DD / MC Application Form narod (Application form te be accompany cheque only. in case of issuance We understand your world against Cash, MC/ DD / NEFT the amount would not exceed Rs.49,999/- ) Date Branch :- Please Issue (Tick as Applicable) (1 Managers Cheque (1 Demand Draft payable at Favoring For amount Rs, (in figures) (In words) Mode of Payment :- Cash / Cheque No. Purchaser Name: Please deliver the Demand Draft / Managers Cheque to Mr / Ms. Whose signature is appended below “Bearers Signature Customers signature (Purchaser) | acknowledge Receipt of the DD / MC as requested Signature of Recipient Customers Name (Purchaser) “I/We enclose Cheque No.__drawn on my / our above account in favour of HDFC Bank Ltd = 1/ We Authorize you to Debit my / our above account towards issuance of the above DD / MC vide Cheque |// We further authorize you to debit the aforesaid account for the service charges / tax, as applicable. -1/ We acknowledge that in case | / we have issued single cheque / instruction for debit to my / our ‘account for issuing more than one Demand Draft / Managers Cheque, then the same will e ect as multiple debit entries in my / our account DD/ MC against cash will be issued below Rs 50,000/- to Non- customers and should be accompanied with KYC documents For bank Use only Processed by (Emp codeend sia) Try meg pe Seva oa/ naa Authorized by (Emp code and sign) DD/MC/UTR No Ref No Charges Recovered Rs (applicable only for Non Customer) Day end Checked bi Transaction Authorized by (2" Level) (for amount > 5 acs). KYC documentation done by (only for Non-HDFC Bank ‘Terms and conditions: |/ We hreby authorize HOFC BarkLtdtocany outthe RTGSNEFT transaction 2s po the deta mentioned above Tick bo appre el). 2ue ray ageo tw aes ca neh to SC anata cro ot cre 3) ta okroustgo ha HOFC tk acco ro iapiy or any consequences arsng out of eoneous dears proved by mews. 41/ We aroo that tho cred wl be acted solely onthe beneficiary account numba infomation andbenet cay namo pertiularswilnol be usedtor te 18} 1/ wo auberzothe barktodeot my fou account wih the charges ps Taxes as appeal fr Iystransacion 6)! Woagroe halroquess semi aftethocuto. time wilbaseritnnextbsich or next workhgday as applicable 7)/Werraby agree ard undaslard tact remting bankshalnot be lable for any sof damage ansng or rsuling om delay vansrsson dary ofnan lor of Ect mossagao' any mistako, fission, oF ettorn vansiissin or dalvery thereo' xin deciphering tNe message tam any cause ualSoover 0: om Is msrtrpeiaienrecalvod ete action of ts ‘destnaton Bankor any aetorbeyondcontal 8) We agree hatincase of NEF Teansacton ve danatnave an account the ban we Wl produce Onginalcerticaion proofruequingtherequestncasel/ Wesubmat om eD weuilasosubmtihe adress poo! 6)ineasetheRTGS and NEF oplonsnotiexedby us, Neauhorzethe Frensortenesstnan Rupees Two aesthraughNF-T and greater han or equate atpens wo ars PraughRTGS anddehicharges as applicable Customers Copy (To be produced by customer while collecting DDIM from bank) Bank DDI MIC for Re, Drawn on Seal hq No: a Customer Name: Customers Ale number Request for MC / DD / RTGS and NEFT can algo be placed using Netbanking For HDFC Bank Pro.RTGS / NEFT Request Form CO rTcs Cl NerT For RTGS | NEFT Maximum Limit for NEFT Transaction HDFC Bank Customer No Limit HDFC Bank Customer - Indo Nepal NEFT Remittance vvia Account - Up to INR 200000/- Non HDFC Bank Customer & Indo Nepal NEFT Remittance Up to INR 50,000/- Purpose of Remittance to Nepal - tick one (Family Maintenance / Retirement Fund / Pension Fund / Others Time Customers Name Account no ‘Chg no. Mobile No Tel No. Remitter Legal Entity Identifier Code (LE!) COnty appliablo for Rs. 50 ct & above transaction for nom individual accounts) LEI Expiry Date: ojo[m[ | y[y[y[y ‘Address of Remitter (Mandatory for Non HDFG Bank Customer) Email id In case of Non HFC Bank Customer Amount of Cash Deposited iary detai Name Address. ‘Account No Re-Confirm Account no: Bank Name & Branch IFSC Code ‘Alo Type : CiResident LI Non Resident Beneficiary Legal Entity Identifier Code (LEI) I (COntyeopleabe for Rs 80 er & above bansoction for non ndualaecouns) LEI Expiry Date: D[O[M| m] vy] v[v]¥ ‘Amount to be credited (in figures): (In Words): Remarks: live agree to terms and conditions mentioned overleaf. For Indo Nepal remittance. I/we declare that the purpose of remittance is for above selected purpose only. Signature of Authorized signatory 202th ‘st Signatory 2nd Signatory 3rd signatory For bank Use only Processed by (Emp code and sign) ‘Authorized by (Emp code and sign) saezane DD/MC/UTR No RefNo (Charges Recovered Rs (applicable only for Non Customer): Day end Checked by Transaction Authorized by (2 Level) (for amount > 5 lacs). KC documentation done by (only for Non- HDF Bank Customers) (Customers Copy Received application for RTGS / NEFT foran amount of Rs. vide Cash / Choque number ig a " a Bank __ 10 be credited to Account number _of ‘Seal Bank witn 8 Godo_ customers wilbo guidotby the Tors. ae _and Conditions mentionod in tho form. HOFC Bank willaccoptno liability for any consoquonces arising out of oronous, \dotais provided by the Customer. For HDFC Bank Request for MC/ DD/ RTGS and NEFT can algo be placed using Netbanking