APPLICATION FOR FUNDS TRANSFER- RTGS/NEFT
To, Date : ________________
The Branch Manager,
_________________Branch
Dear Sir/ Madam,
Please remit a sum of Rs._______________________ (Rupees _______________________________________________) only
as per details given below and debit the amount with your charges to my/our account with you.
DETAILS OF APPLICANT
DETAILS OF BENEFICIARY
NAME :
IFSC CODE:
ACCOUNT NO.
BANK:
TYPE OF ACCOUNT : HSS/CD/CC/OD
BRANCH:
CUSTOMER ID NO.
ACCOUNT NUMBER:
ADDRESS:
REPEAT ACCOUNT NUMBER:
TYPE OF A/C HSS/CD/CC/OD
TEL/MOBILE NO.
NAME :
E-mail ID:
TEL.NO./MOBILE NO. :
SENDER PAN NO.
SENDER LEI NO. (for non-individual customer) for txn.
value Rs.50,00,00,000/- (Rupees Fifty Crores) and above:
RECEIVER LEI NO. (for non-individual customer) for txn.
value Rs.50,00,00,000/- (Rupees Fifty Crores) and above:
Terms & Conditions
This transfer is valid for a single transaction.
Due care is taken while filling up the beneficiary account number & IFSC Code.
Transfer of an amount up to Rs.49,999/- in cash permissible using this facility.
Photo ID proof to be given by non-customer for cash payment.
For Transaction Rs.50 Crore and above for non-individual customers, LEI No. of sender and receiver is mandatory as per RBI Cir.
RBI/2020-21/82 dt.05/01/2021
Declaration
We agree to abide by the Real Time Gross Settlement (RTGS) Guidelines/Regulation/Rules etc. issued by Reserve Bank of India
from time to time and also the guidelines and or terms and conditions of Central Bank of India from time to time.
We understand that as per RBI Circular dated October 14, 2010 credit will be based solely on the account number of beneficiary.
Name of beneficiary will not be considered as a criteria for providing credit.
Under normal circumstances, the Beneficiary Bank/ Branch would credit the beneficiary’s account on the same days (i.e. on the
date of this application) at the beneficiary Bank/Branch Centre subject to the RTGS guidelines/rules/regulations of RBI.
Yours Faithfully,
________________________
For Office Use only (Applicant’s Signature(s))
Applicant’s Signature(s) Verified by:
___________ _______________________
S.S.No. Officer-HSS/CD/CC/OD Deptt.
Transaction Reference No. :
S.S.No. (Maker):
Signature :
Date ___________ Time : ________
S.S.No. (Checker):
Signature :
Date ___________ Time _______
Acknowledgement
Received application from (Name)__________________________________HSS/CD/CC/OD A/C No._____ __________
Rs._____________________________on (Date)____________ at Time ________for funds transfer under RTGS/NEFT.
Reference No. ______________________________________________
Seal Signature of Officer
