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    Disbursement Request Form Jun16

    Uploaded by

    davidekong19

    Copyright:

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

    Disbursement Request Form Jun16

    Uploaded by

    davidekong19
    12 views2 pages

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    12 views2 pages

    Disbursement Request Form Jun16

    Uploaded by

    davidekong19

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    DISBURSEMENT REQUEST FORM

    IDFC BAN K

    To,
    The Manager
    IDFC Bank Limited,
    ________________ Branch

    LUA
    Dear Sir/Madam,

    Customer Name/s

    Loan Number

    Disbursement Amount

    Disbursal Part disbursal

    (Tick as applicable) Full disbursal

    For part disbursal case-Stage of disbursement (Tick as applicable)

    First disbursement

    Subsequent disbursement

    Final disbursement

    Please disburse the above loan amount to the following beneficiaries as detailed below:

    PO Fund Transfer PO Fund Transfer

    Beneficiary details _______________________________ Beneficiary details _______________________________

    Bank A/c _______________________________________ Bank A/c _______________________________________

    Amount (in Rs.)_________________________________ Amount (in Rs.)_________________________________

    Payable Location ________________________________ Payable Location ________________________________

    Beneficiary Bank ________________________________ Beneficiary Bank ________________________________

    Benf. Branch ____________________________________ Benf. Branch ____________________________________

    IFSC Code _____________________________________ IFSC Code _____________________________________

    PO Fund Transfer PO Fund Transfer

    Beneficiary details _______________________________ Beneficiary details _______________________________

    Bank A/c _______________________________________ Bank A/c _______________________________________

    Amount (in Rs.)_________________________________ Amount (in Rs.)_________________________________

    Payable Location ________________________________ Payable Location ________________________________

    Beneficiary Bank ________________________________ Beneficiary Bank ________________________________

    Benf. Branch ____________________________________ Benf. Branch ____________________________________

    IFSC Code _____________________________________ IFSC Code _____________________________________

    *Fund transfer includes disbursement payment via. NEFT/RTGS or to IDFC account

    1
    IDFC BAN K

    Terms & conditions:

    1. I/We authorize IDFC bank to carry out the fund transfer transaction as per details mentioned above.
    2. I/we hereby agree that aforesaid details including IFSC Code and beneficiary account number are correct.
    3. I/we further acknowledge that IDFC bank accepts no liability for any consequences arising out of erroneous details
    provided by me/us.
    4. NEFT/RTGS request is subject to RBI guidelines.

    Yours sincerely,

    Sr.
    Customer Name Customer Signature
    No.

    1.

    2.

    3.

    4.

    5.

    Date
    D D M M Y Y Y Y

    Place: _________________________________

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