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Standing Instructions Request Form

This document is a standing instructions request form for Kotak Mahindra Bank. It allows customers to set up or cancel recurring transfers from their account to a beneficiary's account or to receive bankers checks. The form collects details like account numbers, beneficiary information, frequency of transfers, start and end dates, and purpose. It requires signatures and notes the applicable charges and terms like funds availability for processing the instruction.

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Mogli Singh
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© © All Rights Reserved
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431 views1 page

Standing Instructions Request Form

This document is a standing instructions request form for Kotak Mahindra Bank. It allows customers to set up or cancel recurring transfers from their account to a beneficiary's account or to receive bankers checks. The form collects details like account numbers, beneficiary information, frequency of transfers, start and end dates, and purpose. It requires signatures and notes the applicable charges and terms like funds availability for processing the instruction.

Uploaded by

Mogli Singh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Kotak Mahindra Bank

Standing Instructions Request Form


Remittance Details

I/We,

hereby request you to set-up/cancel a standing Instruction on my/our

Account Number (hereinafter referred as funding account)

for Rs. (in figures) Rs. (in words)

as per the details given below.

Fund Transfer Issuance of a Banker’s Cheque

Beneficiary Details

Name of the Beneficiary

Beneficiary Account Number (Applicable for Funds Transfer only)

Beneficiary Address*

*Applicable only if the banker’s cheque needs to be sent to the beneficiary.

Operational Details

Frequency
Daily Weekly Fortnightly Monthly
Quartely Half-yearly Yearly
Start Date D D MM Y Y Y Y End Date D D MM Y Y Y Y

Purpose of Standing Instruction set-up/Reason for cancellation of Standing Instruction

Signature(s)
Account Holder/Authorised Signatory Account Holder/Authorised Signatory Account Holder/Authorised Signatory

Date
Notes : 1. Charges, if applicable, will be debited to your account.
2. Please note that standing instructions would be executed in the order to set - up / request.
3. Execution of the standing instruction is subject to availability of funds in Funding Account on morning of execution date.
4. Start date is the date of commencement of standing instructions execution at the frequency selected.
5. A Bankers Cheque, if requested for, will be issued in favour of the beneficiary payable in the city where your Branch is. It will be sent to your mailing address as per
our records within 3 working days of the execution day.
6. You may request for the same to be delivered directly to the Beneficiary by giving the beneficiary’s mailing address. This option is available only if the mailing address
is in India. Please note that while we will take full care to ensure delivery, we are not liable for losses / consequences if any, on account of postal/other delays outside
our control.
7. In case the beneficiary’s address is not filled, the Bankers Cheques, if requested for, will be sent to your mailing address as per our records.

For Bank Use Only

Signature verified by Set-up/Cancellation Date


Approved by Entered by
Authorised by
Surprise Verification - Date Name and Employee Code
Signature of Employee Remarks

Acknowledgement

We acknowledge the receipt of customer request type from Mr./Mrs./Ms.

relating to customer relationship number under service request number

Date: Bank Official


For Kotak Mahindra Bank Ltd.
(Sign and stamp)

Kotak Mahindra Bank Ltd. CIN: L65110MH1985PLC03813 Registered Office: 27 BKC, C 27, G Block, Bandra Kurla Complex, Bandra (E), Mumbai - 400 051. www.kotak.com KMBL/Apr-2015/V 1.0

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