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RTGS_NEFT_Application

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0% found this document useful (0 votes)
83 views

RTGS_NEFT_Application

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Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
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Application Form for Funds Transfer through

Real Time Gross Settlement (RTGS) / National Electronic Funds Transfer (NEFT)

You can also transfer funds using RTGS/NEFT on RBL BANK Net Banking for added convenience.
The term “RBL Bank” or “the Bank” shall mean The Ratnakar Bank Limited.
(For Bank Use Only)
SOURCE OFBranch
FUNDS Branch Code Date D D Time :
RTGS NEFT (Please tick as appropriate) Facility is to be provided only be debit to existing account of the customer

SOURCE OF FUNDS
If Cheque* Cheque Date D D Cheque No :
(*Please draw cheque favouring “Ratnakar Bank Ltd –RTGS “ for RTGS. For cheque favouring “ Ratnakar Bank Ltd- NEFT” for NEFT)

CUSTOMER DETAILS**
Customer (Applicant) Name

Account Number

Phone/Mobile Number

BENEFICIARY DETAILS**
Beneficiary Name

Account Type CA SA NRE CC OD Loan Credit Card Other

Account Number

Account Number (Rewrite Account No.**)

Address

Bank Name & Branch

IFSC Code

Amount (in figures) `

Amount (in words) `

Mobile No.
Details of Payment (Narration)
Max 35 characters

In case of Bearer
For my / our Account, without any responsibility or liability to yourselves and subject to the conditions outlined in the terms and conditions listed which I/We
have read and understood, please effect the transfer as detailed above.

Date D D MM Y Y Y Y (Stamp of Firm/Company Account)


Bearer Name & Signature Signature of atleast one authorized
Terms & Conditions * I / We hereby authorize RBL Bank Ltd. to carry out the RTGS / NEFT transaction as per details mentioned above. * I / We hereby agree that the aforesaid details including the IFSC code
and the beneficiary account are correct. * I / We further acknowledge that RBL Bank accepts no liability for any consequences arising out of erroneous details provided by me/us. * I / We agree that the credit
will be affected solely on the beneficiary account number information and beneficiary name particulars will not be used for the same. * I / We authorize the RBL Bank to debit my / our account with the
charges plus taxes as applicable for this transaction. * I / We further agree that requests submitted after the cut off time will be sent in next batch or next working day as applicable. * I / We hereby agree &
understand that the RTGS / NEFT request is subject to the RBI regulations and guidelines governing the same. * I / We also agree and understand that the RBL Bank shall not be liable for any loss of damage
arising or resulting from delay in transmission delivery or non-delivery of Electronic message or any mistake, omission, or error in transmission or delivery thereof or in deciphering the message from any
cause whatsoever or from its misinterpretation received or the action of the destination Bank or any act or even beyond control. ** I / We hereby indemnify the RBL Bank and shall keep the RBL Bank
indemnified from time to time and at all times hereafter from any loss, claim, damage, cost, charge and expenses however caused or arising out of or in connection with the services offered by the RBL
Bank. * I / We agree and understand that in case the payee branch does not have RTGS/NEFT facility, the funds will be credited back to my /our account as when it is returned by RBI to RBL Bank. * I/We
agree that incase of NEFT Transaction if we do not have an account with the bank, we will produce Original identification proof while giving the request. In case I/We submit form 60, we will also submit the
address proof. * In case the RTGS and NEFT option is not ticked by us, I / We authorize Ratnakar Bank to execute the transaction less than Rupees Two Lakhs through NEFT and greater than or equal to
Rupees Two Lakhs through RTGS and debit the charges as applicable. ** Mandatory fields
I / We have read the above mentioned terms & conditions and agree with the same

RTGS /NEFT Service


also available on
Account Holder 1/ Account Holder 2/ Account Holder 3/ RBL Bank NetBanking &
Authorized signatory 1 Authorized signatory 2 Authorized signatory 3 Mobile banking

(For Branch use only ) UTR No.

Verified By (Name & Sign): __________________________________________ Approved By (Name & Sign): __________________________________________

CUSTOMER ACKNOWLEDGEMENT Date D D Time


Received an application for RTGS/NEFT for Amount `
Cash Cheque No :
Credited to Account Number
Branch Stamp &
IFSC Code Signature of official
UTR No:
[email protected]
Corporate & Retail NetBanking: Debit Card: Best in class features & benefits.
Log in to Retail NetBanking using Debit To apply visit nearest Branch. Debit Card
www.rblbank.com Card & PIN or visit nearest branch to details could also be used for Retail
apply NetBanking Login

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