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  • Banker Copy: Auto Debit Form - NACH Registration

    Uploaded by

    Srikant Singh
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    This document is an auto debit form authorizing Karvy Stock Broking Limited to debit funds from a bank account. It provides details such as the sponsor bank code, utility code, bank account number, IFSC/MICR codes, debit type as maximum amount, reference details, period of debit authorization from 07/01/2019 until cancelled, and confirmation that the account holder authorizes the debits based on the agreement. The form is signed by Shailesh Singh Thakur to register for auto debit of a maximum amount of 1,00,000 rupees as and when presented from his bank account.

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    Nach_Mandate_AMQPT4838D_342635.pdf

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    This document is an auto debit form authorizing Karvy Stock Broking Limited to debit funds from a bank account. It provides details such as the sponsor bank code, utility code, bank account number, IFSC/MICR codes, debit type as maximum amount, reference details, period of debit authorization from 07/01/2019 until cancelled, and confirmation that the account holder authorizes the debits based on the agreement. The form is signed by Shailesh Singh Thakur to register for auto debit of a maximum amount of 1,00,000 rupees as and when presented from his bank account.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    39 views1 page

    Banker Copy: Auto Debit Form - NACH Registration

    Uploaded by

    Srikant Singh
    This document is an auto debit form authorizing Karvy Stock Broking Limited to debit funds from a bank account. It provides details such as the sponsor bank code, utility code, bank account number, IFSC/MICR codes, debit type as maximum amount, reference details, period of debit authorization from 07/01/2019 until cancelled, and confirmation that the account holder authorizes the debits based on the agreement. The form is signed by Shailesh Singh Thakur to register for auto debit of a maximum amount of 1,00,000 rupees as and when presented from his bank account.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    Banker Copy

    Auto Debit Form - NACH Registration


    UMRN f o r o f f i c e u s e Date 0 7 0 1 2 0 1 9
    Sponser Bank Code CITI00002000000037 Utility Code CITI000PIGW
    Tick (✔)
    CREATE ✔ I/we Hereby authorize Karvy S tock Broking Limited to debit(tick ✓) SB✔ CA CC SB-NRE SB-NRO Other
    MODIFY Bank A/c number 7 7 3 1 0 2 0 1 0 0 0 0 3 1 7
    CANCEL

    With Bank UNION BANK OF INDIA IFSC U B I N 0 5 7 7 3 1 6 or MICR 0 0 0 0 2 6 0 0 0


    an amount of Rupees One Lakh rupees 1,00,000

    FREQ UENC Y ☐ M thly ☐ Qylt ☐ H-Yrly ☐ Yrly ☑ As & when presented DEBIT TYPE ☐ Fixed Amount ☑ M aximum Amount
    Reference 1 Mobile No 9827115986
    Reference 2 Email ID shailesh8484@gmail.com
    I agree for the debit of mandate processing charge by the bank whom i am authorizing to debit my account as per latest schedule of charges of the bank
    PERIO D
    From 0 7 0 1 2 0 1 9
    To
    or ☑ Until Cancelled Shailesh singh Thakur So
    1 Parmeshwar Singh Thakur 2 3
    * This is to confirm that the declaration has been carefully read understand & made by me/us. I am authorizing the User entity/Corporate to debit my account based on the instructions as agreed and signed by me.
    * I have understood that i am authorized to cancel/amend this mandate by appropriately communicating the cancellation/amendment request to the User entity/Corporate of the bank where i have authorized the debit.

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