./ IBR No.: __________________________Dated: __________________________of
Amount Rs.____________________ is enclosed herewith.
I understand the obligations prescribed under NEFT/RTGS Procedural guidelines and shall be bound by it for
transaction originated by me/us.
________________________________________
Authorized Signatory.
-------- -------- -------- -------- -------- -------- FOR BANK USE ONLY -------- -------- -------- -------- --------
--------
Total Rs.______________________________________
UTR NO.:_________________________________ SEQ NO.:_______________________________
-------- -------- -------- -------- -------- -------- CUSTOMER RECEIPT -------- -------- -------- -------- --------
--------
Total Rs.______________________________________
UTR NO.:_________________________________ SEQ NO.:_______________________________
________________________________________
Authorized Signatory From The Bank (With Seal & Date)