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NACH/ECS/AUTO DEBIT UMRN Date D D MM YYYY MANDATE ...

UMRNS ponsor Bank CodeI/We hereby authorizeBSE LimitedBank a/c numberwith Bankan amount of RupeesReference 1 ( MANDATE Reference No.)Reference 2 (Unique Client Code-UCC)PERIODFromToOrUntil CancelledFREQUENCYM thlyQtlyH-YrlyYrlyAs & when presentedIFSCor MICRto DEBIT (tick )Utility CodeDateSB/CA/CC/SB-NRE/SB-NRO/OtherDEBI T TYPEF ixed AmountMaximum AmountPhone IDRNACH/ECS/AUTO DEBITMANDATE INSTRUCTION FORMDD MM YYYYTick ( ) MM YYYYDD MM YYYY- 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 I have understood that I am authorised to cancel/amend this MANDATE by appropriately communicating the cancellation / amendment request to the Userentity / Corporate or the bank where I have authorized the agree for the DEBIT of MANDATE processing charges by the bank whom I am authorizing to DEBIT my account as per latest schedule of charges of the bank.

UMRN Sponsor Bank Code I/We hereby authorize BSE Limited Bank a/c number with Bank an amount of Rupees Reference 1 (Mandate Reference No.) Reference 2 (Unique Client Code-UCC)

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Transcription of NACH/ECS/AUTO DEBIT UMRN Date D D MM YYYY MANDATE ...

1 UMRNS ponsor Bank CodeI/We hereby authorizeBSE LimitedBank a/c numberwith Bankan amount of RupeesReference 1 ( MANDATE Reference No.)Reference 2 (Unique Client Code-UCC)PERIODFromToOrUntil CancelledFREQUENCYM thlyQtlyH-YrlyYrlyAs & when presentedIFSCor MICRto DEBIT (tick )Utility CodeDateSB/CA/CC/SB-NRE/SB-NRO/OtherDEBI T TYPEF ixed AmountMaximum AmountPhone IDRNACH/ECS/AUTO DEBITMANDATE INSTRUCTION FORMDD MM YYYYTick ( ) MM YYYYDD MM YYYY- 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 I have understood that I am authorised to cancel/amend this MANDATE by appropriately communicating the cancellation / amendment request to the Userentity / Corporate or the bank where I have authorized the agree for the DEBIT of MANDATE processing charges by the bank whom I am authorizing to DEBIT my account as per latest schedule of charges of the bank.


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