HOUSNG DEVELOPVENT FNANCE CORPORATION LATED ww.hdFe.com ELECTRONIC CLEARING SERVICE (DEBIT CLEARING MANDATE FORM) ‘Scheme Of Payment : EMI Payment Poriodity Of Payment 2 Monthly A, Customer's Personal Particulars 1, Name ae 2. Address = 3, Phone Number “ . 4, Email Address = B. Loan Particulars 4, Loan AJC No 2. Maximum Amount 3. Date Of Effect ©. Bank Particulars 4. Bank name 2. Branch NamelAddress/ Telephone No, MICR Code(9 digit) Account Type (88 AC, Current AIC or CC AIC with Code 10/11/12) 8. Ledger No /Falio No. ‘Account No. (As appearing on the cheque book) | hereby declare that the particulars given above ere correct and complete If the transaction is delayed or not fetfected at all for reasons of incomplete or incorrect information, | would not hold the user Institution responsible. have read the option invitation letter and agree lo discharge the responsibilty expected of me as 2 participant unger the scheme. Signature of the Authorised Signature af the customer Official rom the Bank (Bank's Stamp) Dae Date Received ECS mandate from (Name}, Loan Ale. No. on, Date —___ Authorised Signatory For HDFC Ltd