Scribd
Upload
509 views2 pages

NACH Mandate Final English

This document contains a form for creating, modifying, or canceling an ECS/NACH mandate. The front side contains fields for information like UMRN, date, sponsor bank code, debit type, amount, validity period, and signatures. The back side provides instructions for filling the mandate form, explaining the purpose and size limits of each field. Key details include account, customer, and transaction information needed to set up or change an automatic debit mandate through the ECS/NACH system.

Uploaded by

Shilpy Sinha
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
509 views2 pages

NACH Mandate Final English

This document contains a form for creating, modifying, or canceling an ECS/NACH mandate. The front side contains fields for information like UMRN, date, sponsor bank code, debit type, amount, validity period, and signatures. The back side provides instructions for filling the mandate form, explaining the purpose and size limits of each field. Key details include account, customer, and transaction information needed to set up or change an automatic debit mandate through the ECS/NACH system.

Uploaded by

Shilpy Sinha
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
You are on page 1/ 2

ECS/NACH New Mandate Form

(Standard Size – equivalent to cheque)


Front Side:

UMRN Date

Tick (√) Sponsor Bank Code P U N B 0 Utility Code PUNB00056000001651


CREATE
MODIFY I/We hereby authorize PUNJAB NATIONAL BANK to debit (tick √) SB CA CC OTHER
CANCEL
Bank a/c number DEBIT ACCOUNT NUMBER

with Bank IFSC or MICR

an amount of Rupees FIXED/MAXIMUM AMOUNT TO BE MENTIONED

FREQUENCY Mthly Qtly H-Yrly Yrly As & when presented DEBIT TYPE Fixed Amount Max Amount

Reference 1 LOAN/CREDIT ACCOUNT NUMBER Mobile Number

Reference 2 PAN OR AADHAR NUMBER Email ID

I agree for the debit of mandate processing charges by the Bank whom I am authorizing to debit my account as per latest schedule of charges of the Bank.

PERIOD D D M M Y Y Y Y
From

To Signature of Account Holder Signature of Account Holder Signature of Account Holder

Or Until Cancelled 1 Name as per Bank record 2 Name as per Bank record 3 Name as per Bank record
This is to confirm that the declaration has been carefully read, understood and made by me/us. I am authorizing the User entity/ Corporate to debit my account, based on the mandate as agreed and signed by me.
I have understood that I am authorized to cancel/ amend the mandate by appropriately communicating the cancellation/amendment request to the User Entity/Corporate or Bank where I have authorized the debit.
Back Side:

INSTRUCTIONS TO FILL MANDATE

1. UMRN is auto generated during mandate creation and this field should be left blank in case of new request, but to be filled mandatorily in case of
amendment and cancellation of mandate (Max. Length-20 Alpha Numeric Characters). 2. Date (in DD/MM/YYYY format). 3. Sponsor Bank’s IFSC/MICR
code left padded with zeros where necessary (Max. Length – 11 Alpha Numeric Characters). 4. Utility Code of the Service Provider (Max. Length
18 Alpha Numeric Characters). 5. Name of Service Provider 6. Tick on box to select type of action to be initiated. 7. Tick of box to select type of
account to be affected. 8. Customer’s account number (Max. Length – 35 Alpha Numeric Characters). 9. Name of the Bank. 10 IFSC/MICR code of
customer’s Bank (Maximum length- 11 Alpha Numeric Characters for IFSC and 9 Numeric for MICR code).11. Amount payable for service or maximum
amount per transaction that could be processed (in words). 12. Amount in figures, similar to the amount mentioned in words (Max. Length 13 digit
Numeric, in paisa). 13. Service Provider generated consumer reference number. 14. Service Provider generated Scheme/Plan reference number. 15
Tick on box to select frequency of transaction. 16. Validity of mandate in DD/MM/YYYY format. 17. Name of the Customer/s and signatures as well as
seal of the company (where required) - Max. Length – 40 Alpha Numeric Characters. 18. Undertaking by customer. 19 Permanent ID of customer e.g.
PAN/Aadhar No. 20. Contact No. of the customer. 21. E-Mail ID of the Customer.

You might also like