DGP21284522923092334562 Unsigned

You might also like

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

28 10 2021

Sponsor Bank Code YESB0000001 NACH00000000057795


Tick ( 3)
✔ Groww Pay Services Pvt Ltd 3) ✔

Bank a/c number 2 0 1 0 7 4 3 9 1 3 1


with Bank Bank Of Maharashtra MAHB 0 0 0 1 8 2 3 or

One Lakh Only ` 100000.0


Mthly Qtly H- ✔ ✔
CRN211028224510015L8 Phone No. 9967306871
pradeepsajekar02@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 2 8 1 0 2 0 2 1
x
Or ✔ 1. Pradip Bhiku Sajekar 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.

You might also like