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RTGS Application

This document is an application form for customers to request an RTGS transfer through Punjab National Bank. It includes sections for the amount to be transferred, beneficiary details, and acknowledgment of terms regarding execution time and bank responsibilities. The form also requires the applicant's signature and personal information for processing the request.

Uploaded by

Deepak Singh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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421 views2 pages

RTGS Application

This document is an application form for customers to request an RTGS transfer through Punjab National Bank. It includes sections for the amount to be transferred, beneficiary details, and acknowledgment of terms regarding execution time and bank responsibilities. The form also requires the applicant's signature and personal information for processing the request.

Uploaded by

Deepak Singh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

APPLICATION FORM FOR CUSTOMER

PNB INSTA REMIT (RTGS)


ANNEXURE-C
Application Form FOR Customers

Date ______________

Time of Request:_________AM/PM

REQUEST OPTION : A (execution within 2 hours)


B ((execution within 4 hours)
The Manager
Punjab National Bank

-----------------------

Please transfer Rs._____________________ (in


words__________________________________) under RTGS and
debit the amount with your charges to my Savings/Current/CC/OD Account
No.__________________________________. The details
of remittance are as under: -
1. Name of Beneficiary :

2. Name of Beneficiary’s Bank:

3. Name of Branch of Beneficiary’s Bank and Account No.


3.a) Name of Branch:
3.b) Beneficiary’s Bank Account No.:
4. IFSC Code of Beneficiary Branch (To be filled by our Bank) :

5. Amount of remittance
Rs.
6. Commission (To be filled by our Bank)
Rs.
7. Total Amount to be Debited/Received from Customer
Rs.
8. Total Amount to be Debited/Received from Customer (In words)
Rs.
I agree that the credit to the beneficiary account shall be accorded on the next day if the
beneficiary bank and beneficiary branch is closed on account of holiday. I hereby agree
that the Bank will not be held responsible in any way for unexecuted RTGS Request for the
reasons beyond the control of Punjab National Bank or Reserve Bank of India , or both.

(Applicant ‘s Signature)

Applicant Name :

Applicant’s Account No. at B/O:


Telephone No.: Landline : Mobile :
(Address of the Non – Customer Applicants must be recorded in this form against the
name of the beneficiary at [Link].1)
UTR No.(for office use)
A C K N O W L E D G M E N T F O R C U S T O M E R ( To be cut from this perforated line
and deliver to applicant)
……………………………………………………………………………………………………………

Received from
_____________________________________________________________________________

Rs._________________________

In words:_________________________________________________________________

for execution of RTGS request as per details mentioned in the application form). Date of
receipt : __________________ Time of Receipt : ____________ Request Option : A / B

AUTHORISED SIGNATORY

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