() IDBI BANK aret / ertewdt / aredtstres % fore are Application for DD / NEFT / RTGS Paige eel oH eon eee, SLE SS, SHR, ‘exe wacom 1D, OFFICE: IDB Tower, WTC Complex, Caste Parade, Mumbai #00005, Webs wernis com ‘rar / Branch wraiDate Jo fo[u[u]y]y (CO | errsterant st Please issue DD ‘Sarr & fafa feast / remit funds through (2 [RTGs}LI|NEFT ‘we (eurt/Payable at (Place) _arand-sr-ts /Name of Beneficiary ear _anin wa (Beneficiary Address srecsitesl [ara eras Beneficiary Ale No wera F Fee | ame arene ary Beneficiary Alc Type [wert SBL]|waerncaL]| acc | «zon. Only for ‘anna / Beneficiary Bank RTGS INEFT | enum ses anéusreett Beneficiary Bank IFS Code “afr Amount iifea dar’ free Detalls of Cash Remitted seit Commission =. Rs. HPs =.Rs, tp. ‘¥A Total 000% ‘pa aft ef -Total Amount in Words: 500 x 100 x 50 x DO) tes ort crs sefaratrer ted... corer, We 20_x enclose Cheque No. favoring yourself for the above amount 5, Oo) eer, Ares ereare sree em art at et or fen ergere | [5x recat at frome seavaat in settlement, /Wehereby — Tay Goncl authorize you to debit my / our account together with your charges as follows ge Total Aen vomedrarearertet rt a ee 8 ag Fra ste pen sar rer we/@EH. | / We have fully read the terms and conditions of DD/RTGS / NEFT and shall abide by the same. ake frre (Beara fheuremeTeat % fez) Applicant Details (only for non a/c holders) ary Name a PAN Address ‘a1. Phone No. ra ange, ae wd, E Mail id, if any: rear wr Purpose of Remi tance rites) snacet % eearae Signature of the Applicants Fe Total () IDBI BANK SS / eden atk arcaies et act ACKNOWLEDGEMENT for DD/ NEFT/ RTGS rar / Branch weadate folol[u[ uly fy (| wereittartst Please issue DD srr & Fafa fea #% / remit funds through C[RTes|CI|Nert ‘ea (eaep/Payable at (Place) snetararx/Name of Beneficiary eae “nat wat /Beneficiary Address ares) ata Beneficiary AloNo Teter # fot [eet aremrwer BoneficaryAlc Type [awreSBC]| eam cAL]| #acc CO) | woth. {Only for | ears / Beneficiary Bank RTGS INEFT | “uni andesurit Beneficiary Bank IFS Code “cf Amount frre Mode of settlement [rez Cash | Se Chg] siver Tih eer Commission “Ee fired rem Signature of Bank OfficialA pera aR | ee BACT ANA . ss so Sree arc fe stirs ec, ‘ra weer Art eer ha Fre TEE, |/ We hereby authorize Mr. Ms, whose signature is attested here below to collect the DD on my / our behalf afetate-& FeaTeE Signature of representative satze gare arafer Attested by the Applicant ‘Stet area & Fea Signature ofthe person receiving DD ‘eer farts fee For Bank use only srdsisond sive 8 ds ate eter cen give / recite / erie Te Issuance of IDB! Omni pay / Draft on Bank of India / Draft on HDFC Bank / RTGS / NEFT _aire teat, UTR / NEFT Ref No ‘teh. DD No ‘aa- tr onéei. Transaction id sfafcant : Entered by: ‘wearereeal: Verified by: 1 ae gARaa wen see or ser 8 Py arroal /arser eran oT sndeeyE ahs ae oT aor Gre ae SHE GA Rae der F wel wT RA wa i, aw ee Rea oT 8 RP omeciohige Riven oneesiew as se arerell aran fax sae ae are eT 8 It is the responsibility of the applicant to ensure the correctness of the application especially with regard to the IFS Code of the recipient / destination branch & account number of the beneficiary etc. It is made amply clear that the RTGS system works based on the ISF Code and the beneficiary's account number. 2. wadgwd / omedtstes rar org aA aftr yee wh we Premier ares fig onsite dr We oragae TAHT OM, aS onde arr ft ag IE THAN Tae 8 she BS sTae BH A eet rh 3 oreo Geer Uta store a Rear wet & ae Ewe / ames Rec A at arquri & sil aap & Priam 8 oe 8 ol Ag GrxywR! / oredishye Aon snsslaisrs Ae Fate a urcqare = eT Anacknowledgement of receipt ofa NEFT/ RTGS Payment Instruction shall not be construedas binding IDBI Bank Ltd to execute the same, if any of the information provided by the applicant is incorrect and if the same in transmission is rejected due to any mistakes in the application form. It is not also binding on the part of IDBI Bank to send any NEFT / RTGS if there is any disruption of the NEFT/RTGS system not attributable to the Bank. 3. wegad / aditiga snes 4a / Ror én ere Pera Pe were Vy rer er fey, aR stret es war Prftse wr & are ret iene ch Peet or street srret ard few ot A fren SET, NEFT / RTGS application must be received before the cut off time as stipulated by the Bank/RBI. If application is received after the said cut off time, transfer of funds shall only be affected on the next working day.