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MFS14352 MFS MFS14352MFD0000000084241 PDF

This document is a mandate form authorizing National Securities Clearing Corporation Ltd. to debit Rs. 500,000 from Chiranjeevi Shetty's CITI Bank account number 5503520818 on a monthly basis starting from June 1, 2019 until cancelled. The purpose is to set up a standing instruction for payments from Shetty's bank account.
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0% found this document useful (0 votes)
150 views1 page

MFS14352 MFS MFS14352MFD0000000084241 PDF

This document is a mandate form authorizing National Securities Clearing Corporation Ltd. to debit Rs. 500,000 from Chiranjeevi Shetty's CITI Bank account number 5503520818 on a monthly basis starting from June 1, 2019 until cancelled. The purpose is to set up a standing instruction for payments from Shetty's bank account.
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
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UMRN F O R O F F I C E U S E O N L Y Date 1 9 1 0 2 0 1 9

Tick( ) Sponsor Bank Code HDFC0999999 Utility Code HDFC00070000003309


CREATE
I/We hereby authorize NATIONAL SECURITIES CLEARING CORPORATION LTD. to debit(tick ) SB/CA/CC/SB-NRE/SB-NRO/Other
MODIFY

CANCEL Bank a/c number 5 5 0 3 5 2 0 8 1 8

Name of Customers Bank


With Bank CITI Bank NA IFSC C I T I 0 0 0 0 0 0 4 or MICR 5 6 0 0 3 7 0 0 2

an amount of Rupees Five Lakh/s only. 500000


FREQUENCY Mthly Qtly H-Yrly Yrly As & When Presented DEBIT TYPE Fixed Amount Maximum Amount
IIN 5011767861 Mobile No. 7411438102
Mandate ID Email ID chiranjeevishetty157@gmail.com
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 6 1 1 2 0 1 9
Signature of Primary Account holder Signature of Account holder Signature of Account holder
To D D M M Y Y Y Y
Or Name as in bank records Name as in bank records
Until Cancelled 1. B CHIRANJEEVI
2. 3.
 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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