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IMPORTANT INSTRUCTIONS FOR FILLING ACH MANDATE FORM
Following fields need to be filled mandatorily in
Black and Capital Letters :
Please mention date in format dd/mm/yyyy
Please tick bank account type viz SB for Saving
Bank, CA for current account
Bank account number valid for ECS/RTGS/NEFT as
‘appearing in account statement.
Bank and Branch name where account is held.
IFSC/MICR code valid for ACH as per account
stalemen/Cheque.
‘Amount on mandate in words and figure
Reference No 1 ~ Mention Loan account number
Reference no2: Mention Loan type
Mobile number &¢ mail ID
Period: From -Select Start date in ddimmiyyyy format
EMI date,
Period: - To nottto be filled
Signature — as per bank records ensure there is no
variation in signature from banks records
Name: As per Banks records in full and in Capital.
In case of Cooperative Banks please check
with your bank on IFSC/MICR valid for ACH
purposes,
3. InCase of account type —Cash Credit/OD please
check with your bank on acceptance of ACH
debit mandate on these account type.
4. Please ensure no overwriting on mandate form,
5. Please donotwrteltick on following fields:
1,7,6,14,15,
6. Please take printout on good quality A4 paper,
and tear across the line marked with scissor.
7. Form tobe submitted along with copy oflatest
bank accountstatementto nearest retail Asset
Branch,