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RTGS Application Form

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shariairsakib10
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621 views1 page

RTGS Application Form

Uploaded by

shariairsakib10
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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Agrani Bank Limited

................................................................Branch
Application Form for RTGS

Date:………………………….

Dear Sir,
I/we under signed request you to transfer the fund as per the details given bellow and debit my followng
account:
SENDER / ORIGINATOR INFORMATION:

Name: ………………………………………………………………………………………………………………..

T24 A/C. No: ………………………………………………………………………………………………………………..

Amount BDT: ………………………………………………………………………………………………………………

In Word:
……………………………………………………………………………………………………………….
RECEIVER / BENIFICIARY INFORMATION:

Name : ………………………………………………………………………………………………………………..

A/C. No: …………………………………………………………………………………………..


Bank Name: …………………………………………………………………………………………..
Branch Name: ………………………………………… BR. Mobile no :……………………………….
Routing no: …………………………... ……..(Optional )
Thana: ……………………………………. District :…………………………………………………

I/We do hereby declare that the information given above is true and accurate and I/we agree comply with
terms & conditions of Bank's RTGS Service

Sincerely Yours,

…………………….. …………………………….. (Signature of Account holder as per SS card)

Originator/Applicant Name: …...............................................................................................................

Mobile No: ……………………………………………………………………………………………………………….

Address: ……………………………………………………………………………………………………………..

………………………………………………………………………………………………………………………
For Bank Use Only (Approved By)

……………………………………… …………………………………………

(Manager's Signature with Seal ) RTGS Officer's Signature with Seal

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