Mandate Form 71038854
Mandate Form 71038854
Mandate Form 71038854
I/We hereby Authorize HERO FINCORP LTD To Debit SB/ CA/ CC/ SB-NRE/ SB-NRO/ OTHER
CREATE
MODIFY Bank a/c Number 3 2 9 6 2 3 0 0 5 8
CANCEL
an amount of Rupees Seventy Seven Thousand Eight Hundred and Fifty One Rupees 77851
Frequency Monthly Qtly H-Yrly Yearly As & when prensented Debit Type Fixed Amount Maximum Amount
Reference 2 EMail ID
PERIOD I 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 bank
From 0 3 1 2 2 0 2 4
To* 0 3 1 0 2 0 6 4 Sign. Primary Acc. Holder Sign Acc. Holder Sign Acc. Holder
This is to confirm that declaration has been carefully read, understood & made by me/us. I'm authorizing the user entity/Corporate to debit my account, based on the instruction as agreed and signed by me. I've
understood that I'm authorized to cancel/amend this mandate by appropriately communicating the cancellation/amendment request to the user/entity/corporate or the bank where I've authorized the debit.
UMRN Date 0 7 1 1 2 0 2 4
Sponsor bankcode Utility Code NACH00000000002558
I/We hereby Authorize HERO FINCORP LTD To Debit SB/ CA/ CC/ SB-NRE/ SB-NRO/ OTHER
CREATE
MODIFY Bank a/c Number 3 2 9 6 2 3 0 0 5 8
CANCEL
an amount of Rupees Seventy Seven Thousand Eight Hundred and Fifty One Rupees 77851
Frequency Monthly Qtly H-Yrly Yearly As & when prensented Debit Type Fixed Amount Maximum Amount
Reference 2 EMail ID
PERIOD I 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 bank
From 0 3 1 2 2 0 2 4
To* 0 3 1 0 2 0 6 4 Sign. Primary Acc. Holder Sign Acc. Holder Sign Acc. Holder
Or Until Cancelled Dharmendra Kumar
This is to confirm that declaration has been carefully read, understood & made by me/us. I'm authorizing the user entity/Corporate to debit my account, based on the instruction as agreed and signed by me. I've
understood that I'm authorized to cancel/amend this mandate by appropriately communicating the cancellation/amendment request to the user/entity/corporate or the bank where I've authorized the debit.
UMRN Date
I/We hereby Authorize HERO FINCORP LTD To Debit SB/ CA/ CC/ SB-NRE/ SB-NRO/ OTHER
CREATE
MODIFY Bank a/c Number
CANCEL
an amount of Rupees
Frequency Monthly Qtly H-Yrly Yearly As & when prensented Debit Type Fixed Amount Maximum Amount
Reference 2 EMail ID
PERIOD I 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 bank
From
To* Sign. Primary Acc. Holder Sign Acc. Holder Sign Acc. Holder
Or Until Cancelled
This is to confirm that declaration has been carefully read, understood & made by me/us. I'm authorizing the user entity/Corporate to debit my account, based on the instruction as agreed and signed by me. I've
understood that I'm authorized to cancel/amend this mandate by appropriately communicating the cancellation/amendment request to the user/entity/corporate or the bank where I've authorized the debit.