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    PRINCE KUMAR
    This document is an application for funds transfer through NEFT/RTGS/IMPS from Axis Bank. It contains details of the applicant such as name, account number, mobile number and details of the beneficiary such as name, account number, bank name and IFSC code. The applicant declares that they authorize Axis Bank to debit applicable charges from their account. It also mentions terms and conditions of the funds transfer such as transfer limits, security measures and timeline for funds availability. Upon receipt, Axis Bank will provide an acknowledgment with reference numbers for tracking the transaction status.

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    Untitled

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    PRINCE KUMAR
    36 views1 page
    This document is an application for funds transfer through NEFT/RTGS/IMPS from Axis Bank. It contains details of the applicant such as name, account number, mobile number and details of the beneficiary such as name, account number, bank name and IFSC code. The applicant declares that they authorize Axis Bank to debit applicable charges from their account. It also mentions terms and conditions of the funds transfer such as transfer limits, security measures and timeline for funds availability. Upon receipt, Axis Bank will provide an acknowledgment with reference numbers for tracking the transaction status.

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    This document is an application for funds transfer through NEFT/RTGS/IMPS from Axis Bank. It contains details of the applicant such as name, account number, mobile number and details of the beneficiary such as name, account number, bank name and IFSC code. The applicant declares that they authorize Axis Bank to debit applicable charges from their account. It also mentions terms and conditions of the funds transfer such as transfer limits, security measures and timeline for funds availability. Upon receipt, Axis Bank will provide an acknowledgment with reference numbers for tracking the transaction status.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    36 views1 page

    Untitled

    Uploaded by

    PRINCE KUMAR
    This document is an application for funds transfer through NEFT/RTGS/IMPS from Axis Bank. It contains details of the applicant such as name, account number, mobile number and details of the beneficiary such as name, account number, bank name and IFSC code. The applicant declares that they authorize Axis Bank to debit applicable charges from their account. It also mentions terms and conditions of the funds transfer such as transfer limits, security measures and timeline for funds availability. Upon receipt, Axis Bank will provide an acknowledgment with reference numbers for tracking the transaction status.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    Application for National Eledronic Fund Transfer/

    Real-Time Gross Settlement Systems (NEFT/RTGS) "AXIS BANK


    To,
    Immediate payment Service (IMPS)
    The Bronch Heod Dote!cJoJMl-"I JvlrlvJ
    IIIIIIIII
    .
    _____B, onch PAN"!
    Oeor Sir, "lo be f>(0'Y1dcd by Axis 8or\lc cUPOmer

    Please remit through NEFT/RTGS/tMPS o ,vm t_3589420_RupeM In word.�------------


    _______________________________ only, os per detoil, given below:

    D Cash· (O,,lyfor NEFT Tronsocti0<1s upto { 49999/-) D Cheque D Deb,t rrry/our occovnt
    '"In ca� of cmh, pllJOICI fill in CM po,-in-slip •cash only for-Nffi per 00')'
    •ro " fUle-d by the Applkont In CAPITA1 L&TTtRS "IMPS �lnwt lo f 2 .00laltl,s onty

    DETAILS OF APPLICANT (REMITTER)

    Account Number

    Cheque Number

    Remittel"s Nome
    I III I
    I III I
    Address I III I
    l I I III I
    Mob;Je /
    Other Number L......L....,___,1 L.1 _,__.,____.__.__..___,__L.....1.........
    1 ...,
    0 DETAILS OF B NEFICIARY

    I
    Benefi6o,y's Nome
    ;::::;:=;:� :;:::::::;:: :::::=:= ::::::::::::::=:= * :::::=:=
    I.::::I�:;:::::::;::=:=::=:=:::::::::=:=:::==::=:=,;=;::::::
    :::::
    I 1 1 1 1 1 1 1 1 1 1 1
    A«ount Nurnber
    *:;::=�;=;�I *I �l=l:I �I �li=;!=l:I �I �l;::::,l�I **:;::=�;=;��
    NoJ�:::;= ::.\=:!;=:!;=::!:;:::!:;=l l,=J;=!:I;:!::I ;::l=;::!J:;=:;:!:I
    �!
    Reconfitm Account
    I :;::!=I ::;:!:::;!
    J =;:!l =;:.=;:.=:,:.=/=::j::::�;-������
    Bonk Nome I�=/=#=;!::,;!:=;!:=�!::::;:!:::;:::::;..,_'--'-_._..,_
    I l l I l I I I I I ......... I _._..,_........._._..,_........._._..,_....................,
    Diga) :=I #:::\=::.=�!;:::l l l I ;::=;I ;::I��������
    IFSC Code (11
    :;:=;:=;= �����������
    Branch Addre••
    ._I _,_..._..,__.__._.,_J _,_l _,__! _l.__,..__, l !...._.......,_.,_.__.__.__,___,__,__,__,_.,_.,_.,__.,__.,__,__'--''--'
    Sender lo Rec�ver infol'motion {if anyt: =====�------------------------

    0 TERMS AND CONDITIONS

    This lronsfer ls volld for o ,Ingle tran.soc.tlo11.


    The fund ttonsfM w,11 be gove,ned by !he Term11 ond Conditions given on CJl.K web11ir-e 'W'liW.Axim<Jnk.com
    Due core is taker, wtlile fibiog up h benekiory occount number & IFSC QOd9
    Trof'll.ftr of o n omount "P'O t -'9 ,999__�� 1n � p,e,rniuible using NEFT
    Photo ID p,ool Jo be- given by non, cvs,omer lor cosh poymem obcwe, _�-� --'ogoinst NEff
    Please do no1 dr,c-los.e yovr Acoounl deioilsAn�m•i 8onking. t.n. 10 ond 1\,$Sword$/ATM debit-Cord/Creel I Cord/Mobile Sonlung/ Personol lnformotion
    to onype'lO""!
    Do no, fol prey 10 fol� pcomis.es; beware of dubious scheme
    Ir, COM 11-i. &MPS lron$0chon 80ft in p,9nd,ng Slo1c, fundt may gtrl trons,.tred Of' re� boclt wrlhin T f. 2 doyt.
    Trondef of on omoun, upto t 2,00,000 i, petmis.1.•ble � IMPS 1ronsoct,on, subie,ct to pet doy tron5f'er l1m1I Q$ por schame code

    0 DECLARATION

    I/We 01.1thori� Alcis: Bonk to ,ecovet ehot


    g,es os moybe opplicoble b'( debiting my occount os mmhoned obove

    I.,.
    f .
    � I/We unde.rs10ndthat os perthe RBI Clrculot dotec: Odober 14, 20 I 0, rronsler of lvndr, through cl4Qfo,,l1;: mode will be aocu1ed only on the bosis of •he occount
    nc,,mb<l'of th• �iao,yprov;dodwhilo ,n.,ttoting ,cooto(lion. Nome willNOTbf!«iniidered oso crile,iofo, prov.cling credit
    • I undemond thol ltiis facilityis �able ot1ly oi seled Jocotfon 01\d bonb covered under Eleclromc hinds Tra�... foo1i,Y offered byRBI

    0 CUSTOMER SIGNATURE(S)

    I
    - - - - - - - - -------.--- -
    No
    ...
    -- -. - - - - - ""'""'
    - __ - - - - - - - - - - - - - - - - - - -.- - - - - - - - - - - - -
    ,..
    ACKNOWLEDGEMENT TO CUSTOMER

    L.1 _._..__........I........
    I_I........__.
    '
    0 .
    ..
    We 0dcnowledge receipt al l'lEFr / ltTGS/ .MPS insfrvdion(sJ.
    Refete,o No(fo, RTGS/NEfT) .... ,, Retrieval �era No {For \MP$}________ F« Soluham Refet-ence No (fot IMPS)
    8rond,.________ Norn• and Slgn(III,,.. of Bani.. Offiool Wllh Dole & Ti!N! Request
    Rem11te<"',. Nort-.e_ _ _ _ _ _ AccOIJt'ltNo • _
    _ -----------°"""" No ___________
    B.n.eflc.0,y NorM .AooouM Mo. P:SC, _____________
    Amount in �---------�Am01Jnt (lnWcwds�----------------------

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