NEFT/ RTGS Mandate Form

Please fill in details as per instructions on page 2:

Beneficiary Bank having account in same Bank (Table 1 ):

1. / Beneficiary Bank Name
2. / Beneficiary Bank Address
3. / 9-Digit Code number of the bank and branch appearing on the MICR cheques issued by Bank
4 / Account Number of the Bank
5 / IFSC (Financial Security Code) Code of the bank
6 / Type of Account
Current Account(Yes/No)
If any other account please specify type
7 / Email address
8 / Contact No

Beneficiary bank having account in correspondent Bank (Table 2):

1. / Correspondent Bank Name
2. / Correspondent Bank Address
3. / 9-Digit Code number of the bank and branch appearing on the MICR cheques issued by Bank
4 / Account Number of the Bank
5 / IFSC (Financial Security Code) Code of the bank
6 / Type of Account
Current Account(Yes/No)
If any other account please specify type
7 / Email address
8 / Contact No

We hereby declare that all information provided herein is correct and we are solely liable if information is incorrect and remittance is made as per the instructions provided by us.

For Beneficiary Bank (Table 3):

Name and Signature of Branch Manager of beneficiary Bank:
Seal of the Branch:

For Correspondent Bank (Table 4):

Name and Signature of Branch Manager of correspondent Bank:
Seal of the Branch:

Instructions:

1.  Bank to fill in Table 1 & 3 only if EFT payment is to be made to the beneficiary bank directly.

2.  If beneficiary bank is not having EFT facility then the beneficiary bank to provide the details of correspondent bank in which EFT payment is to be made by getting Table 2 & 4 filled by correspondent bank. Beneficiary Bank to fill in point 1 & 2 of Table 1 and verify all details by filling Table 3.

3.  In case beneficiary bank is having account in same bank (having electronic transfer facility) and wants electronic transfer to be made in same bank only Table 3 and Table 4 are not required to be filled.