torrent Pay your Torrent Power Ltd. (TPL) rower Electricity Bills through Standing Instructions ON Lio aeInonas (Auto Debit to your Bank Account) Avoedbad S600 ca Pe 99179 208090 |, PERSONAL DETAILS stanatry Falls Name Ades: iy Site Pincode *aephone No. ‘nbie No Emad 2. TORRENT POWER CONNECTION DETAILS “Service Number (Refs Group Number (Ref2}: —_______ ax. Auto Pay Limi Bill above the Upper limit will nt be paid through ECS, customer will ave to pay through normal payment modes. Note: lease attach a copy of TORRENT POWER LIMITED Bil fr reference 3. SERVICE ACCEPTANCE* (We hereby declare that che particulars given on this form ae correct and complete \we hereby apply forthe Torrant Power Limited ECS Bl Pay Facey subjatt the tarms and conditions appearing overeat ‘Signature of he Customer (As per Bank Records) ‘Signature of Jone Account Holder * Plea afc rubber stp incase of companies, partnership, proprietorship ts 4, CUSTOMER BANK ACCOUNT DETAILS. “Note: Plate attach a cancelled cheque copyiphotocopy of cheque forthe following account Bank Name: Branch Name ‘Account Holder's Name: Joint Account Holder's Name: et x Account Number Ne Type: savings C1) current C1 others Mode of Operation: CI single C1 joint C1 tither or Survver DIGIT ICR Code torrent bowen UMN Oe Sponsor Bank Cose[C 1 T1000 P16 W| Uelycou[ci T1000 o7 000000037 ve herby authorize Torrent Power Limited to debit (Tick “) [”SB/EAIECISB-NREISB-NRO/OthEr [cancer ak le umber with Bank lrsc or mice| an amount of Rupees £ FREQUENCY CI Metiy Clty C1 Hy C1 Yel) C1 As When presentes DEBIT TYPE ClFixed Amount]. Maximum Amount Reference | Fone He. Reference 2 Email FeRIOD. From fe or Eh Unit Cancled H 2 ‘THs to contr Tat he dedaraton Fas Been earTly read nderstoad & made By eis5. SIGNATURE VERIFICATION REQUEST We, hereby, doctr verfetion any applable. We, have accordingly advised Torent Power through is authorized service provider Ms. Ind 3 the particulars ven above are correct and complete, UW hereby authorize the bank to debit my acount towards charge for ECS mandate -as.com Ltd (Bil Desk) USER CODE (4009134) co calse debits an mylaur above account regularly every bil eyle trough the ECS upto a maximum amount of RS 1 pees ony. {We ahorz the bak to honor alsuch rstruions, Pease acknowledge recap and confirmation of this mst ution. io n x SIGNATURE OF THE PAYER / CUSTOMER (As pr barcrecard) Pease afc a rubber stamp incase of companies, ropritrsps, parershps et Dre (Certified thatthe particulars furnished in above point no. 4 & point no, 5 are correct as per our records. SIGNATURE OF THE AUTHORISED | Bank’s Stam Date 6. REGISTRATION (OFFICIAL FROM THE BANK, 1 Peseftup TPL ECS Panatlpan Fo ata apy of ifr xh sere nubs or we yu wi py wg the ut Debt uty Pe tach reste ete nase tle bik scour whi you wh toe fe Ato Debt ion ented ss monn ish,Yu cane athe art rn ome” and ae of mul wb ese fora ia se Spr ory least en ohne colected eh ou 2 Themoeaton orn has tote ered by your be Port Na, 4) You ants Ow beatin de yu sang bh compte frm o srt ear wiht the verter and > Yerwlfecearagaten conan ltr wen 6 yt bring tn appatan om oo ot rca bt won 2 yf mgt orm Ha cot Bia Caer Siporcn or ery rweca 7. TERMS & CONDITIONS Tnporan To Bly Fay acy) far Ate Debt Fy a deg nk aco) wl be rae aie y Trent Powered (TPL) ough agen made nly [rrp pres halon ae nd concn I You nog as rcpt wah erece dae apres ru ere ero ind cries Mormon at Sequel TOL dalam rape id caret sl Se) You spas Savon long abet ean pen eae cavern Lom yar kf Pc ‘Seay jou mee appanen ou eer apes you ave ecsento TPL provangyourlcoalsta ne Th ser) have career opesior earo Doe ly Sect ‘Bod epty acon the sented ts Ses aa ras oneness Tsang ecto nly tecanoar ota se oa ‘a apo ooy ft care’ ak act swipe nen Apnea lb cated chlor ds) Vu nestor TPL we vein £8 race are stplate sare) sry ae outed ye To eat yout sured fhe fren t9 Toca cece Sage coo Fae ta he yar eka ae {Sisscas Gar tarmac zpayrre TL sal hen gaan or nly age eto ur arce parr alee sec cae Pet rin ater aca fees uc te oc yaa.) ene a onentbec Mn pty ue sop cya Berantnsrciors are ec reccvednonarec. TL reeves eri cael Seely. (You gen at TPL stale ee fools asa dren toca to comp witha phon en og aie mm Ys eT rato et nw le pa eco reek man tid deed ssn of dey yo (rae rst cone yur sac enna gon you sca) ee cul TAL [ovat ay cape ‘teal etd eet Tra Tso igs repos soy raped bjot at oman ort ose Pre Ow ‘hag an ecovar tomo nal ure ace rode oe. BL ay te nh er Pe sh car Src sare ib ata you You ay ah ‘Sea thu Srey ppg ch rps or por wrhar ba aca vos ay tanto TP (1) xp one nea a TR ace aera yn wet ‘Sra that ype aaa rogue el vated eee Surely etna ar. set mil ak tar SecomesTans pr ronson) Ys dota skng ates TPL sap say ear neces appop earth see ‘Sernoanfe or paretne tu nparan oer orate bere sonny mast ar ot oases ih Soe TA pct acre ay ays ep 9) 906 ‘Sprains nd nana ores arya oe TL ory Se perc ane, eel seca oar uae whncrer agreed she Senge ‘ret ting oe wera gotomares or ray wea rnpuemarce tw Sern) he prone rea powse ne Stee satarsad ae ar skeen oe ‘Tresor dash acre tween a on jou sacle pod aya age are or tlre you ato yee sar nie arpan ne rh [he ere) yar rae rtd ta Src 9) You apna eciny arc na TAL, vague pln rtmis Fo he agai acne dare Sorte pokey ‘ban vps tcp natn at may at tne mute natn ur etn ta coanqns ory rut orar fares an ete akc ore Saree oy reno Tn ook nego hang tae oy mir ohn ton cymes) 1) You age Ue TPL ay try eta oe erator, nos ot Fe ene at i tins pp ef oal cehe Seg y mteysywes oie nga ipa ith You wo trial Sac yo arse pe TPL erence tat repr aloban an wicombgrare het Yugo ou rena er ae hacen, {drome ba ae bon ibd ya prc cr you acount he te lyr abr en serowedgne 1) Yu geen eee our ae thy portal the Sen a yay thes & Conan others ect roan sxe reed daca eae oh See (1) ge reo Psa goer ‘Rarer and inthe cass af Suter mater wile eed per te rae fn Arson Cocten he 996 ana wn exces a court Asean (19) You are ‘Syl ncuron try prpona ara rons by es Canons, ‘This isto confirm that above terms and condition are carefully read and understood by me/us. SRNRE OF THE ERI OORTOPER DATE | UMRN is ato generated during mandate cretion and 81 Amount paybe for serice or maximum amount per mandatory to be update during amendment and cancion transaction that could be processed words of mand, (Maximam feng - 20 Aphs Numer amount in ure, siar to te aroun meron in Date n DDIMMYYYY format. words. (Maximum lenghth- 13 Digit Numeric, in Paise) 3. Sponsor Bank IFSC/MICR Code, left padded with zeroes 3. Service Provider generated consumer reference number. were neces. (Masivum length = Apa Numeric 4 Seve Provider generated Schemeian reference number, Characters) 15 Tiek on Box to slect raqueney of tantaction, 4 iy Coe of te Srvc Provider (Mira enith- 18g ay of mandate weh datesin DOIMMIYTY ora. 5 Nee Cir 17 Names of eutomere and signatures as wall a tal of 6 Tick on Box to select type of action to be initiated. ‘company (where required). (Maximum lenghth - 40 Alpha 7 Tie on Boxto select pe of account tobe fected Nuri Characters) 8 Customer's leg! acount number, lft padded weh res. |g. Underakingbyeuromer: «(asin legth- 35 ph Nuri Characters) 19 Teepone no whSTO code of astomer 10 IFSC/MICR Code of Customer Bank, (Maximum lenghth - || 20 Mail ID of customer ‘Alpha Numeric Characters)