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Mandate Authorization for Debit Payment

The document is a mandate authorization for debiting an account held at State Bank of India by Cholamandalam Investment and Finance Co Ltd for an amount of Rs. 10,496. The authorization is set to be effective from May 1, 2025, to September 5, 2026, with a monthly frequency. The signer, Pegu Rana, confirms understanding of the terms and the ability to cancel or amend the mandate as needed.

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0% found this document useful (0 votes)
22 views1 page

Mandate Authorization for Debit Payment

The document is a mandate authorization for debiting an account held at State Bank of India by Cholamandalam Investment and Finance Co Ltd for an amount of Rs. 10,496. The authorization is set to be effective from May 1, 2025, to September 5, 2026, with a monthly frequency. The signer, Pegu Rana, confirms understanding of the terms and the ability to cancel or amend the mandate as needed.

Uploaded by

arotidhar97
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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UMRN Date 1 9 1 2 2 0 2 4

Sponsor bankcode KKBK0RTGSMI Utility Code HDFC02165000016647


CHOLAMANDALAM INVESTMENT AND
I/We hereby Authorize FINANCE CO LTD To Debit SB/ CA/ CC/ SB-NRE/ SB-NRO/ OTHER

CREATE
MODIFY Bank a/c Number 3 8 6 6 4 2 2 8 6 2 3
CANCEL

With Bank State Bank of India IFSC S B I N 0 0 1 6 9 3 6 or MICR

an amount of Rupees Ten Thousand Four Hundred and Ninety Six Rupees 10496.0
Frequency Monthly Qtly H-Yrly Yearly As & when prensented Debit Type Fixed Amount Maximum Amount

Reference 1 CFSF41157176 Phone Number 9394204713

Reference 2 EMail ID ranapegu11@[Link]


PERIOD I agree for the debit of mandate processing charges by the bank whom I am authorizing to debit my account as per latest schedule of charges of bank

From 0 5 0 1 2 0 2 5
To* 0 5 0 9 2 0 2 6 Sign. Primary Acc. Holder Sign Acc. Holder Sign Acc. Holder

Or Until Cancelled Pegu Rana

This is to confirm that declaration has been carefully read, understood & made by me/us. I'm authorizing the user entity/Corporate to debit my account, based on the instruction as agreed and signed by me. I've
understood that I'm authorized to cancel/amend this mandate by appropriately communicating the cancellation/amendment request to the user/entity/corporate or the bank where I've authorized the debit.

MandateId : 600082224121900257 Reference1 : CFSF41157176

UMRN Date 1 9 1 2 2 0 2 4
Sponsor bankcode KKBK0RTGSMI Utility Code HDFC02165000016647
CHOLAMANDALAM INVESTMENT AND
I/We hereby Authorize FINANCE CO LTD To Debit SB/ CA/ CC/ SB-NRE/ SB-NRO/ OTHER

CREATE
MODIFY Bank a/c Number 3 8 6 6 4 2 2 8 6 2 3
CANCEL

With Bank State Bank of India IFSC S B I N 0 0 1 6 9 3 6 or MICR

an amount of Rupees Ten Thousand Four Hundred and Ninety Six Rupees 10496.0
Frequency Monthly Qtly H-Yrly Yearly As & when prensented Debit Type Fixed Amount Maximum Amount

Reference 1 CFSF41157176 Phone Number 9394204713

Reference 2 EMail ID ranapegu11@[Link]


PERIOD I agree for the debit of mandate processing charges by the bank whom I am authorizing to debit my account as per latest schedule of charges of bank

From 0 5 0 1 2 0 2 5
To* 0 5 0 9 2 0 2 6 Sign. Primary Acc. Holder Sign Acc. Holder Sign Acc. Holder

Or Until Cancelled Pegu Rana

This is to confirm that declaration has been carefully read, understood & made by me/us. I'm authorizing the user entity/Corporate to debit my account, based on the instruction as agreed and signed by me. I've
understood that I'm authorized to cancel/amend this mandate by appropriately communicating the cancellation/amendment request to the user/entity/corporate or the bank where I've authorized the debit.

MandateId : 600082224121900257 Reference1 : CFSF41157176

UMRN Date 1 9 1 2 2 0 2 4
Sponsor bankcode KKBK0RTGSMI Utility Code HDFC02165000016647
CHOLAMANDALAM INVESTMENT AND
I/We hereby Authorize FINANCE CO LTD To Debit SB/ CA/ CC/ SB-NRE/ SB-NRO/ OTHER

CREATE
MODIFY Bank a/c Number 3 8 6 6 4 2 2 8 6 2 3
CANCEL

With Bank State Bank of India IFSC S B I N 0 0 1 6 9 3 6 or MICR

an amount of Rupees Ten Thousand Four Hundred and Ninety Six Rupees 10496.0
Frequency Monthly Qtly H-Yrly Yearly As & when prensented Debit Type Fixed Amount Maximum Amount

Reference 1 CFSF41157176 Phone Number 9394204713

Reference 2 EMail ID ranapegu11@[Link]


PERIOD I agree for the debit of mandate processing charges by the bank whom I am authorizing to debit my account as per latest schedule of charges of bank

From 0 5 0 1 2 0 2 5
To* 0 5 0 9 2 0 2 6 Sign. Primary Acc. Holder Sign Acc. Holder Sign Acc. Holder

Or Until Cancelled Pegu Rana


This is to confirm that declaration has been carefully read, understood & made by me/us. I'm authorizing the user entity/Corporate to debit my account, based on the instruction as agreed and signed by me. I've
understood that I'm authorized to cancel/amend this mandate by appropriately communicating the cancellation/amendment request to the user/entity/corporate or the bank where I've authorized the debit.

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