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P.T.O
COUNTER FOIL

State Bank of India
_________________Branch

Date:_____________________

Received from _____________
_________________________
by cheque/transfer for RTGS /
NEFT on _________________
Bank _____________________
Branch ___________________
_________________________
Favoring _________________
________________________
A/c no __________________
________________________
Amount Rs. _______________
Bank`s charges Rs. _________
Total Rs. _________________
APPLICATION FORM FOR RTGS/NEFT REMITTNCES

State Bank of India
_____________________Branch,

Date: _______________

Please remit a sum of Rs. _______________________________________
(Rs. ____________________________________________________only)
through RTGS / NEFT and debit my / our Account No.________________
for the total amount including your charges.
Name of the beneficiary ________________________________________

Destination Banks Name & Branch _______________________________
____________________________________________________________

Beneficiary Account no. ________________________________________
IFSC Code _____________ Amount (in words) _____________________
____________________________________________________________
Charges _____________________________________________________
Total _______________________________________________________
Date of transaction _________ Name of Applicant _________________



SIGNATURE OF APPLICANT

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Application for RTGS / NEFT Remittance (Reverse)

Conditions for transfer:

1. All payments instructions should be carefully checked by the remitter. As crediting the
process of the remittance is based on the beneficiarys account number, the name of the
other bank and its branch. SBI shall not be responsible if these particulars are not provided
correctly by the remitter.
2. Application/ message received after the business hours will not be sent on the
immediate next working day.
3. SBI shall not be responsible for any delay in processing of the payment due to RBI
RTGS/ NEFT system not being available/failure of internal Communication system at the
recipient bank/branch/incorrect information provided by the remitter/Any incorrect credit
accorded by the recipient bank/branch due to information provided by the remitter.
4. (i) Remitting Branch shall not be liable for any loss or damage arising our or resulting
from delay in transmission delivery on non delivery of electronic message or any mistake,
omission r error in transmission or delivery there of or in encrypting/decrypting the
messages for any cause whatsoever or from misinterpretations when received or for the
action of the destination bank or for any act beyond the control of State Bank of India.
(ii) If the recipient branch is closed for any reason, the account shall be credited on the
immediate next working day.
(iii) Bank is free to recover charges in respect of remittances returned on account of
faulty/inadequate information
5. I/We have fully read the terms and conditions of the RTGS / NEFT remittance and shall
abide by the same
Signature of Applicant