Application Form For Funds Transfer Through Utkarsh Smoll Finance Beak Real Time Gross Settlement (RTGS) / National Electronic Funds Transfer (NEFT) [renc coto rene xin Limi for WEFT Transaction ime Non Ukarsh Snal France Sank Ll Cistorer& ho NepalREFT Reriance | Upo NR S000 Youare requested to emt he proceeds as per cota blew through RTGS [] 1NEFT C1]. (Tic ¥ the appropiate Box.) ‘tacing Cheque No, for. (For RTGS craw chee fovoirha”Wkrsh Small Finance Bark Lid -RIIGS” and fr NEFT raw cvequ avoulng “Wash Sal Fnance Bank Lid. —NEFT) Peraibiny Daal Benetcary Nae Benetcary Fecsunt Numer Beretcar Bark Nave A Branch Banetcary Bark FEC Cole ‘Recount iype: Retort |] Non Resident] “nt Ga ur ob erin “noun (words) tobe ceed My Our Deals (Remiter) emer (igpicar) Name Femter Recount Nanber (Sen Uierat Sal Finance Bonk Let Cuter] Mabie Phone Nore of Ranier (Mandaior) Emilia "pass othe Remit (Mandal or en Ulkarah Sra Paneer id Custom) Remar ‘Terns & Conditions 1 We hrebysuthoricaUtirth Smal Fiance Bonk Ld. to saryout tho RTGS [] INET [1] ‘anctctonar persica mantoned above. (Tick / the aporeprat Boe) “isthe sSerwledg a Utero nal nace Barked ecepanobasybreryconrequenct aalbgoxto eta prevded by mel “iiileagrestfatne wet be stoisoroy on nebenatarysrcoun rumoetinteratanardorecian/nema parton tobe used ernest “lites sob arsenate cages taen ancy atures *litohey spac anderen RTGS NEP? ego eee rotor guaran errno a. semen ‘ce ac oer aration ey rn orn Spang he Marge Hom ary case hase oh ania ted th on he “We agjathat nctee INEPT Trmateton fie dnathave an accountwih hehnk we wilpreiceCriinaldentifctonpoafuhla ging ha request Incate Mla subit em 60, ‘ea subtest = Inents fhe RTGS ane NEFTcptonis note vs, /We storeys execs hetransacon las than Rupees Two Lacs hroughNEFT ancgreterthanor aqua to Rupes ‘woLacs trough RTGS and detithecrarnes a onlcable Signature ot ‘Authorized Sianatery Signatory Signaioy 3 Signaiony Pe ec otnp chr aplale Branch Use Only “Tanrarten pd by Transaction Auhridby Traneachan aeiy SET onan aay er RC aes gone LT Ripiltanh Sow Ponce ROWUS. Cuntomer Tusioner Acknowledgement Recived sppeaton for RTCS[_] NEFT[_] fo an amount Re vide cath cheque number tobe ces io Hecount Number o ‘Ban win FSC Coos {storers wil oe gue ay ne Terms 4d Condtions mentoredin the fon, Utkarsh Small Finance Bank. will accept itll fr any consequences asng outof enonecus deals provided by the Custorer.