APPLICATION FORM FOR TRANSFER OF FUNDS THROUGH NEFT / RTGS
To, Date : / /
The Branch Manager
Barabazar
……………………….. Branch
Please remit a sum of Rs.____________ (Rupees ________________________________ Only)
------- as per the details given below and debit the amount including your charges to
through NEFT / RTGS*
my/our CD / CC / OD / CC account No. ………………..
1103567181 Barabazar
maintained with..…………………..branch.
DETAILS OF APPLICANT DETAILS OF BENEFICIARY
1. Name 1. Name GOPINATH RANU
Bharat Khadi Bhandar
2. Account No. 2. Account No. 0793010104337
1103567181
3. Address 3. Account Type
145 M G Road Kol -7
4. Tel./Mobile No. 4. Name of Bank PUNJAB NATIONAL BANK
9903073325
5. Email Id 5. Name of Branch
ISLAMPUR
6. PAN 6. IFSC Code PUNB0079320
For Bank’s Use only
Entered by :
(Officer’s SS No…………….)
Checked by: (Signature of the Applicant)
Applicant’s
(Officer’s SS No…………….) Signature
Transaction verified by:
Reference No. : (Officer’s SS No…………….)
* Delete whichever is not applicable.
1. I / We have checked the funds transfer instructions / particulars given in the application and I /
We shall be liable to compensate the Bank for any loss arising on account of any error in payment
order / amendment / cancellation thereto.
2. I / We understand that the messages given after cut-off time will be sent only on the next batch /
working day for NEFT.
3. The transfer is effected for legitimate personal / business needs.
4. I / We shall ensure availability of funds properly applicable to the payment order before execution
of the payment order by the bank and understand that if the bank executes the transfer order
without properly applicable funds being available in my account, I / We shall be bound to pay to
the bank the amount debited to my account together with charges including interest payable to the
bank provided the transfer was effected as per my order.
5. I / We understand that in case the payee branch does not have NEFT / RTGS facility, the funds
will be credited back to my / our account as and when it is returned by the beneficiary bank.
6. I / We also agree to abide by the guidelines/ regulations etc. issued by RBI for RTGS / NEFT and
also the terms and conditions of Central Bank of India, issued from time to time on this score.
Date : (Signature of the Applicant)