CHANDERIA

10325
State Bank of Bikaner & Jaipur ___________________(Branch)__________(Code)

Format of application to be obtained from the customers for RTGS (Real Time
Gross Settlement System) funds transfer and Debit Authority for the same
To:
The Branch Manager

CHANDERIA
_____________________
Branch

I/We

wish

to

transfer

sum

of

18,14,437.00
Rs._____________________________

Eighteen Lac's Fourteen Thousand Four Hundred Thirty seven only)

(Rupees______________________________________________

name)

to

(Beneficiary's

BHANDARI
ENTERPRISES
__________________________________________________________

Account

3111319641
CHITTORGARH branch
Number_________________________
maintaining account with ________________
Kotak Mahendra
KKBK0003704
of _________________
Bank (IFSC Code__________________
) using RTGS facility.*
PARTY PAYMENT
The payment relates to (give purpose of remittance) ________________________________.
I/We understand that if there is a local holiday at the PAYEE BRANCH, the funds will be
credited to the beneficiary's account only on the next working day.
I/We understand that in case the payee's branch does not have RTGS facility/IFSC/any of the
above particulars furnished by me is wrong, the funds will be credited to my/our account as
and when it is returned to State Bank of Bikaner & Jaipur.

61042908543
I/We authorize you to debit my/our account __________________
with your branch by
Eighteen Lac Fourteen Thousand Four Hundred Ninety three
18,14,493.00
Rs.______________
(Rupees________________________________only)
towards transfer

18,14,437.00
56.00
of funds under RTGS for Rs.___________________
together with charges of Rs._________.
* I/We have verified the beneficiary account number and the ISFC of the beneficiary's
Bank/Branch

and

I/we

again

confirm

that

the

Beneficiary's

Account

No.

is

3111319641
___________________________________.
I/We understand that in terms of Reserve Bank of India (RBI) Circular No. DPSS (CO) EPPD
No. / 863 / 04.03.01 / 2010-11 dated October 14, 2010 all the Electronic payment products
e.g. RTGS/NEFT/NECS/ECS/SBGRPT will be credited to the Beneficiarys account at
destination Bank based solely on Beneficiarys Account Number given by me/us. I/We also
understand that as the process of recovering an amount transferred inadvertently to an
unknown recipient due to incorrect account number, is never within Bank's control, Bank does
not accept any responsibility to recover such funds.
Signature of the customer____________________________

31/03/2016
Date____________

61042908543
Account Number _______________________________

GRANITES PVT. LIMITED Address: F-121&122

B RIICO IND. AREA CHITTORGARH
Name: AKJ
____________________________
_____________________________
akjgreen@gmail.com , 94141-10548 , 9887678148
Mobile No./e-mail id of applicant : ___________________________________________________
For Bank's Use only
Branch Ref.No._______________________

Date:_________________

Rs.____________________ Rupees (in words) ________________________________

debited to Applicant's A/c No._______________________________ RTGS Message (R-41)
sent on_____________ at ______A.M./P.M. UTR No.___________________________.
Signature of Passing Officer____________________________________