Application Form For RTGS Remittance SBI, Axis bank, IDBI Bank ICICI Bank in Word Format

________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________

Application form for RTGS

                                                        
Date                                                            

To
IDBI Ltd /SBI / ICIC Ltd/ Axis Bank
______________Branch

A/c Number                                                  SOL ID : _______________________

A/c Name                                                      Branch  :_______________________

Contact Person        ___________          _______________________________
Contact Address      ______________________________________________
______________________________________________________________
______________________________________________________________

Contact Details
Telephone no   ____________________   Fax No.______________________
Email ID            __________________________________________________  

Relationship Manager  :___________________________________________                              

Please debit my above account and remit value of Rs. ___________ (Rupees    _____ _______                  Only) to the below beneficiary’s account on ____/____/201__________

Beneficiary’s Details :


Name of Beneficiary
Bank
Name
Branch
Name
Account
No.
Account Type
Beneficiary Bank’s
IFSC Code







* I agree to the terms and conditions set out in the IDBI Ltd’s (Bank Name) RTGS terms & conditions document and will be bound by them.


                                                                                                                                   
Customers Signature                              (Signature Verified by Bank Staff)
                                                          EIN No.                  
(for Office Use only )
Unique Transaction Reference No.   :        _________________  
Sequence Number                        :                                       
Transaction Reference No.             :        _________________
Initials of Bank official                       :                                              


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