SECURITY MANDATE
UMRN Date 2 9 0 5 2 0 2 3
Tick Sponsor Bank Code ICIC0TREA00 Utility Code HSBC00399000012046
CREATE
I/We hearby Poonawalla Fincorp Limited To debit (tick SB / CA / CC / SB-NRE / SN-NRO / OTHER
MODIFY
Bank a/c number 9 1 7 0 3 0 0 7 5 3 5 6 8 0 0
CANCEL
with bank AXIS BANK IFSC U T I B 0 0 0 2 5 3 0 or MICR
an amount of Rupees Thirty Lakh Fifty-Three Thousand Three Hundred Twenty-Eight Only 3053328
FREQUENCY Mthly Qtly H-Yrly As & when presented DEBIT TYPE Fixed Amount Maximum Amount
Reference 1 APPL00364133 Phone No. 8109355536
Reference 2 Email ID.
[email protected] I agree for the debit of mandate processing charges by the bank whome I am authorizing to debit my account as per latest schedule of charges of the bank.
Period
Signature Primary Account Signature Account holder Signature Account holder
From 2 9 0 5 2 0 2 3
To
or Untill cancelled 1 Name as in bank records 2 Name as in bank records 3 Name as in bank records
1. This is to confirm that the declaration has been carefully read, understood & made by me/us. I am authorizing the user entry / corporate to debit by account. Based on the
instruction as agree and signed by me. LUDHIYANA AGRO SALES
2. I have understood that i am authorized to cancel/amend this mandate by appropriately communicating the cancellation/amendment request to the user entry/corporate or the
bank where I have authorized the debit.
SECURITY MANDATE
UMRN Date 2 9 0 5 2 0 2 3
Tick Sponsor Bank Code ICIC0TREA00 Utility Code HSBC00399000012046
CREATE
I/We hearby Poonawalla Fincorp Limited To debit (tick SB / CA / CC / SB-NRE / SN-NRO / OTHER
MODIFY
Bank a/c number 9 1 7 0 3 0 0 7 5 3 5 6 8 0 0
CANCEL
with bank AXIS BANK IFSC U T I B 0 0 0 2 5 3 0 or MICR
an amount of Rupees Thirty Lakh Fifty-Three Thousand Three Hundred Twenty-Eight Only 3053328
FREQUENCY Mthly Qtly H-Yrly As & when presented DEBIT TYPE Fixed Amount Maximum Amount
Reference 1 APPL00364133 Phone No. 8109355536
Reference 2 Email ID.
[email protected] I agree for the debit of mandate processing charges by the bank whome I am authorizing to debit my account as per latest schedule of charges of the bank.
Period
Signature Primary Account Signature Account holder Signature Account holder
From 2 9 0 5 2 0 2 3
To
or Untill cancelled 1 Name as in bank records 2 Name as in bank records 3 Name as in bank records
1. This is to confirm that the declaration has been carefully read, understood & made by me/us. I am authorizing the user entry / corporate to debit by account. Based on the
instruction as agree and signed by me. LUDHIYANA AGRO SALES
2. I have understood that i am authorized to cancel/amend this mandate by appropriately communicating the cancellation/amendment request to the user entry/corporate or the
bank where I have authorized the debit.
SECURITY MANDATE
UMRN Date 2 9 0 5 2 0 2 3
Tick Sponsor Bank Code ICIC0TREA00 Utility Code HSBC00399000012046
CREATE
I/We hearby Poonawalla Fincorp Limited To debit (tick SB / CA / CC / SB-NRE / SN-NRO / OTHER
MODIFY
Bank a/c number 9 1 7 0 3 0 0 7 5 3 5 6 8 0 0
CANCEL
with bank AXIS BANK IFSC U T I B 0 0 0 2 5 3 0 or MICR
an amount of Rupees Thirty Lakh Fifty-Three Thousand Three Hundred Twenty-Eight Only 3053328
FREQUENCY Mthly Qtly H-Yrly As & when presented DEBIT TYPE Fixed Amount Maximum Amount
Reference 1 APPL00364133 Phone No. 8109355536
Reference 2 Email ID.
[email protected] I agree for the debit of mandate processing charges by the bank whome I am authorizing to debit my account as per latest schedule of charges of the bank.
Period
Signature Primary Account Signature Account holder Signature Account holder
From 2 9 0 5 2 0 2 3
To
or Untill cancelled 1 Name as in bank records 2 Name as in bank records 3 Name as in bank records
1. This is to confirm that the declaration has been carefully read, understood & made by me/us. I am authorizing the user entry / corporate to debit by account. Based on the
instruction as agree and signed by me. LUDHIYANA AGRO SALES
2. I have understood that i am authorized to cancel/amend this mandate by appropriately communicating the cancellation/amendment request to the user entry/corporate or the
bank where I have authorized the debit.
