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Mandate Form 44706928

Shimla authorizes Hero Fincorp Ltd. to debit Rs. 84,835 from their bank account number 0542212101052464 with Punjab National Bank monthly starting from August 4, 2023 until cancelled. The reference number is 44706928.

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Rny buria
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0% found this document useful (0 votes)
918 views1 page

Mandate Form 44706928

Shimla authorizes Hero Fincorp Ltd. to debit Rs. 84,835 from their bank account number 0542212101052464 with Punjab National Bank monthly starting from August 4, 2023 until cancelled. The reference number is 44706928.

Uploaded by

Rny buria
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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UMRN Date 1 0 0 3 2 0 2 3

Sponsor bankcode Utility Code NACH00000000002558

I/We hereby Authorize HERO FINCORP LTD To Debit SB/ CA/ CC/ SB-NRE/ SB-NRO/ OTHER

CREATE
MODIFY Bank a/c Number 0 5 4 2 2 1 2 1 0 5 2 4 6 4
CANCEL

With Bank Punjab National Bank IFSC P U N B 0 1 1 8 5 0 0 or MICR 3 3 5 0 2 4 1 0 0

an amount of Rupees Eighty Four Thousand Eight Hundred and Thirty Five Rupees 84835
Frequency Monthly Qtly H-Yrly Yearly As & when prensented Debit Type Fixed Amount Maximum Amount

Reference 1 44706928 Phone Number 8955184843

Reference 2 EMail ID
PERIOD 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 bank

From 0 8 0 4 2 0 2 3
To* Sign. Primary Acc. Holder Sign Acc. Holder Sign Acc. Holder

Or Until Cancelled SHIMLA .

This is to confirm that declaration has been carefully read, understood & made by me/us. I'm authorizing the user entity/Corporate to debit my account, based on the instruction as agreed and signed by me. I've
understood that I'm authorized to cancel/amend this mandate by appropriately communicating the cancellation/amendment request to the user/entity/corporate or the bank where I've authorized the debit.

MandateId : 500001031071038930 Reference1 : 44706928

UMRN Date 1 0 0 3 2 0 2 3
Sponsor bankcode Utility Code NACH00000000002558

I/We hereby Authorize HERO FINCORP LTD To Debit SB/ CA/ CC/ SB-NRE/ SB-NRO/ OTHER

CREATE
MODIFY Bank a/c Number 0 5 4 2 2 1 2 1 0 5 2 4 6 4
CANCEL

With Bank Punjab National Bank IFSC P U N B 0 1 1 8 5 0 0 or MICR 3 3 5 0 2 4 1 0 0

an amount of Rupees Eighty Four Thousand Eight Hundred and Thirty Five Rupees 84835
Frequency Monthly Qtly H-Yrly Yearly As & when prensented Debit Type Fixed Amount Maximum Amount

Reference 1 44706928 Phone Number 8955184843

Reference 2 EMail ID
PERIOD 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 bank

From 0 8 0 4 2 0 2 3
To* Sign. Primary Acc. Holder Sign Acc. Holder Sign Acc. Holder
Or Until Cancelled SHIMLA .

This is to confirm that declaration has been carefully read, understood & made by me/us. I'm authorizing the user entity/Corporate to debit my account, based on the instruction as agreed and signed by me. I've
understood that I'm authorized to cancel/amend this mandate by appropriately communicating the cancellation/amendment request to the user/entity/corporate or the bank where I've authorized the debit.

MandateId : 500001031071038930 Reference1 : 44706928

UMRN Date

Sponsor bankcode Utility Code NACH00000000002558

I/We hereby Authorize HERO FINCORP LTD To Debit SB/ CA/ CC/ SB-NRE/ SB-NRO/ OTHER

CREATE
MODIFY Bank a/c Number
CANCEL

With Bank IFSC or MICR

an amount of Rupees
Frequency Monthly Qtly H-Yrly Yearly As & when prensented Debit Type Fixed Amount Maximum Amount

Reference 1 44706928 Phone Number

Reference 2 EMail ID
PERIOD 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 bank

From
To* Sign. Primary Acc. Holder Sign Acc. Holder Sign Acc. Holder

Or Until Cancelled
This is to confirm that declaration has been carefully read, understood & made by me/us. I'm authorizing the user entity/Corporate to debit my account, based on the instruction as agreed and signed by me. I've
understood that I'm authorized to cancel/amend this mandate by appropriately communicating the cancellation/amendment request to the user/entity/corporate or the bank where I've authorized the debit.

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