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PSB Neft Form

(1) This is an application form for customers to request an RTGS or NEFT transfer from their bank account. It requests details about the sender, recipient, and transfer amounts. (2) The applicant must provide their account title, number, type and sign to authorize the transfer. Recipient details include the beneficiary's bank, branch, account number and name. (3) Once completed, the form is submitted to the bank along with payment to process the requested transfer amount plus any applicable fees.

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pijus
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261 views2 pages

PSB Neft Form

(1) This is an application form for customers to request an RTGS or NEFT transfer from their bank account. It requests details about the sender, recipient, and transfer amounts. (2) The applicant must provide their account title, number, type and sign to authorize the transfer. Recipient details include the beneficiary's bank, branch, account number and name. (3) Once completed, the form is submitted to the bank along with payment to process the requested transfer amount plus any applicable fees.

Uploaded by

pijus
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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APPLICATION FORM TO BE OBTAINED FROM CUSTOMER FOR RTGS/NEFT

(TO BE FILLED BY THE APPLICANT IN BLOCK LETTER)


Details of sender:

Date: ____________________ Received From: _________________________________________________

Mobile number: ________________________

Details of applicant
(Remitter):
Transfer for NEFT/RTGS

(1) Title of Account: ______________________________________ (2) Account No: ____________________

(3) Type of account (Saving/Current/Cash Credit):Saving________

Details of Beneficiary:

(1) Center/Station: ____________________________ (2) Bank: ____________________________________

(3) IFSC CODE: _____________________________ (4) Bank Branch: _______________________________

(5) Account No: _______________________________

(6) Beneficiary name: ______________________________________________________________________

(7) Amount to be remitted: Rs. _______________________ (8) Bank Charge Rs. ______________________

(Rupees________________________________________) (Rupees_______________________________)

(8) Purpose of remittance: __________________________________________________________________

Remit the amount as per above details by debiting my/our account for the amount of remittance plus your
charges. A Cheque No./ IBR No.: __________________________Dated: __________________________of
Amount Rs.____________________ is enclosed herewith.

I understand the obligations prescribed under NEFT/RTGS Procedural guidelines and shall be bound by it for
transaction originated by me/us.
________________________________________
Authorized Signatory.
-------- -------- -------- -------- -------- -------- FOR BANK USE ONLY -------- -------- -------- -------- --------
--------
Total Rs.______________________________________
UTR NO.:_________________________________ SEQ NO.:_______________________________

Released By Verified By Authorized By

-------- -------- -------- -------- -------- -------- CUSTOMER RECEIPT -------- -------- -------- -------- --------
--------
Total Rs.______________________________________
UTR NO.:_________________________________ SEQ NO.:_______________________________
________________________________________
Authorized Signatory From The Bank (With Seal & Date)

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