Indian Bank RTGS Form
Indian Bank RTGS Form
Indian Bank RTGS Form
To.
Date D D MM
The Branch Manager
PAN No.
ILLL
U
Branch
Dear Sir,
Please remit through NEFT/RTGS a sum of .
(Rupees In words)
only
as per details given below:
Amount .
Cash Cheque Debit my/our account
Commission
*In case of cash, please fill in the pay-in-slip
To be filled by the Applicant in CAPITAL LETTERS
Total.
DETAILS OF
APPLICANT (REMITTER)
Account Number
Cheque Number
Cheque Date DDMMY
Remitter's Name
Address
Beneficiary's Name
Account Number
Declaration
/We authorise Indian Bank to recover charges as may be appllcable by debiting
my account as mentioned above.
wWe understand that as per the RBI Circular dated October 14, 2010, transfer
of funds through electronic mode will be executed only on the basis
of the account number of the beneficiary provided while initiating the
transaction. Name will NOT be considered as a criteria for providing credit
lunderstand that this facility is available only at select locations and
banks covered under Electronic Funds Transfer facility offered by RBI
Customer
Signautre(s)
Signature
Signature Signature
Name Name
Name
Date
Bank Seal
We acknowledge receipt of NEFT/ RTGS instruction(s). Reference no..
R.P./2Lakh Forms/11-2021