27 04 2019
Sponsor Bank Code CITI000PIGW CITI00002000000037
Tick ( 3)
✔ DMI Finance Private Limited 3) ✔
Bank a/c number 3 1 6 3 0 1 0 0 0 0 9 1 9 0
with Bank Bank Of Baroda B A R B 0 M A L A K P or
Fifteen Thousand Only ` 15000
✔ Mthly Qtly H- ✔
DMI0002433717 Phone No. 9553790321
DMINBFC
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 the bank*
From 2 7 0 4 2 0 1 9
3 1 1 2 2 0 9 9 x
Or 1. MOHDANSAR 2.
3.
This is to confirm that the declaration has been carefully read ,understood and made by me/us .I am authorizing the User entity / Corporate to debit my account.
I have understood that I am authorized to cancel / amend this mandate by appropriately communicating the cancellation / amendment request to the User entity/ Corporate or the bank where I have authorized the debit.