KOTAK RTGS NEFT
APPLICATION FOR FUNDS TRANSFER UNDER RTGS/NEFT
KMBL Bank,
Date : _______________
_________________ Branch.
Please remit a sum of Rs. _______________ (Rupees ________________________________________________) as per details given below by debiting the below mentioned account. Please also debit the said account with your service charges and applicable Govt taxes, as applicable for such remittance.
Remitter’s Account details:
Details of Beneficiary Account:
1. Name: ____________________________________________
1. Full Name of beneficiary: ____________________________________
_____________________________________________________
____________________________________________________________
2. Account Type & No.: _________________________________
2. a)Beneficiary A/c Type & No.*: _______________________________
3. Cheque No.: _______________________________________
b)Beneficiary A/c Type & No.* _________________________________
4. Customer ID: _______________________________________
5. Contact Telephone No/s.: _____________________________
(Re-confirm details)
3. City: _____________________________________________________
4. Bank: ____________________________________________________
Details for beneficiary (within 25 characters):
5. Branch: __________________________________________________
_____________________________________________________
6. IFSC code of beneficiary bank: _____________________ _________
7. Contact Tel/ Fax No. (if any): _________________________________
Please remit the amount as per the aforesaid details, by debiting my/our account for the amount of remittance plus all applicable charges including
Bank charges.
I/We declare that I/we am/are authorized to request the Kotak Mahindra Bank (herein after referred to as Bank) for RTGS/NEFT Facility and all the person authorized to operate the above mentioned accounts are also authorized, as per the present mode of operation, to present the
KMBL Bank,
Date : _______________
_________________ Branch.
Please remit a sum of Rs. _______________ (Rupees ________________________________________________) as per details given below by debiting the below mentioned account. Please also debit the said account with your service charges and applicable Govt taxes, as applicable for such remittance.
Remitter’s Account details:
Details of Beneficiary Account:
1. Name: ____________________________________________
1. Full Name of beneficiary: ____________________________________
_____________________________________________________
____________________________________________________________
2. Account Type & No.: _________________________________
2. a)Beneficiary A/c Type & No.*: _______________________________
3. Cheque No.: _______________________________________
b)Beneficiary A/c Type & No.* _________________________________
4. Customer ID: _______________________________________
5. Contact Telephone No/s.: _____________________________
(Re-confirm details)
3. City: _____________________________________________________
4. Bank: ____________________________________________________
Details for beneficiary (within 25 characters):
5. Branch: __________________________________________________
_____________________________________________________
6. IFSC code of beneficiary bank: _____________________ _________
7. Contact Tel/ Fax No. (if any): _________________________________
Please remit the amount as per the aforesaid details, by debiting my/our account for the amount of remittance plus all applicable charges including
Bank charges.
I/We declare that I/we am/are authorized to request the Kotak Mahindra Bank (herein after referred to as Bank) for RTGS/NEFT Facility and all the person authorized to operate the above mentioned accounts are also authorized, as per the present mode of operation, to present the