Electronic Clearing Service (Debit Clearing) Mandate Form

Customers Option to Make Payments through Debit Clearing

SCHEME NAME : EMI PAYMENT HDFC LTD. PERIODICITY OF PAYMENT : MONTHLY
UTILITY CODE
: __________________________________(Mandatory)
(Please select Utility Code from the list for your city)
1. NAME OF THE CUSTOMER (As per Bank A/c)

: __________________________________(Mandatory)

2. LOAN ACCOUNT No

: __________________________________(Mandatory)

3. TELEPHONE No Resi./Off.

: _______________________________

4. MOBILE

: ________________________________

5. E-MAIL ID

: _________________________________

6. MAXIMUM AMOUNT

: Rs. _____________________ **

7. START DATE
(Please check for allotted dates from the list for
your city )

: _______ From _________ _______

(Date)
(Month)
(Year)

(Mandatory)

: _______ From _________ _______

(Date)
(Month)
(Year)
:

(Mandatory)

8. END DATE (date of last EMI)

9. PARTICULARS OF THE BANK ACCOUNT
NAME OF THE BANK

: ________________________________________

NAME OF THE BRANCH

: ________________________________________

MICR CODE

: ________________________________________

ACCOUNT TYPE
(Pl Specify SB/CA/CC/ NRE/NRO etc)

: ______________________________

BANK ACCOUNT No.

: ____________________________

(Mandatory)

(Mandatory)

** Should be twice the Standard EMI Provision for Change in Repayment schedule of the Loan

I, hereby declare that the particulars given above are correct and complete. If the transaction is delayed or not effected at all for
reasons of incomplete or incorrect information, I would not hold the user institution responsible. I hereby authorise my Bank (as
mentioned above) to debit my above mentioned account with the amount of installment and I agree to discharge the responsibility
expected of me as a participant under the scheme.
Date: __________________

______________________________
Signature of the Account Holder (s)

(Mandatory) fieldCannot be blank.

____________________________________________________________________________________________________
CERTIFIED THAT THE PARTICULARS FURNISHED ABOVE ARE CORRECT AS PER OUR RECORDS.

BANKs STAMP
DATE: _____________________

_____________________________
Signature of Bank Official
Important : Kindly attatch a blank cancelled cheque with this Mandate form.

ECS-D

www.hdfc.com

List of HDFC's Allotted Debit Dates for ECS - Debit Transaction

Clearing house cd
282

Branch
AGRA

Date Of Debit
15 / 25

380

AHMEDABAD

15 / 25

3809082

211

ALLAHABAD

10 / 18 / 25

4009034

143

AMRISTAR

15 / 25

4009129

388

ANAND

15 / 25

3889101

631

ARAKKONAM, TIRUTTANI

5 / 10 / 15 / 25 / 27

5609115

722

ARIYALUR

5 / 10 / 15 / 25 / 27

5609115

573

ARSIKERE

5 / 15

5609115

431

AURANGABAD

15 / 26

4319034

587

BAGALKOT

5 / 15

5609115

560

BANGALORE

5 / 15

5609115

590

BEGAUM

5 / 15

5609115

583

BELLARY

5 / 15

5609115

311

BHILWARA

5 / 15 / 25

3119013

462

BHOPAL

8 / 23

4629161

751

BHUBANESHWAR

5 / 15 / 27

4009034

586

BIJAPUR

5 / 15

5609115

334

BIKANER

5 / 15 / 25

3349009

673

CALICUT

05 / 20

4009034

160

CHANDIGARH

5 / 15 / 25

1609006

604

CHEIYYAR

5 / 10 / 15 / 25 / 27

5609115

600

CHENNAI

5 / 15 / 27

5609115

562

CHICKABALLAPUR

5 / 15

5609115

608

CHIDAMBARAM

5 / 10 / 15 / 25 / 27

5609115

641

COIMBATORE

5 / 10 / 20 / 25

6419106

753

CUTTACK

5 / 15 / 27

4009034

577

DAVANGERE-SHIMOGA

5 / 15

5609115

248

DEHRADUN

5 / 16 / 24

4009034

561

DODDABALLAPUR

5 / 15

5609115

713

5 / 15 / 27

4009034

638

DURGAPUR,BURDWAN
ASANSOL
ERODE

5 / 10 / 20 / 25

5609115

582

GADAG

5 / 15

5609115

403

GOA

27

4039268

273

GORAKHPUR

10 / 18 / 25

4009034

585

GULBARGA

5 / 15

5609115

781

GUWAHATI

5 / 15 / 27

4009034

474

GWALIOR

15 / 25

4746038

721

HALDIA

5 / 15 / 27

4009034

581

HAVERI

5 / 15

5609115

580

HUBLI

5 / 15

5609115

500

HYDERABAD

5 / 10 / 25

5609115

452

INDORE

8 / 23

4529043

482

JABALPUR

8 / 23

4825038

302

JAIPUR

5 / 15 / 25

3029007

144

JALANDHAR

15 / 25

1449017

180

JAMMU

15 / 25

1809021

361

JAMNAGAR

15 / 25

3619018

Utility Code
2829039

List of HDFC's Allotted Debit Dates for ECS - Debit Transaction

Clearing house cd
831

Branch
JAMSHEDPUR

Date Of Debit
5 / 15 / 27

342

JODHPUR

5 / 15 / 25

3429001

208

KANPUR

10 / 18 / 25

4009034

630

KARAIKUDI, DEVAKOTTAI

5 / 10 / 15 / 25 / 27

5609115

574

KARKALA

5 / 15

5609115

639

KARUR

5 / 10 / 15 / 25 / 27

5609115

682

KOCHI

05 / 10 / 25

4009034

563

KOLAR

5 / 15

5609115

416

KOLHAPUR

10 / 25

4169018

700

KOLKATTA

5 / 5 / 15 / 15 / 27 / 27

4009034

324

KOTA

5 / 15 / 25

3240104

635

KRISHNAGIRI, TIRUPATTUR

5 / 10 / 15 / 25 / 27

5609115

612

KUMBAKONAM

5 / 10 / 15 / 25 / 27

5609115

226

LUCKNOW

2 / 8 / 15 / 22

2269009

141

LUDHIANA

15 / 25

1410891

625

MADURAI

5 / 15 / 25

6259808

603

MADURANDAGHAM

5 / 10 / 15 / 25 / 27

5609115

571

MANDYA/MADDUR

5 / 15

5609115

575

MANGALORE

05 / 15

5609115

614

MANNARGUDI

5 / 10 / 15 / 25 / 27

5609115

609

MAYILADUTURAI

5 / 10 / 15 / 25 / 27

5609115

400

MUMBAI

04 / 15 / 27

4009034

570

MYSORE

5609115

611

NAGAPATTINAM

5 / 10 / 15 / 25 / 27

5609115

629

NAGERKOIL, MARTHANDAM

5 / 10 / 15 / 25 / 27

5609115

440

NAGPUR

10 / 25

4009034

637

NAMAKKAL

5 / 10 / 15 / 25 / 27

5609115

422

NASIK

10 / 20 / 25

4229026

110

NEW DELHI

5 / 15 / 25

1109205

607

NEYVELI

5 / 10 / 15 / 25 / 27

5609115

624

PALANI

5 / 10 / 15 / 25 / 27

5609115

800

PATNA

5 / 15 / 27

4009034

605

PONDICHERRY

5 / 10 / 15 / 25 / 27

5609115

621

PREMBALUR

5 / 10 / 15 / 25 / 27

5609115

622

PUDUKOTTAI

5 / 10 / 15 / 25 / 27

5609115

411

PUNE

10 / 25

4119219

584

RAICHUR

5 / 15

5609115

492

RAIPUR

8 / 23

4925035

360

RAJKOT

15 / 25

3609083

623

RAMANATHAPURAM

5 / 10 / 15 / 25 / 27

5609115

834

RANCHI

5 / 15 / 27

4009034

636

SALEM

5 / 10 / 20 / 25

5609115

171

SHIMLA

25

4009034

734

SILIGURI

5 / 15 / 27

4009034

626

SIVAKASI, RAJAPALAYAM

5 / 10 / 15 / 25 / 27

5609115

413

SOLAPUR

10 / 25

4130021

591

SOMARVPETH

5 / 15

5609115

Utility Code
4009034

List of HDFC's Allotted Debit Dates for ECS - Debit Transaction

Clearing house cd
395

Branch
SURAT

Date Of Debit
15 / 25

Utility Code
3959288

613

THANJAVUR

5 / 10 / 15 / 25 / 27

5609115

620

THIRUCHIRAPALLI

5 / 15 / 25

5609115

606

THIRUVANNAMALAI

5 / 10 / 15 / 25 / 27

5609115

610

THIRUVARUR

5 / 10 / 15 / 25 / 27

5609115

627

TIRUNELVELI, TUTICORIN

5 / 10 / 15 / 25 / 27

5609115

680

TRICHUR

5 / 20

4009034

695

TRIVANDRUM

05 / 10 / 25

4009034

572

TUMKUR

5 / 15

5609115

628

TUTICORIN

5 / 10 / 15 / 25 / 27

5609115

313

UDAIPUR

5 / 15 / 25

3139018

642

5 / 10 / 15 / 25 / 27

5609115

576

UDUMALPET,
UDHAGAMANDALAM
UDUPI

5 / 15

5609115

390

VADODARA

15 / 25

3909090

221

VARANASI

10 / 18 / 25

4009034

632

VELLORE

5 / 10 / 15 / 25 / 27

5609115

520

VIJAYAWADA

5 / 10 / 25

5609115

530

VISHAKAPATNAM

5 / 10 / 25

5609115

ECS-D

www.hdfc.com