Banker Copy: Auto Debit Form - NACH Registration
Banker Copy: Auto Debit Form - NACH Registration
Banker Copy: Auto Debit Form - NACH Registration
FREQ UENC Y ☐ M thly ☐ Qylt ☐ H-Yrly ☐ Yrly ☑ As & when presented DEBIT TYPE ☐ Fixed Amount ☑ M aximum Amount
Reference 1 Mobile No 9827115986
Reference 2 Email ID shailesh8484@gmail.com
I agree for the debit of mandate processing charge by the bank whom i am authorizing to debit my account as per latest schedule of charges of the bank
PERIO D
From 0 7 0 1 2 0 1 9
To
or ☑ Until Cancelled Shailesh singh Thakur So
1 Parmeshwar Singh Thakur 2 3
* This is to confirm that the declaration has been carefully read understand & 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 of the bank where i have authorized the debit.