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Mandate Form

Mandate Form

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Adarsh Smg
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108 views1 page

Mandate Form

Mandate Form

Uploaded by

Adarsh Smg
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF or read online on Scribd
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Government of Karnataka Finance Department Department of Treasuries MANDATE FORM, Electronic Clearing Service (Cre Clesting)/ Real Time Gross Settlement RTGS)/Natlonal Electronic Fund Transfer (NEFT) faclity for receiving payments ‘ADetals of Accounts Holders:- [restname: ao [Un capt eter) name of the Recipient eae [in capital letters) [Aadhar Number a a lacaress 7 compete address facarasez [Mobile Number of the a a a [E-mail e-mail ofthe recipient) |p. Bank Account Details of therecipient- [| | | 1 | | | | 1 [Bank Name Sranch Name selectthe ype of Bank cing aank curcent laccount [Account Number ar appearing in the pass book) [o digit MICR Code of Sank Branch [FSC Code ofthe Bak I Date of effect "hereby declare that the particulars given above are correct and complete f the transaction fs delayed or not effected at all reasons of incomplete or incorrect information| Would not hold the Department responsible | have read the option Invitation letter and agree to dlscharge responsibilty expected of me as «participant under the Scheme Date: Signature ofthe candidate

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