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C

UMRN Date 1 8 0 2 2 0 2 2
Tick( ) Sponsor Bank Code HDFC0000060 Utility Code HDFC00915000009916
CREATE
MODIFY I/We hereby authorize HDB FINANCIAL SERVICES LTD. to debit (tick ) SB/CA/CC/SB-NRE/SB-NRO/Other
CANCEL Bank a/c number
with Bank BANK OF INDIA IFSC B K I D 0 0 0 6 6 0 6 or MICR

an amount of Rupees Nineteen Thousand Eight Hundred and Eighty Nine Only 19889
FREQUENCY Mthly Qtly H-Yrly Yrly As & when presented DEBIT TYPE Fixed Amount Maximum Amount
Reference 1 Phone No. 9660132565
Reference 2 43832000460 Email ID
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.
PERIOD

From 0 2 0 4 2 0 2 2 Signature Primary Account Holder


Signature Account Holder Signature Account Holder
To XX XX XXXX SANJAY KUMAR HARIJAN
1 2 Name as in bank records 3 Name as in bank records
Or Until Cancelled SO BHAG CHAND
This ACH Mandate shall be valid & binding on me/us for all the agreements/ loan accounts with HDB Financial Services Ltd. This is to confirm that the declaration has been carefully read,
understood & 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 or the bank where I have authorized the debit.

B
UMRN Date 1 8 0 2 2 0 2 2
Tick( ) Sponsor Bank Code HDFC0000060 Utility Code HDFC00915000009916
CREATE
MODIFY I/We hereby authorize HDB FINANCIAL SERVICES LTD. to debit (tick ) SB/CA/CC/SB-NRE/SB-NRO/Other
CANCEL Bank a/c number 6 6 0 6 1 0 1 1 0 0 0 9 1 5 6
with Bank BANK OF INDIA IFSC B K I D 0 0 0 6 6 0 6 or MICR

an amount of Rupees Nineteen Thousand Eight Hundred and Eighty Nine Only 19889
FREQUENCY Mthly Qtly H-Yrly Yrly As & when presented DEBIT TYPE Fixed Amount Maximum Amount
Reference 1 Phone No. 9660132565
Reference 2 43832000460 Email ID
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.
PERIOD

From 0 2 0 4 2 0 2 2 Signature Primary Account Holder


Signature Account Holder Signature Account Holder
To XX XX XXXX SANJAY KUMAR HARIJAN
1 2 Name as in bank records 3 Name as in bank records
Or Until Cancelled SO BHAG CHAND
This ACH Mandate shall be valid & binding on me/us for all the agreements/ loan accounts with HDB Financial Services Ltd. This is to confirm that the declaration has been carefully read,
understood & 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 or the bank where I have authorized the debit.

A
UMRN Date 1 8 0 2 2 0 2 2
Tick( ) Sponsor Bank Code HDFC0000060 Utility Code HDFC00915000009916
CREATE
MODIFY I/We hereby authorize HDB FINANCIAL SERVICES LTD. to debit (tick ) SB/CA/CC/SB-NRE/SB-NRO/Other
CANCEL Bank a/c number 6 6 0 6 1 0 1 1 0 0 0 9 1 5 6
with Bank BANK OF INDIA IFSC B K I D 0 0 0 6 6 0 6 or MICR

an amount of Rupees Nineteen Thousand Eight Hundred and Eighty Nine Only 19889
FREQUENCY Mthly Qtly H-Yrly Yrly As & when presented DEBIT TYPE Fixed Amount Maximum Amount
Reference 1 Phone No. 9660132565
Reference 2 43832000460 Email ID
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.
PERIOD

From 0 2 0 4 2 0 2 2 Signature Primary Account Holder


Signature Account Holder Signature Account Holder
To XX XX XXXX SANJAY KUMAR HARIJAN
1 2 Name as in bank records 3 Name as in bank records
Or Until Cancelled SO BHAG CHAND
This ACH Mandate shall be valid & binding on me/us for all the agreements/ loan accounts with HDB Financial Services Ltd. This is to confirm that the declaration has been carefully read,
understood & 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 or the bank where I have authorized the debit.

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