00 UCO BANK 00 UCO BANK Annexure-1
COUNTER FOIL NEFT/RTGS FUNDS REMITTANCE APPLICATION FORM
Form NEFT □ RTGSn Branch Date / / Time
Branch Remit funds through: NEFT d RTGS d (For RTGS- Amount must be for ^ 2 lakhs or more)
Date / / Time
Beneficiary Detai s
By Cash/Cheque/Transfer for RTGS/ Name:
NEFT remittance favouring Account Number:
Account Number:
Beneficiary A/c No: Address:
Bank: Bank Name & Branch:
Branch: IFS Code: Account Type:(S6/CA/CC/0THERS)/ Remittance to INDO Nepal
IFS Code: Amount (to be remitted)
Account Type: NEFT/RTGS Charges
Amount Total Amount
Charges Total Amount in words:
Total Amount Applicant Details (Remitter)
Total Amount in words: Name:
Account Number: Sol Id
Address:
Remitter Name: Mobile/Landline No.: PAN
Remitter A/c No: Email Id:
Address: Purpose of Remittance:
Details of Cash Remitted
Please remit the amount as per above details by debiting cash or my/our K PCS P.
SB/CA/CC/OTHERS Account No. 2000 X
with branch. I/We agree to the terms and 500 X
Seal/Signature of Customer/Remitter conditions printed on the reverse hereof. 200 X
Mobile No. Enclosed Cheque No. /Debit Authority Dated / 100 X
PAN: t enclosed. 50 X
(Refer terms of remittance overleaf.) 20 X
Reference No: 10 X
UTR/ NEFT Ref No.: Coins
Branch Seal Transaction Id: Total
Signature of Authorised Signatory Seal/Signature of Customer/Remitter Sign, of Official Sign, of Official Sign, of Official
(Verifying Doc.) (Maker) (Checker)
TERMS 8. CONDITIONS OF REMITTANCE
1.The customer shall be responsible for the
accuracy of the particulars given in this payment
order issued by him and shall be liable to
compensate the Bank for any loss arising on
TERMS & CONDITIONS OF REMITTANCE account of any error in his payment order.
1.The customer shall be responsible for the accuracy of the particulars given in this payment order 2.The customer shall ensure availability of funds
in his account properly applicable to the payment
issued by him and shall be liable to compensate the Bank for any loss arising on account of any error order by the Bank. Where however the Bank
in his payment order. executes the payment order without properly
applicable funds being available in the customer's
2.The customer shall ensure availability of funds in his account properly applicable to the payment account, the customer shall be bound to pay to
order by the Bank. Where ho\wever the Bank executes the payment order without properly applicable the Bank the amount debited to his account for
which NEFT/RTGS was executed by the Bank
funds being available in the customer's account, the customer shall be bound to pay to the Bank the pursuant to his payment order, together with
amount debited to his account for which NEFT/RTGS was executed by the Bank pursuant to his the charges including interest payable by the
Bank.
payment order, together with the charges including interest payable by the Bank. 3-The customer hereby authorizes the Bank to
3.The customer hereby authorizes the Bank to debit to his account any liability incurred by him to the debit to his account any liability incurred by him to
the Bank for execution by the Bank of any
Bank for execution by the Bank of any payment order issued by him. payment order issued by him.
4.The customer agrees that the payment order shall become irrevocable when the Bank executes it. 4.The customer agrees that the payment order
shall become irrevocable when the Bank
5. No payment order issued by the customer shall be binding on the Bank until the Bank has accepted executes it.
it and issued the counterfoil of the payment order to the customer. 5.No payment order issued by the customer shall
be binding on the Bank until the Bank has
6.The Bank shall not be liable for any loss of damage arising or resulting from delay due to shut accepted it and issued the counterfoil of the
down/non-connectivity of the system or due to batch-processing taking precedence or any delay in payment order to the customer.
6.The Bank shall not be liable for any loss of
transmission, delivery or non-delivery of Electronic message or any mistake, omission, or error in damage arising or resulting from delay due to
transmission or delivery thereof or in deciphering the message from any cause whatsoever or from its shut down/non-connectivity of the system or due
to batch-processing taking precedence or any
misinterpretation received or the action of the destination Bank or any act or event beyond control. delay in transmission, delivery or non-delivery of
y.The remitter should check all payment instructions carefully. As per NEFT/RTGS rules, funds Electronic message or any mistake, omission, or
error in transmission or delivery thereof or in
are to be credited to destination account number given even if the name of the beneficiary does not deciphering the message from any cause
whatsoever or from its misinterpretation received
tally. The Bank shall not be liable for any loss of damage arising or resulting from such discrepancy. or the action of the destination Bank or any act or
8.Messages received after cut-off time will be sent on the next working day. event beyond control.
7.The remitter should check all payment
9. If there is a banking holiday at destination center on the day of the receipt of the credit notification instructions carefully. As per NEFT/RTGS
at the Treasury Branch, the funds will be credited to the account of the beneficiary on the next rules, funds are to be credited to destination
working day with value date of the previous working day. account number given even if the name of the
beneficiary does not tally. The Bank shall not be
liable for any loss of damage arising or
resulting from such discrepancy.
S.Messages received after cut-off time will be
DISCLAIMER sent on the next working day
Customers/Remitters are advised that credit to beneficiary account will be effected based solely on the beneficiary account number information 9 If there is a banking holiday at destination
mentioned in the request form and the beneficiary name particulars will not be used therefore. center on the day of the receipt of the credit
notification at the Treasury Branch, the funds will
be credited to the account of the beneficiary on
the next working day with value date of the
previous working day.
