Er Remittance Details (Select any one) Demand Draft €© kotak Demand Draft / Fund Transfer Kotak Mahindra Bank Funds Transfer [Demand Draft Beneficiary Name Payable at DD Amount Bank Commission Total Amount ‘Total Amount in words ] [Funds Transfer Beneficiary Name Beneficiary Account Number Amount [Amount in words Mode of settlement Debit Account Number Cheque No. Cash paid (attach Deposit sip) PLEASE NOTE Account Name (otak Mahinda Bank cheques On) f Request is placed through bearer, the form needs to be accompanied witha cheque For Demand Draft Cheque needs to be drawn on “Yourself for Demand Draft” Instructions for collection Please hold, | will collect. Please hand over to the bearer | Bearer Signature whose signature is attested herewith. ‘Attested by me/us (Authorised Signatory/Account Holder) For my/our account and risk, and without any responsibilty or liability to yourselves and subject to the Terms & Conditions outlined on your ‘website wwnw.kotak.com which | have read and understood, please effect the remittance as per the mode of settlement detailed above. Date Signature (Authorised Signatory/Account Holder) For Bank Use Section Only Date Time ‘Transaction ID. ‘Amount Made By Branch Remittance Type Beneficiary Name DD Amount Signature and Stamp Demand Draft Bank Commission Acknowledgement Date Time Funds Transfer Payable at Total Amount