Otm PDF
Otm PDF
Tick ( )
Sponsor Bank Code CITI000PIGW Utility Code CITI00002000000037
CREATE
MODIFY I/We, hereby authorize ETMONEY To be Tick ( ) SB / CA /CC SB-NRE /SB-NRO /Other
CANCEL
Bank a/c Number 1 9 0 4 0 1 0 0 0 1 8 6 8 1
With Bank BANK OF BARODA IFSC B A R B 0 M A U D E L or MICR
An amount of Rupees Rs. Five Thousand Only ₹ 5,000/-
FREQUENCY Mthly Qtly H-Yrly Yrly ✔ As & When presented || DEBIT TYPE Fixed Amount ✔ Maximum Amount
Unique ID B00401480001456 Phone No. 8010567262
Reference2 B00401480001456 Email ID [email protected]
I Agree for the debit of mandate processing charges by the bank whom I am authorizing to debit my accounts as per latest schedule of charges of the bank.
PERIOD
FROM 23 08 2018 |
TO |
Or
Until canceled | 1 KUNIKA 2
✔
.This is to confirm that the declaration has been carefully read, understood & made by me/us. I am authorizing the user entity/corporate to debit my account ,based on the instruction
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 or the
bank where I have authorized the debit.