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ECS Mandate Customized

This document is an ECS mandate form authorizing a bank to debit an account for loan payments to Deutsche Postbank Home Finance Ltd. through electronic clearing. It provides details of the account holder's bank branch, account type and number, and authorizes the specified date of effect and periodicity of payments. The account holder declares the information is correct and acknowledges responsibility for any delays or failures due to incorrect details.

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Soni Asya
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© Attribution Non-Commercial (BY-NC)
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363 views2 pages

ECS Mandate Customized

This document is an ECS mandate form authorizing a bank to debit an account for loan payments to Deutsche Postbank Home Finance Ltd. through electronic clearing. It provides details of the account holder's bank branch, account type and number, and authorizes the specified date of effect and periodicity of payments. The account holder declares the information is correct and acknowledges responsibility for any delays or failures due to incorrect details.

Uploaded by

Soni Asya
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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ELECTRONIC CLEARING SERVICE (DEBIT CLEARING)

The Manager
(Bank Name): ______________________________________
(Branch Name): ____________________________________
(Address): _________________________________________
Telephone No: ______________
I hereby authorize you to debit my account for making payment to Deutsche Postbank Home Finance Ltd. through ECS
(Debit) clearing as per the details given as under.

A. MICR - 9 Digit code number of the bank & branch (Appearing on the MICR cheque issued by the bank):

B. Account Type (S.B. Account/Current Account or Cash Credit): ______________________________

C. Ledger No. / Ledger Folio No. : ______________________________

D. Account Number:

E. Account holder names (As per bank’s record):

Name of the Date of Periodicity Amount of Number of installments/


Scheme effect installment/ Amt of Valid up to (in case of
(M/BiM/Qly/etc.)
bill with upper limit utility bills)

F. Date of effect :

I hereby declare that the particulars given above are correct and complete. If the transaction is delayed or not effected at
all for reasons of incomplete or incorrect information, I would not hold the user institution responsible. I have read the
option invitation letter and agree to discharge the responsibility expected of me as a participant under the scheme.
----------------------------------

Date Signature of the account holders.

Certified that the particulars furnished above are correct as per our records.

(Bank’s Stamp) ----------------------------------


Date Signature of the Authorized official
from the Bank

File No: _____________________________


Name of Borrower : _________________________________________________________
PERSONAL/HLOAN/DPBHFL/9 DATE:24.01.11

Manager
Deutsche Postbank Home Finance Limited
Legal & Recovery
Unit No. 705 & 706,
7th Floor,"A" Wing,
Diamoda Building,
Near Novelty Silk Mill Compound,
Dahisar ( East), Mumbai- 400 068.
Tel. No. 022 42485412.

ECS MANDATE FORM

Dear Sir/Madam

Please find enclosed the ECS Mandate form duly signed as requested by you. A cancelled cheque is
also attached for the necessary processing.

Thanking you,

Truly yours,

Atul Kumar Asya


Loan Account no.-THN/031034

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