ACH Mandate

PROPOSER DET AILS

Loan number TERMS & CONDITIONS

138586877

I/We hereby Authorise HDFC bank Ltd To debit my

SAVINGS

(Saving, Current, CC, SB, NRE, Others) Account. Account number

000801630797

Bank name

ICICIBAN

IFSC

ICIC0000008

An amount of Rs

17409

/- Towards my

Personal Loan

Loan Start date of debit

07-Mar-2023

Frequency

MONTHLY

I agree for 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 .
This is to confirm that declaration has been carefully read, understood made & made by me/us.I am authorizing the user entity /corporate to debit my account based on
instruction as agreed and authenticated by me .I have understood that I am authorized to cancel /amend this mandate by appropriately communicating the
cancellation /amendment request to user entity /corporate or the bank , where I have authorized the debit.
Application is submitted on-line by the customer using his/her NetBanking cust ID and password on 20/02/2023 at 7:23AM through IP Address 160.238.75.30 .