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App Request Rtgsneft Fundtransfer

This document is an RTGS/NEFT application form for a bank customer to transfer funds electronically. It requests details of the applicant like name and account number. It also requests details of the beneficiary such as name, account number, address, bank name, branch and IFSC code. The customer is asked to provide the remittance amount, total amount including bank charges to be debited from their account. The form notes terms and conditions of the transfer including the bank not being liable for delays, errors or other issues outside their control. It also states that messages after cut-off time will be sent the next working day and any charges for returned messages can be recovered from the applicant.

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Ahmed Alyani
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52 views

App Request Rtgsneft Fundtransfer

This document is an RTGS/NEFT application form for a bank customer to transfer funds electronically. It requests details of the applicant like name and account number. It also requests details of the beneficiary such as name, account number, address, bank name, branch and IFSC code. The customer is asked to provide the remittance amount, total amount including bank charges to be debited from their account. The form notes terms and conditions of the transfer including the bank not being liable for delays, errors or other issues outside their control. It also states that messages after cut-off time will be sent the next working day and any charges for returned messages can be recovered from the applicant.

Uploaded by

Ahmed Alyani
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
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Surat National Co-op. Bank Ltd.

+3rd freldc{ 5l-tiii d"s G.


DATE

BRANCH:.

RTGSAIEFT APPLICATION FORM


(To be filled in byApplicant in Block Lelters)

Details of Applicant (Remitter)

(l)

AccountName

(2) Account No.

SB/CAIOD

Details of Beneficiary

(l)

Beneficiary Name

(2) Beneficiary A/c No.

(3)

Beneficiary Address

PINCodeNo.:

(a) Bank

(5)

Branch

tt

(6) IFSC Code


(7) Rernittence Details
Amount to be remitted

Rs.

Bank Charges

Rs.

Total

Rs.

(Rs. in words)

Remit the amount as per above details, by debiting my/our account for the amount of Rs.
Remittance plus your charges Rs.
Signature of Applicant (With Stamp)

Telephone No.

Mobile

No.

PAN No.

tl

IIII

Terms & Conditions of Transfer:-

FOR BANK'S USE ONLY


(l)Amount of TT Rs.:
(2) Bank Charges Rs.

(3) Total Amount Rs.

Signature of Employee
Date & Time

UTRNo::

Bank's Authorisetl Signatory

(l)

RemittingBankShallnotbeliableforanylossordamagearisingorresultingfromdelayintransmissiondeliveryornondeliveryor
Elcctronicmessage oranyrpistake, omission orerrorin transmission ordelivirythereoforin deciphering themasiagefro* aoy.oorc

(2)

Allpaymentinstructionshouldbecheckedcarefullybytheremittcr.ThoBantisnotliableforanyloss/damagocsusedduetoerrorin

(3)
(4)
(5)

rvhatsoovororfrom its misinterpretation receivedorthe actionofthcdestination bank or any act oriventb-eyondcontrol.

the ilformation.furnished.
No payment instructioncanbecancelled aftertransmission.

Massagesreceived aftorcut-offtimervill be senton thenext rvorkiig day.

Anychargesincludingthoseleviedbythoroturningbankoraocountofrcturncdnr.isirgesrvouldberecoveredfromtheapplicant.

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