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

Mandate Form LA-1186359

Manjunathswamy H V has authorized Hero FinCorp Ltd to debit Rs. 305340 from his bank account number 1452101000079809 held with Union Bank of India on a monthly basis starting from August 2022 until cancelled. The reference number is 28939937 and his phone number is 8722891207. He understands he can cancel or amend this mandate by informing Hero FinCorp Ltd or Union Bank of India.
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
0% found this document useful (0 votes)
162 views1 page

Mandate Form LA-1186359

Manjunathswamy H V has authorized Hero FinCorp Ltd to debit Rs. 305340 from his bank account number 1452101000079809 held with Union Bank of India on a monthly basis starting from August 2022 until cancelled. The reference number is 28939937 and his phone number is 8722891207. He understands he can cancel or amend this mandate by informing Hero FinCorp Ltd or Union Bank of India.
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
You are on page 1/ 1

UMRN Date 0 7 0 7 2 0 2 2

Sponsor bankcode Utility Code NACH00000000002558

I/We hereby Authorize Hero FinCorp Ltd To Debit SB/ CA/ CC/ SB-NRE/ SB-NRO/ OTHER

CREATE
MODIFY Bank a/c Number 1 4 5 2 1 0 1 0 0 0 7 9 0 9 8
CANCEL

With Bank UNION BANK OF INDIA IFSC U B I N 0 8 1 4 5 2 1 or MICR

an amount of Rupees Three Lakhs Five Thousand Three Hundred and Forty Rupees Only 305340.00
Frequency Monthly Qtly H-Yrly Yearly As & when prensented Debit Type Fixed Amount Maximum Amount

Reference 1 28939937 Phone Number 8722891207

Reference 2 EMail ID
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 8 0 8 2 0 2 2
To* Sign. Primary Acc. Holder Sign Acc. Holder Sign Acc. Holder

Or Until Cancelled MANJUNATHSWAMY H V

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 : 100002220707537660 Reference1 : 28939937

UMRN Date 0 7 0 7 2 0 2 2
Sponsor bankcode Utility Code NACH00000000002558

I/We hereby Authorize Hero FinCorp Ltd To Debit SB/ CA/ CC/ SB-NRE/ SB-NRO/ OTHER

CREATE
MODIFY Bank a/c Number 1 4 5 2 1 0 1 0 0 0 7 9 0 9 8
CANCEL

With Bank UNION BANK OF INDIA IFSC U B I N 0 8 1 4 5 2 1 or MICR

an amount of Rupees Three Lakhs Five Thousand Three Hundred and Forty Rupees Only 305340.00
Frequency Monthly Qtly H-Yrly Yearly As & when prensented Debit Type Fixed Amount Maximum Amount

Reference 1 28939937 Phone Number 8722891207

Reference 2 EMail ID
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 8 0 8 2 0 2 2
To* Sign. Primary Acc. Holder Sign Acc. Holder Sign Acc. Holder
Or Until Cancelled MANJUNATHSWAMY H V

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 : 100002220707537660 Reference1 : 28939937

UMRN Date 0 7 0 7 2 0 2 2
Sponsor bankcode Utility Code NACH00000000002558

I/We hereby Authorize Hero FinCorp Ltd To Debit SB/ CA/ CC/ SB-NRE/ SB-NRO/ OTHER

CREATE
MODIFY Bank a/c Number 1 4 5 2 1 0 1 0 0 0 7 9 0 9 8
CANCEL

With Bank UNION BANK OF INDIA IFSC U B I N 0 8 1 4 5 2 1 or MICR

an amount of Rupees Three Lakhs Five Thousand Three Hundred and Forty Rupees Only 305340.00
Frequency Monthly Qtly H-Yrly Yearly As & when prensented Debit Type Fixed Amount Maximum Amount

Reference 1 28939937 Phone Number 8722891207

Reference 2 EMail ID
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 8 0 8 2 0 2 2
To* Sign. Primary Acc. Holder Sign Acc. Holder Sign Acc. Holder

Or Until Cancelled MANJUNATHSWAMY H V

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.

You might also like