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RTGS EMD Refund Authorization Form

This 4 page document is an authorization form for MSTC Limited to refund EMD amounts through RTGS for a buyer. It requests the beneficiary's details such as name, address, bank account information, PAN, and email for processing RTGS refunds. The beneficiary declares the information is correct and acknowledges that refunds will be processed per existing RTGS systems. The final page provides instructions that the form must be typed without corrections and include a cancelled cheque to verify bank details.

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Himanshu
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348 views4 pages

RTGS EMD Refund Authorization Form

This 4 page document is an authorization form for MSTC Limited to refund EMD amounts through RTGS for a buyer. It requests the beneficiary's details such as name, address, bank account information, PAN, and email for processing RTGS refunds. The beneficiary declares the information is correct and acknowledges that refunds will be processed per existing RTGS systems. The final page provides instructions that the form must be typed without corrections and include a cancelled cheque to verify bank details.

Uploaded by

Himanshu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Page 1 of 4

R.T.G.S Mandate Form


To,
MSTC Limited
E COMMERCE,
225 F, Second Floor
A J C BOSE ROAD,
Kolkata-700020
Dear Sir
REF: AUTHORISATION OF OUR EMD REFUND THROUGH RTGS

We hereby authorize MSTC Limited to make all EMD Refund in my/our favour
through RTGS. The details for facilitating the payments are given below:

TO BE FILLED IN CAPITAL LETTER


1.NAME OF THE BENEFICIARY( MSTC BUYER’S ID NO:………………….)

2.ADDRESS

3.TELEPHONE NO.(WITH STD CODE)

4. BANK PARTICULARS
(A) BANK NAME

(B)BANK TELEPHONE NO . (WITH STD CODE)

Signature of Authorised Signatory with Seal


Page 2 of 4

(C) BRANCH ADDRESS

(D) 9 DIGIT MICR CODE OF BANK BRANCH (ENCLOSED COPY OF A


CANCELLED CHEQUE)

(E) BANK ACCOUNT NUMBER

(F) BANK ACCOUNT TYPE

(G) IFSC/RTGS NO.

5. PERMANENT ACCOUNT NUMBER (PAN)

6.E MAIL ID OF THE BENIFICIARY.

Signature of Authorised Signatory with Seal


Page 3 of 4

1. I/We hereby declare that the particulars given above are correct and complete. If the
transaction is delayed or credit is not effected at all for reasons of incomplete or
incorrect information, I/We would not hold you responsible.
2. I/We accept that the transaction(s) will be done as per existing RTGS system
offered by Reserve Bank of India and the terms and conditions of the same as
mentioned in the RBI website www.rbi.org.in shall be applicable.
3. I / we will not hold MSTC and/or the remitting bank responsible for any delay
/error/or omission on account of processing of these transactions for any reason what
so ever and shall keep and hold you indemnified and harmless at all times and from
time to time.

Date: Signature

(Authorized signatories)

Account No:
OFFICIAL STAMP

__________________________________________________________________
BANK CERTIFICATION:

It is certified that above mentioned beneficiary holds a bank account


No……………………………. with our branch and particulars
mentioned above are correct.

Signature
(Authorized Signatory)

Authorized No.

Name ………….
Date:
OFFICIAL STAMP
Page 4 of 4

INSTRUCTION

1.The above form must be neatly typed ,but not handwritten.The total number of pages are four
which are to be submitted by the customer without any changes in the format / number of pages of
the application.

2.No correction/use of correction fluid or modification shall be allowed .

3. Please attach a cancelled cheque for ensuring accuracy of the Bank’s name, Branch name,
Account and IFSC Code .

4.Each and every page must be signed by authorized signatories with seal except the
page no.4 ( Instruction Page).

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