Application form for RTGS/NEFT/INTERNAL TRANSFER Branch:__________________________________________Date :______________________

Please tick the relevant boxes

Please arrange to debit my/ our account number………………………………………....held in the name(Account Name)……………………………………………… or as per attached duly filled

up cheque number…………………… for Rs.…………………………………………(in words) …………………………………………………………………………….………………………… :

Legal Entity Identifier (LEI) applicable for RTGS / NEFT transactions of INR 50 crore and above in case of Non Individual / Entity accounts.

LEI number of applicant …………………………………….....................................................LEI number of beneficiary …………………………………………………………………………………………….

(A) □ RTGS □ NEFT - Mobile Number …………………………………… E-mail Id …………………………………………………………………………….

Sr Beneficiary Name & Beneficiary Reconfirm Beneficiary Beneficiary Bank Name , IFSC Code Amount
No Address Account No Account No. Account type- Branch and City
Domestic, NRE
, NRO *

(C) □ INTERNAL TRANSFER

Sr Beneficiary Name Beneficiary Account No. Reconfirm Beneficiary Beneficiary Account type- Amount
No Account No. Domestic, NRE , NRO *

*Reason of payment for NRE /NRO /transaction narration ………………………………………………………………………………………………………………………………………………………..……………………..

Signature of Authorised Signatories (Stamp if Firm/Company)…………………………………………………………………………………..……………………………..……

For Office Use only

Receipt Date _______Receipt Time _______ Entry Time________Auth Time ______________ Transaction Inputted By Stamp Signature

Request In person /Fax/Email /Bearer/Courier /E Request ( Tick )

Transaction Reference no __________________________________________________ Transaction Authorized By Stamp Signature

Version March’ 21
 Customer Acknowledgement
Received application for RTGS/ NEFT / FT for amount Rs.________________________ For account number ____________________________________________

Date : __________________________Time _______________________________ Customers will be guided by the Terms and Conditions mentioned in the form.

Terms & Conditions

For fund transfer from Barclays Bank savings/NRE/NRO or current accounts for RTGS/NEFT/Internal Transfers

Barclays Bank PLC,(hereinafter referred as “ Barclays Bank”) shall not be liable to act on incomplete information furnished by the Customer in this
Instruction Form (the “Instructions”).
 The instructions, once issued, shall be final and irrevocable and the Customer understands that the Customer shall not be entitled to withdraw the same under any circumstances.
 The Customer shall be solely liable and responsible for the correctness of all information pertaining to the beneficiary and the transactions. The Customer acknowledges that
Barclays Bank shall not be in a position to verify such information regarding the beneficiary.
 The Customer hereby confirms that the account to be credited, in accordance with the instructions to any other type of account on which there are restrictions, as per applicable
laws and regulations, on crediting monies.
 The Customer acknowledges and understands that the transaction includes various counter-parties. The Customer hereby confirms that he shall not hold Barclays Bank liable or
responsible for delays/deficiencies in settlement of the transaction due to system constraints, actions of other parties or any other circumstances beyond the control of Barclays
Bank.
 The Customer shall ensure to countersign any alterations made by the Customer in the Instruction Form and shall be solely liable for the same.
 The Customer should ensure that there are sufficient funds in the Customer’s account at the time of submitting this Instruction.
 All payment instructions should be checked carefully by the remitter, specially the name of beneficiary and the account number.
 The Customer acknowledges and understands that the payment would be credited to the beneficiary’s account based only on the account number provided in the form
 Any instruction for RTGS and NEFT received after the cut off time will be sent on the next working day. Barclays Bank may transfer the amounts through NEFT if RTGS after RTGS
cut-off time.
 The Customer also understands that Barclays Bank may amend the above terms and conditions, at any time, and such amended terms and conditions will thereupon apply to and
be binding on the Customer.
 The Customer also understands that if the RTGS and NEFT option is not ticked the transaction shall be carried out as applicable under the extant RBI guidelines.
 These Instructions are governed by and subject to laws in effect from time to time, in India.
 For NRO/NRE accounts reason for payment transaction is mandatory.
 From April 1, 2021, it shall be mandatory to include remitter and beneficiary LEI information while initiating RTGS and NEFT transaction with a value of INR 50 crore and above
where either or both parties are non-individual(/s’).

Version March’ 21
Version March’ 21