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    New BOB NACH MANDATE Form

    Uploaded by

    kahawapo
    The document is a debit mandate form that authorizes bank debits from a specified bank account. It provides fields to select the bank, account number, debit amount and frequency. It also includes terms for authorizing the debits and canceling or amending the mandate.

    Copyright:

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

    New BOB NACH MANDATE Form

    Uploaded by

    kahawapo
    633 views1 page
    The document is a debit mandate form that authorizes bank debits from a specified bank account. It provides fields to select the bank, account number, debit amount and frequency. It also includes terms for authorizing the debits and canceling or amending the mandate.

    Original Description:

    Bob nach mandate form new

    Original Title

    new BOB NACH MANDATE Form

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    © © All Rights Reserved

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    The document is a debit mandate form that authorizes bank debits from a specified bank account. It provides fields to select the bank, account number, debit amount and frequency. It also includes terms for authorizing the debits and canceling or amending the mandate.

    Copyright:

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

    New BOB NACH MANDATE Form

    Uploaded by

    kahawapo
    The document is a debit mandate form that authorizes bank debits from a specified bank account. It provides fields to select the bank, account number, debit amount and frequency. It also includes terms for authorizing the debits and canceling or amending the mandate.

    Copyright:

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

    Debit Mandate Form NACH / ECS / DIRECT DEBIT

    UMRN Date

    Sponsor Bank Code √ CREATE MODIFY CANCEL

    Utility Code BARB00136000009936 I / We hereby authorize BANK OF BARODA


    To debit (tick √) SB /CA /CC / SBNRE / SB-NRO / Other Bank a/c number

    with Bank IFSC or MICR

    An amount of Rupees Rs.

    DEBIT TYPE √ Fixed Amount Max Amount FREQUENCY √ Mthly Qtly H-Yrly Yrly As & when presented

    Reference 1 Reference 2

    1. I agree for the debit of mandate processing charges by the bank whom I am authorizing to debit my account as per latest schedule of charges of the bank. 2. This is to confirm that the
    declaration has been carefully read, understood & made by me/us. I am authorising the user entry/corporate to debit my account, based on the instructions as agreed and signed by me.
    3. I have understood that i am authorized to cancel/amend this mandate by appropriately communicating the cancellation/amendment request to the user entity/corporate or the bank
    where I have authorized the debit.
    Maximum period of validity of this Mandate is 40 years only
    From
    To
    Maximum period of validity of this Mandate is
    40 years only Signature of Primary AC Holder Signature of Jt AC Holder Signature of Jt AC Holder
    1. 2. 3.
    Phone No. Name as in Bank records Name as in Bank records Name as in Bank records

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