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HDFC Nach Form

This document is a UMRN form for HDFC Bank Limited, authorizing the bank to debit a specified account for payments to Britannia Industries Ltd. It includes options for creating, modifying, or canceling the mandate, along with details such as frequency, debit type, and contact information. The account holder must sign and confirm their understanding of the terms and conditions related to the mandate.

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Rintu Guin
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226 views1 page

HDFC Nach Form

This document is a UMRN form for HDFC Bank Limited, authorizing the bank to debit a specified account for payments to Britannia Industries Ltd. It includes options for creating, modifying, or canceling the mandate, along with details such as frequency, debit type, and contact information. The account holder must sign and confirm their understanding of the terms and conditions related to the mandate.

Uploaded by

Rintu Guin
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

UMRN Date

HDFC BANK LIMITED.

Tick ( ) Sponsor Bank Code H D F C 0 0 0 0 0 6 0 Utility Code HDFC06004000029649


CREATE BRITANNIA INDUSTRIES LTD. SB/CA/CC/SB-NRE / SB-NRO /Other
I/We hereby authorize to debit (tick )
MODIFY
CANCEL Bank a/c number

with Bank IFSC or MICR

an amount of Rupees

FREQUENCY Mthly Qtly H-Yrly Yrly As & when presented DEBIT TYPE Fixed Amount Maximum Amount
Reference 1 Phone No.

Reference 2 Email ID
PERIOD I agree for the debit of mandate processing charges by bank whom I am authorizing to debit my account as per latest schedule of charges of the bank.

From

To Signature Primary Account holder Signature of Account holder Signature of Account holder
Or Until Cancelled
1. Name as in bank records 2. Name as in bank records 3. Name as in bank records
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.
I have understood that I am authorized to cancel/amend this mandate by appropriately communicating the cancellation/ amendment request to the User entity/ Corporate or the bank where I have authorized the debit.

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