HDFC BANK
hdfcbank.com
‘We understand your world ae
MERCHANT WORLD
Welcome to a whole new world of convenience
Web Portal Form
(All ME Codes allotted needs to be updated. Incase ME Codes aremorethan 5,
please fll the Annexure on page 2 of this form)
ME Legal Name ~
Email id where MPR needs to be sent (Mandatory):
ME address
city: Pincode:
Mobile :
| 20¥ee to authorise HDFC Bank to debit my Alc towards fees to access the web portal
‘ona monthly basis per TID.
All charges will be debited on the Tenth ofnext month for cases signed up from 1-31% of
any given calendar month,
Rubber Stamp, Signature
Page 1 of 2fearon hdfebank.com
ois :
‘We understand your world es
MERCHANT WORLD
Welcome to a whole new world of convenience
Web Portal Form
ANNEXURE for Multiple ME codes
Multiple ME codes
J
I
J
Rubber Stamp, Signature
Page 2 of 2