Sponsor Bank Code I/We hereby authorize TVS Credit Services Limited
to debit (tick ) SB/CA/CC/SB-NRE/SB-NRO/Other Bank a/c number 5 0 1 0 0 7 3 0 0 7 6 9 3 9
with Bank HDFC BANK IFSC/MICR HD F C 0 0 0 0 0 5 1 an amount of Rupees FIFTEEN THOUSAND ONLY 15000 /- DEBIT TYPE Fixed Amount Maximum Amount FREQUENCY Monthly Quarterly Half Yearly Yearly As & when presented
Customer ID 0036698769 Prospect No. 3112CD0155570
1.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. 2.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. 3.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.
From 0 3 1 2 2 0 2 4 To 0 3 1 2 2 0 3 4 Or Until Cancelled Signature Primary Account Holder Signature Account Holder Signature Account Holder Phone No. 9923946438 SUSHILKUMAR 1. 2. Name as in bank records 3. Name as in bank records SAKHARAM PATIL
UMRN Date D D M M Y Y Y Y Utility Code Create Modify Cancel Sponsor Bank Code I/We hereby authorize TVS Credit Services Limited
to debit (tick ) SB/CA/CC/SB-NRE/SB-NRO/Other Bank a/c number
with Bank IFSC/MICR
an amount of Rupees DEBIT TYPE Fixed Amount Maximum Amount FREQUENCY Monthly Quarterly Half Yearly Yearly As & when presented
Customer ID Prospect No.
1.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. 2.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. 3.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.
From D D M M Y Y Y Y
To D D M M Y Y Y Y Or Until Cancelled Signature Primary Account Holder Signature Account Holder Signature Account Holder Phone No. 1. Name as in bank records 2. Name as in bank records 3. Name as in bank records
UMRN Date D D M M Y Y Y Y Utility Code Create Modify Cancel Sponsor Bank Code I/We hereby authorize TVS Credit Services Limited
to debit (tick ) SB/CA/CC/SB-NRE/SB-NRO/Other Bank a/c number
with Bank IFSC/MICR
an amount of Rupees DEBIT TYPE Fixed Amount Maximum Amount FREQUENCY Monthly Quarterly Half Yearly Yearly As & when presented
Customer ID Prospect No.
1.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. 2.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. 3.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.
From D D M M Y Y Y Y
To D D M M Y Y Y Y Or Until Cancelled Signature Primary Account Holder Signature Account Holder Signature Account Holder Phone No. 1. Name as in bank records 2. Name as in bank records 3. Name as in bank records TVS Credit Services Limited Consumer Durables Loan OSV Declaration I hereby confirm that I have verified the original KYC document of the below customer, and that the documents and details given below pertain to verification of Loan Number 3112CD0155570
Snapshot of KYC Details
Prospect Number 3112CD0155570 Customer Name SUSHILKUMAR SAKHARAM PATIL Employee/Dealership Name maxx mobile Employee Code/Dealership Code CD136348 OSV Esign DateTime 22-10-2024 12:55 PM
Id Proof - PAN Card Prospect Number - 3112CD0155570 Id Proof Number - CYOPP6763K
Original of Id Proof has been seen and verfied (Signature of Dealer/Employee) , as on 22/10/2024 07:19 PM Lat/Long 19.4531471 72.812909 Address Proof - Prospect Number - 3112CD0155570 Address Proof Number - 8492 AADHAAR
Original of Address Proof has been seen and verfied (Signature of Dealer/Employee) , as on 22/10/2024 07:19 PM Lat/Long 19.4531471 72.812909
