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fCfCf Bank
To./ W,
The Branch Managar/
Branch/ anti
Address/ RTT:
Mobiles eN umban
DETAILS OF BENEFtClARY/ W
Be iciary’s Name/
Account Number/
Bank Name/ W :
Branch Address/ in w:
Mention Account Number
Again/ @:
Remarks (if any}/ (J /) :
/ We euthorise lCIC) Benk to recover changes as may be applicable by debiting my account as mentioned ebove./ 4/ W W Al 6 W &
I / We understand that as per the RB] circular dated October 14, 2010, transfer of funds through electronic mode will be executed only on the basis
of sha account number of the beneficiery provided while initiating the traneec\ion ' neme will not be considered as a criteria for providing sredit./
4/W W I & ‹xc 4t W W ›‹ , eo to b , AU é w in W acs wW
I understand that this fegiTity is available only at select )oeations and bends covered under ETectronic Funds Transfer faei\ig offered by RBI.