03 09 2021

Sponsor Bank Code YESB0000001 NACH00000000022924

Tick ( 3)
✔ Groww 3) ✔

Bank a/c number 6 5 9 1 8 2 0 2 1 0

with Bank Indian Bank I D I B0 0 0H0 4 3 or

One Lakh Only ` 100000.0

Mthly Qtly H- ✔ ✔
CRN2109031616316762J Phone No. 7005998339
naseemghy@gmail.com
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 3 0 9 2 0 2 1
x
Or ✔ 1. Nasim Akhtar 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.