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12 12 2020

Sponsor Bank Code KKBK0RTGSMI NACH00000000006006


Tick ( 3)
✔ DHANI LOANS AND SERVICES LTD 3) ✔

Bank a/c number 9 1 7 0 0 5 2 4 5 9 4 5


with Bank Paytm Payments Bank Ltd PYTM0 1 2 3 4 5 6 or

Four Thousand Fifty Only ` 4050.0


✔ Mthly Qtly H- ✔
CL05991962 Phone No.

mapumalsawm@gmail.com
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*

From 1 1 0 1 2 0 2 1
x
Or ✔ 1. MALSOMA MOLSOM 2.
3.
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.
I have understood that I am authorized to cancel / amend this mandate by appropriately communicating the cancellation / amendment request to the User entity/ Corporate or the bank where I have authorized the debit.

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