Axis Bank Rtgs Neft Form PDF

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 2

Customer Acknowledgement TAXIS BANK Branch:

RTGS/NEFT APPLICATION FORM AXIS BANK


Date: (Application form to accompany with a cheque)
Branch: GUL MAHOAR
Date: Remitter Detail A/c No.:
Name of Applicant:
Remitted Detail
Remitter Address:
Account No.: Contact Number: (R) (0)) (M

Remitter Name:
Beneficiary Details Name:
Beneficiary Details Bank Name:

Name: Account number: Branch:


'
Bank’s IFSC Code: Reconfirm Account Number:
Account No.:
Amount (in figures): 0 Mob. No.: Landline No.:

Bank's IFSC Code: Amount (in words):


Payment Details
Amount (in figures): Enclosed is Cheque No. drawn on my/our account for 7 favouring Axis Bank Ltd. towards the above RTGS/NEFT transactions. OR

Amount (in words): Kindly debit my above account number Yes No IMe have read the conditions overleaf and agree to be bound by them.

Applicable Charges:

Authorised signatories
Signature Bank Officials
of Remitter Signature Tran. ID No. Entered Verified
TERMS & CONDITIONS

1. IMe agree that the credit will be effected based solely on the

I beneficiary account number information provided by me/us and


TERMS & CONDITIONS the beneficiary name particulars will not be used.

1. I/We agree that the credit will be effected based solely on the beneficiary account number information provided by me/us and the beneficiary 2. I/We hereby authroised axis Bank to carry out the RTGS

name particulars will not be used. transactions as per the details mentioned overleaf.

3. I/We understand RTGS request is subject to the RBI


2. I/We hereby authroised axis Bank to carry out the RTGS transactions as per the details mentioned overleaf.
I regulations and guidelines governing the same.
3. I/We understand RTGS request is subject to the RBI regulations and guidelines governing the same.
4. IMe authorise the Bank to debit my/our account for the
4. I/We authorise the Bank to debit my/our account for the charges plus charges taxes as applicable. charges plus charges taxes as applicable.

5. I/We hereby agree that aforesaid details including the IFSC code and beneficiary account are correct. I/We further acknowledge that 5. I/We hereby agree that aforesaid details including the IFSC

Axis Bank accepts no liability for any consequences arising out of erroneous details provide by me/us. code and beneficiary account are correct. I/We further
I acknowledge that Axis Bank accepts no liability for any

I consequences arising out of erroneous details provide by

me/us.

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy