STATE BANK GROUP DIRECT DEBIT MANDATE State Bank Group ote: Deer, Uwe hereby instruct you te poy SBICPSL by debit o my/our account number EL) COO COC Coo with such amounts os may be requested by SPICPSL Limited fom time to time egoist the poyment of my seicesnemer 646° D-DD] CLLL) CLD CoE sper the option ticked below Ichocse to pay my monthly SB Credit Card Teal Amount Due TAD! ] Minimum Armount Ove MAD) [] (Maximum amount debited at ary ime shell rot exceed the total arount due atthe time of cirect debit The request rom S8ICPSL may be conveyed in any frm, including on electronic farm. Whatever amounts so transfered / debited deductes by you trom my aforesca accourt pureuant tothe request of SBICPSL, ena be final and bincing on mel, and ve wil rot eispute the some, lve wil net revoke or cancel tis mandate without giving prior writen notice of not ess than 30 days to the Bork and SICPSL sates of casomee EEE ELELLELLLLELLEEE LEE ELE EEE EDEECELEEEELEELEPE ELE EEELE Peete DETAILS TO BE FILLED UP AND VERIFIED BY THE BRANCH Nome of customer: CCC SCRE 1 Certted that the signature has been verified and that the paticulrs furnished above are correct as per our records ‘son the account for odmiistering ect deb i centes that tere aero rest Specimen Signature Numbe Nome: Designation: Name of he Sanh Bank and Groneh Cade 0 OL Bank Wame Bank Code rare Bonk of nao ate Sank of Bonar BJO Stare Bonk of ipderabaa Stare Bonk of Mysore ate Bonk of Potala Bonk of Travancore E