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Ach Form

1. Rahul Yadav authorized TVS Credit Services Limited to debit Rs. 16,820 from his State Bank of India account number 3350 1854 110 on a monthly basis until cancelled. 2. The document details the verification of KYC documents for loan number 3038CD0202986 taken by Rahul Yadav from Ansari watch house and mobile center. 3. The employee verified Rahul Yadav's original PAN card and Aadhaar card and confirmed matching details to the prospect number and loan application.

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0% found this document useful (0 votes)
362 views2 pages

Ach Form

1. Rahul Yadav authorized TVS Credit Services Limited to debit Rs. 16,820 from his State Bank of India account number 3350 1854 110 on a monthly basis until cancelled. 2. The document details the verification of KYC documents for loan number 3038CD0202986 taken by Rahul Yadav from Ansari watch house and mobile center. 3. The employee verified Rahul Yadav's original PAN card and Aadhaar card and confirmed matching details to the prospect number and loan application.

Uploaded by

Flex Clip
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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UMRN Date 3 0 0 3 2 0 2 3

Utility Code Create Modify Cancel


Sponsor Bank Code I/We hereby authorize TVS Credit Services Limited

to debit (tick ) SB/CA/CC/SB-NRE/SB-NRO/Other Bank a/c number 3 3 5 0 1 8 5 4 1 1 0


with Bank STATE BANK OF INDIA IFSC/MICR SB I N 0 0 0 2 5 9 1
an amount of Rupees SIXTEEN THOUSAND EIGHT HUNDRED AND TWENTY ONLY 16820 /-
DEBIT TYPE Fixed Amount Maximum Amount FREQUENCY Monthly Quarterly Half Yearly Yearly As & when presented

Customer ID 0024162006 Prospect No. 3038CD0202986


1.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 the bank. 2.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. 3.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.

From 0 3 0 5 2 0 2 3
To D D M M Y Y Y Y
Or Until Cancelled
Signature Primary Account Holder Signature Account Holder Signature Account Holder
Phone No. 7355047366
1. RAHUL YADAV 2. Name as in bank records 3. Name as in bank records

UMRN Date D D M M Y Y Y Y
Utility Code Create Modify Cancel
Sponsor Bank Code I/We hereby authorize TVS Credit Services Limited

to debit (tick ) SB/CA/CC/SB-NRE/SB-NRO/Other Bank a/c number

with Bank IFSC/MICR

an amount of Rupees
DEBIT TYPE Fixed Amount Maximum Amount FREQUENCY Monthly Quarterly Half Yearly Yearly As & when presented

Customer ID Prospect No.


1.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 the bank. 2.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. 3.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.

From D D M M Y Y Y Y

To D D M M Y Y Y Y
Or Until Cancelled
Signature Primary Account Holder Signature Account Holder Signature Account Holder
Phone No.
1. Name as in bank records 2. Name as in bank records 3. Name as in bank records

UMRN Date D D M M Y Y Y Y
Utility Code Create Modify Cancel
Sponsor Bank Code I/We hereby authorize TVS Credit Services Limited

to debit (tick ) SB/CA/CC/SB-NRE/SB-NRO/Other Bank a/c number

with Bank IFSC/MICR

an amount of Rupees
DEBIT TYPE Fixed Amount Maximum Amount FREQUENCY Monthly Quarterly Half Yearly Yearly As & when presented

Customer ID Prospect No.


1.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 the bank. 2.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. 3.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.

From D D M M Y Y Y Y

To D D M M Y Y Y Y
Or Until Cancelled
Signature Primary Account Holder Signature Account Holder Signature Account Holder
Phone No.
1. Name as in bank records 2. Name as in bank records 3. Name as in bank records
TVS Credit Services Limited

Consumer Durables Loan

OSV Declaration

I hereby confirm that I have verified the original KYC document of the below customer, and that
the documents and details given below pertain to verification of Loan Number 3038CD0202986

Snapshot of KYC Details


Prospect Number 3038CD0202986
Customer Name Rahul Yadav
Employee/Dealership Name Ansari watch house and mobile center
Employee Code/Dealership Code CD45692
OSV Esign DateTime 30-03-2023 05:32 PM

Id Proof - PAN Card Prospect Number - 3038CD0202986 Id Proof Number - AMLPY3457A

Original of Id Proof has been seen and verfied (Signature of Dealer/Employee) , as on 30/03/2023 05:44 PM
Lat/Long 25.9975993 83.0979911
Address Proof - AADHAAR Prospect Number - 3038CD0202986 Address Proof Number - 1129

Original of Address Proof has been seen and verfied (Signature of Dealer/Employee) , as on 30/03/2023 05:44 PM
Lat/Long 25.9975993 83.0979911

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