ACH_FORM
ACH_FORM
ACH_FORM
From 0 3 0 1 2 0 2 5
To 0 3 0 1 2 0 3 5
Or Until Cancelled
Signature Primary Account Holder Signature Account Holder Signature Account Holder
Phone No. 8817896146
1. GANESH CHAMAR 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
an amount of Rupees
DEBIT TYPE Fixed Amount Maximum Amount FREQUENCY Monthly Quarterly Half Yearly Yearly As & when presented
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
an amount of Rupees
DEBIT TYPE Fixed Amount Maximum Amount FREQUENCY Monthly Quarterly Half Yearly Yearly As & when presented
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 3012CD0305837
Original of Id Proof has been seen and verfied (Signature of Dealer/Employee) , as on 05/12/2024 02:10 PM
Lat/Long 22.9248933 78.7840182
Address Proof -
Prospect Number - 3012CD0305837 Address Proof Number - 6692
AADHAAR
Original of Address Proof has been seen and verfied (Signature of Dealer/Employee) , as on 05/12/2024 02:10 PM
Lat/Long 22.9248933 78.7840182