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    Physical Mandate 23062024095135 2843170

    Uploaded by

    Jaiswal Studio

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Physical Mandate 23062024095135 2843170

    Uploaded by

    Jaiswal Studio
    7 views1 page

    Original Title

    physical_mandate_23062024095135_2843170

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    Copyright:

    © All Rights Reserved
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    7 views1 page

    Physical Mandate 23062024095135 2843170

    Uploaded by

    Jaiswal Studio

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    UMRN Date 2 3 0 6 2 0 2 4

    Sponcer Bank Code Utility Code


    CREATE
    MODIFY
    CANCEL I/We hereby authorize Dvara KGFS Pvt Ltd to debit (Please )
    SB /CA/CC/SB-NRE/SB-NRO/OTHER

    Bank a/c number 2267141193


    with or
    Bank CENTRAL BANK OF INDIA IFSC CBIN0281754 MICR
    an amount of rupees One Lakh Only 1,00,000
    FREQUENCY: Mthly Qtly H-Yrly Yrly AS & When presented DEBIT TYPE: Fixed Amount Maximum Amount
    Loan No: 151626800008 Phone No: 8090147752
    Reference 1: Email ID:
    I agree for the debit of mandate processing charges by the bank who i am authorizing to debit my account as per latest schedule of charges of the bank

    PERIOD ____________________________ ____________________________ ____________________________


    1 3 0 7 2 0 2 4 Signature of 1st Account Holder Signature of 2nd Account Holder Signature of 3rd Account Holder
    From

    To 2 1 0 4 2 0 2 7
    ISRAWATI DEVI ____________________________ ____________________________
    Name as per Bank Records Name as per Bank Records Name as per Bank Records
    * 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 instructions as agreed and signed by me. * I have understood that I am authorised 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.

    Page 1 - (v 1.0/01-09-2016) Loan ID:2267141193

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