(=ublie20@ PayZapp For Business - Application Form Wo understand your world ME Coders Existing TID Code Existing MCC Code ‘Merchant Legal Name: [Marketing Name / DBA: Ihave a website: Contact Detail Mobile No Email 10: Preferred user name for PayZapp for Business: MobileNo. E-mail ID Incase of multiple ID required, same tobe provided in prescribe form with signature authorised signalory and stamp. Charges & Pricing Plan ‘Same as por the POS Agreement signed PayZapp For Business Application Authorisation \/We wish fo enroll under HOFC Bank Lia's PayZapp for business and hereby agree to be bound by the terms and conditions governing usage of PayZaop for business. lWe confirm that al information provided to HDFC Bank Lid in ths form is correct and accurate. UWe certify the person signing tis application and ME Agreament has full authority todo so and thoreby binds us. HDFC Bank Lid andlor their cepresentatives may contact the establishments banker or any other source fo obtain information in connection wih this aplication Iie authorize you to credivdebit our Current accounl/Merchant Account with HDFG Bank Ltd. forall transaction, fees and other charges as may be applicable for PayZapp for business. Date: ‘cepted, ‘cepted ‘Autarsee Signatory, Signature wit Company Seal AutharsedSigntory Signature wih Company Sal BANK COPY Source Code: LG Code. Le code. Promo Code STP Non-STP | contin having validated the customer information and deta. MRM/SM Name &Emp Code; RMI SM Signature