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24 05 2021

Sponsor Bank Code KKBK0RTGSMI INDB00477000028001


Tick ( 3)
✔ ABFLBIJU 3) ✔

Bank a/c number 9 9 0 7 1 0 1 1 0 0 1 4 3 5 9


with Bank Bank Of India BK I D0 0 0 9 9 0 7 or

Sixty Eight Thousand Only ` 68000


✔ Mthly Qtly H- ✔
94391438100880 Phone No.

I agree for the debit of mandate processing charges by the bank whom I am authorizing to debit my account as per latest schedule of charges of the bank*

From 0 5 0 7 2 0 2 1
x
Or ✔ 1. VANDANA 2.
3.
This is to confirm that the declaration has been carefully read ,understood and made by me/us .I am authorizing the User entity / Corporate to debit my account.
I have understood that I am authorized to cancel / amend this mandate by appropriately communicating the cancellation / amendment request to the User entity/ Corporate or the bank where I have authorized the debit.

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