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Positive Pay System Cheque Submission Form

The document provides a format for submitting cheque details for a positive pay system including account number, cheque number, amount, beneficiary name, and MICR code. It notes customers agree cheques may be returned if details don't match and consent to details being stored and shared according to RBI/government regulations.

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Kishwar M
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52K views1 page

Positive Pay System Cheque Submission Form

The document provides a format for submitting cheque details for a positive pay system including account number, cheque number, amount, beneficiary name, and MICR code. It notes customers agree cheques may be returned if details don't match and consent to details being stored and shared according to RBI/government regulations.

Uploaded by

Kishwar M
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
  • Cheque Submission Form

Format for Submission of Cheque Details for Positive Pay System

To, Date:
The Branch Manager
Indian Bank
_________________________________ Branch

Dear Sir/Madam,
I/We furnish the following details of the Cheque(s) issued by me for Positive pay System:
Sl. Description Particulars
1 Account Number
2 Cheque Number
3 Cheque Date
4 Amount
5 Transaction Code
6 Beneficiary Name
7 MICR Code

2. I/We understand and agree that if the details provided by me/us for PPS to the Bank does not
match with the cheques(s) received in clearing for payment, the cheque(s) may be returned by Bank
and I/we would not have any dispute/claim against Bank for such cheque dishonour / return.
3. I/We fully consent that the cheque details collected from me/us can be stored in Bank’s database
as well as shared with National Payments Corporation of India (NPCI) and the presenting Bank or
any agency as per the direction of RBI/Govt. of India issued from time to time.

_______________________________________________ _____________________________________
Signature of the Customer Signature of the Customer
Name :________________________________________ Name:________________________________________

------------ ---------------------------------------------Tear Off--------------------------------------------------------


Acknowledgement

Your PPS request is registered vide Ref No. ________________________________ on ____/____/202___.

Branch __________________________________
Seal Signature of the Official

Format for Submission of Cheque Details for Positive Pay System To, Date: The Branch Manager

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