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FORMS - RTGS - NEFT Form - pdf-2

This document is an RTGS/NEFT transaction request form used to transfer funds between bank accounts. It requests details of the remitter such as name, debit account number, and contact information. It also requires beneficiary details including name, account number, IFSC code, bank name and branch. The declaration section notes the terms and conditions of the transfer and authorizes the bank to process the request.

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rajiv87krishna
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Download as PDF, TXT or read online on Scribd
223 views

FORMS - RTGS - NEFT Form - pdf-2

This document is an RTGS/NEFT transaction request form used to transfer funds between bank accounts. It requests details of the remitter such as name, debit account number, and contact information. It also requires beneficiary details including name, account number, IFSC code, bank name and branch. The declaration section notes the terms and conditions of the transfer and authorizes the bank to process the request.

Uploaded by

rajiv87krishna
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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RTGS / NEFT Transaction

Request Form
Please complete all sections in CAPTIAL letter, tick 3 boxes as appropriate.

Branch Date : D D M M Y Y Y Y

Remitter details

Customer Non-Customer (KYC documents are mandatory)


Name:
Debit Account no:
Cheque No: Cheque Date: D D M M Y Y Y Y Cheque Amount:
Mobile: Email:

Beneficiary details (all fields are mandatory):


NEFT RTGS
*Amount: Rs. in words________________________________________________________________________
Purpose___________________________________________________________________________________________________________________
Beneficiary Name:
Account no: Bank IFSC code:
Bank name: Branch:

*If paid through cash, the amount cannot exceed Rs. 50,000, including charges.

Declaration
I/We have been informed by the Bank about the terms and conditions governing the fund transfer through RTGS/NEFT as stipulated by RBI and have
clearly understood the same including the charges and rights and obligations of the Bank and the customer. I/We agree to be bound by these conditions
and authorize the Bank to execute the above request as per instruction given by me/us and deduct applicable charges. Further, I understand that the
credit will be effected based solely on the beneficiary account number & IFSC code.

Applicant Signature(s) :- (Stamp & sign to be affixed for corporate accounts)

1st Account Holder 2nd Account Holder 3rd Account Holder 4th Account Holder
FOR BANK USE ONLY

Payment Order No. _________________________________________________ UTR No. _________________________________________________

Entered by:_________________________________________________Employee Code:________________ Signature:_______________________

Approved by:________________________________________________Employee Code:________________ Signature:_______________________

Customer acknowledgment

Date: D D M M Y Y Y Y
Account no: Amount: Rs.
RTGS NEFT Transaction request form 1 03 2023

Mode of transfer: NEFT RTGS


Beneficiary details:
Account no: Bank IFSC code:
UTR No.

Stamp & signature of branch official: _______________________________________

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