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RTGS-NEFT-IMPS-FORM

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45 views1 page

RTGS-NEFT-IMPS-FORM

Rtgs
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
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The Gujarat State Co-operative Bank Ltd., Ahmedabad.

(Scheduled Apex Bank)


RTGS/NEFT/ IMPS Transaction Request Form
IFSC Code: GSCB0000001
To,
The Gujarat State Co-operative Bank Ltd.
Date
Ahmedabad.
Please select ( √ ) one option (Mandatory). Branch Name

□ RTGS □ NEFT □ IMPS


Please remit a sum of Rs._____________________ (Rupees ____________ ___________________________________________________________
__________________________________________) as per details given below and debit the amount with your charges to my/our account with you.
We agree to abide by the terms & conditions entered into with The Gujarat State Co-op.Bank Ltd. for RTGS / NEFT / IMPS transactions.

Beneficiary details
Beneficiary Name
Beneficiary Account number
Beneficiary Account number (Again)
Beneficiary Bank Name & Branch
Beneficiary Bank IFSC Code
Details/Purpose of Transfer

My / Our Details (Remitter)


Remitter (Applicant) Name
Remitter Account Number & Type A/C No.:___________________________________ A/C Type:_____________________
Mobile/ Phone Number of Remitter(Mandatory) Cheque No
Terms & Conditions
1.The Gujarat State Co-op. Bank Ltd. Shall not be responsible for any delay in processing of the payment due to RBI, RTGS/NEFT/IMPS system not
being available/failure of internal communication system at the recipient bank/branch/incorrect information provided by the remitter/Any incorrect
credit accorded by the recipient bank/branch due to incorrect information provided by the remitter.
2.It is the responsibility of the RTGS/NEFT/IMPS customer to ensure the genuineness of the transactions conducted through RTGS/NEFT/IMPS & to
ensure that no illegal transactions are conducted through RTGS/NEFT/IMPS. The Gujarat State Co-op. Bank Ltd. shall not assume any liability to
anyone just because such transactions are routed through The Gujarat State Co-op. Bank Ltd.
3.I/We hereby agree & understand that the RTGS/NEFT/IMPS request is subject to the RBI regulations & guidelines governing the same.
4.If there is a holiday/closed day at the centre where the recipient branch is situated then the credit will be passed on to the beneficiary A/C on next
working day.
5.The RTGS/NEFT/IMPS customer hereby agrees & undertakes that He /She is aware of all the RTGS/NEFT/IMPS rules set by RBI & to abide by all the
guidelines issued by the RBI or any other regulatory authorities or as communicated by The Gujarat State Co-op. Bank Ltd. Applicable to the
transactions relating to RTGS/NEFT/IMPS whether directly or/and indirectly.
6.These provisions shall always be subject to any rules/terms/conditions & administrative guidelines issued by RBI that may be enforced from time to
time in respect of operations of RTGS/NEFT/IMPS Account.
The RTGS/NEFT/IMPS customer hereby agrees & undertakes to indemnify & keep indemnified The Gujarat State Co-op. Bank Ltd. from time to time
against all losses, damages, cost (including legal fees), penalties & consequences arising in pursuance of maintaining the said RTGS/NEFT/IMPS A/Cs
or/& by virtue of The Gujarat State Co-op. Bank Ltd. acting for & on behalf of the RTGS/NEFT/IMPS customer in pursuance of this agreement.
(Jurisdiction Ahmedabad).

Applicant’s Signature
with code & stamp
______________ _______________ ________________
st nd rd
1 Signatory 2 Signatory 3 Signatory
For Bank's Use Only
UTR No. / RRN

Transaction Inputted by (Maker) Sign:______________________ E Code: ________________ Queue No: _____________

Transaction Authorized by (Checker) Sign:_____________________ Sign: __________________ Sign: ______________________


--------------------------------------------------------------------------------------------------------------------------------
Customer Acknowledgement Slip
Received Transaction Request from ________________________________________A/C No.___________________ for □ RTGS □NEFT □ IMPS
for an amount of Rs.__________________ wide cheque no.______________ to be credited to Account Number_______________________ of
____________________________Bank with IFSC Code _________________ Beneficiary Name ________________________________________

Signature:_____________ E Code: __________

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