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Vinita Soni

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UMRN Date 0 8 0 8 2 0 2 2

Utility Code ✔ CREATE MODIFY CANCEL

Sponsor Bank Code I/We hereby authorize Ganesh Capfin Ltd.


to debit Bank a/c
(tick ✔ )
✔ SB CA CC SB-NRE SB-NRO SB-OTHER
number
1 2 3 2 1 1 3 1 3
with Bank INDUSIND BANK IFSC / MICR I N D B 0 0 0 1 3 2 6
amount of Rupees RUPEES SEVENTY SEVEN THOUSAND TWO HUNDRED AND FIVE ONLY 77,205.00
Fixed Amount ✔ Maximum
DEBIT TYPE FREQUENCY Monthly Quarterly Half Yearly Yearly ✔ As & when presented
Amount

Reference 1 101101000005 Reference 2


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 and 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. 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 8 0 8 2 0 2 2
To

OR ✔ Until Cancelled

Phone No. 9 1 0 9 0 2 8 3 7 2 1. Vinita Soni 2. 3.

Instructions To Fill Mandate


1.UMRN is aute generated dunng mandate creation and is mandatory to be updated during amendment and cancellation of mandate (Maximum Length -20 Alpha
Numeric Characters) 2. Data is: in: DDIMM/YYYY: format 3) ‘Sponsor bank IFSC/MICR code, left- padded with zeroes where necessary, (Maomum length -11 Alpha
Numeric Characters) 4, Utility Code of the Service Provider, (Maximum length -18 Aisha Numeric Characters) 5, Name of Service Provider 6. Tick on box io select
type Of action to be initiated 7. Tick on box to select type of account to be affected 6. Customers legal accaunt number, (Maximum length -35 Alpha Numeric
Characters) 9. Name of Bank. 10. IFSC/MICR code of customer bank. (Maximum Length -11 Alpha numeric Characters for IFSC & 9 Numeric-for MIGR code.}, 11.
Amount payable for service or maximum-amount per transection that could be processed in words 12. Amount in figures, similar to the amount mentioned in
words, (Maximum Length -13 digit Numeric:in paise) 13: Seevice Provider generated consumer feference number 14. Service Provider generated Scheme/ Plan
reference number 45, Tick-on box to-setoet frequency of transaction 16. Validity of mandate with dates in OD/MMIYYYY farmat 17, Name of Customer/s-and
signatura/s as well as Seat of campany (where required). (Maximum length of Name -40 Alpha Numeric Characters) 18. Undertaking by customer 19. Pérmanent
ID of customer e.g. PAN/Aadhaar No, 20. Telephone no, with STD code of customer? 1.10 digit mobile numberof customer 22. Mail IDof customer a
I have understood that the bank, where Ihave authorised the debit, may levy onetime mandate processing charges as mentioned in their latest schedule of charges
published bye the barik, I have uinderstood that I am-autharised to cancel! amend this mandate by appropriately communicating the cancellation / amendment
request to the User entity / Corporate orthe bank where have authorized the debit.

Place. Signature. Date. 12-04-2023


UMRN Date

Utility Code ✔ CREATE MODIFY CANCEL

Sponsor Bank Code I/We hereby authorize Ganesh Capfin Ltd.


to debit Bank a/c
(tick ✔ )
✔ SB CA CC SB-NRE SB-NRO SB-OTHER
number
1 2 3 2 1 1 3 1 3
with Bank INDUSIND BANK IFSC / MICR I N D B 0 0 0 1 3 2 6
amount of Rupees RUPEES SEVENTY SEVEN THOUSAND TWO HUNDRED AND FIVE ONLY 77,205.00
Fixed Amount ✔ Maximum
DEBIT TYPE FREQUENCY Monthly Quarterly Half Yearly Yearly ✔ As & when presented
Amount

Reference 1 101101000005 Reference 2


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 and 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. 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

To

OR ✔ Until Cancelled

Phone No. 9 1 0 9 0 2 8 3 7 2 1. Vinita Soni 2. 3.

Instructions To Fill Mandate


1.UMRN is aute generated dunng mandate creation and is mandatory to be updated during amendment and cancellation of mandate (Maximum Length -20 Alpha
Numeric Characters) 2. Data is: in: DDIMM/YYYY: format 3) ‘Sponsor bank IFSC/MICR code, left- padded with zeroes where necessary, (Maomum length -11 Alpha
Numeric Characters) 4, Utility Code of the Service Provider, (Maximum length -18 Aisha Numeric Characters) 5, Name of Service Provider 6. Tick on box io select
type Of action to be initiated 7. Tick on box to select type of account to be affected 6. Customers legal accaunt number, (Maximum length -35 Alpha Numeric
Characters) 9. Name of Bank. 10. IFSC/MICR code of customer bank. (Maximum Length -11 Alpha numeric Characters for IFSC & 9 Numeric-for MIGR code.}, 11.
Amount payable for service or maximum-amount per transection that could be processed in words 12. Amount in figures, similar to the amount mentioned in
words, (Maximum Length -13 digit Numeric:in paise) 13: Seevice Provider generated consumer feference number 14. Service Provider generated Scheme/ Plan
reference number 45, Tick-on box to-setoet frequency of transaction 16. Validity of mandate with dates in OD/MMIYYYY farmat 17, Name of Customer/s-and
signatura/s as well as Seat of campany (where required). (Maximum length of Name -40 Alpha Numeric Characters) 18. Undertaking by customer 19. Pérmanent
ID of customer e.g. PAN/Aadhaar No, 20. Telephone no, with STD code of customer? 1.10 digit mobile numberof customer 22. Mail IDof customer a
I have understood that the bank, where Ihave authorised the debit, may levy onetime mandate processing charges as mentioned in their latest schedule of charges
published bye the barik, I have uinderstood that I am-autharised to cancel! amend this mandate by appropriately communicating the cancellation / amendment
request to the User entity / Corporate orthe bank where have authorized the debit.

Place. Signature. Date.


UMRN Date

Utility Code ✔ CREATE MODIFY CANCEL

Sponsor Bank Code I/We hereby authorize Ganesh Capfin Ltd.


to debit Bank a/c
(tick ✔ )
✔ SB CA CC SB-NRE SB-NRO SB-OTHER
number
1 2 3 2 1 1 3 1 3
with Bank INDUSIND BANK IFSC / MICR I N D B 0 0 0 1 3 2 6
amount of Rupees RUPEES SEVENTY SEVEN THOUSAND TWO HUNDRED AND FIVE ONLY 77,205.00
Fixed Amount ✔ Maximum
DEBIT TYPE FREQUENCY Monthly Quarterly Half Yearly Yearly ✔ As & when presented
Amount

Reference 1 101101000005 Reference 2


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 and 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. 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

To

OR ✔ Until Cancelled

Phone No. 9 1 0 9 0 2 8 3 7 2 1. Vinita Soni 2. 3.

Instructions To Fill Mandate


1.UMRN is aute generated dunng mandate creation and is mandatory to be updated during amendment and cancellation of mandate (Maximum Length -20 Alpha
Numeric Characters) 2. Data is: in: DDIMM/YYYY: format 3) ‘Sponsor bank IFSC/MICR code, left- padded with zeroes where necessary, (Maomum length -11 Alpha
Numeric Characters) 4, Utility Code of the Service Provider, (Maximum length -18 Aisha Numeric Characters) 5, Name of Service Provider 6. Tick on box io select
type Of action to be initiated 7. Tick on box to select type of account to be affected 6. Customers legal accaunt number, (Maximum length -35 Alpha Numeric
Characters) 9. Name of Bank. 10. IFSC/MICR code of customer bank. (Maximum Length -11 Alpha numeric Characters for IFSC & 9 Numeric-for MIGR code.}, 11.
Amount payable for service or maximum-amount per transection that could be processed in words 12. Amount in figures, similar to the amount mentioned in
words, (Maximum Length -13 digit Numeric:in paise) 13: Seevice Provider generated consumer feference number 14. Service Provider generated Scheme/ Plan
reference number 45, Tick-on box to-setoet frequency of transaction 16. Validity of mandate with dates in OD/MMIYYYY farmat 17, Name of Customer/s-and
signatura/s as well as Seat of campany (where required). (Maximum length of Name -40 Alpha Numeric Characters) 18. Undertaking by customer 19. Pérmanent
ID of customer e.g. PAN/Aadhaar No, 20. Telephone no, with STD code of customer? 1.10 digit mobile numberof customer 22. Mail IDof customer a
I have understood that the bank, where Ihave authorised the debit, may levy onetime mandate processing charges as mentioned in their latest schedule of charges
published bye the barik, I have uinderstood that I am-autharised to cancel! amend this mandate by appropriately communicating the cancellation / amendment
request to the User entity / Corporate orthe bank where have authorized the debit.

Place. Signature. Date.

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