Rtgs - Axis Bank
Rtgs - Axis Bank
Rtgs - Axis Bank
AXIS BANK LTD KAKINADA BRANCH APPLICATION FOR FUNDS TRANSFER UNDER RTGS
Please remit a sum of Rs. ____________ (Rupees _____________________________ to Account no. _____________________as per details given below. Cheque No. _________ dtd__________ favouring AXIS Bank Ltd, RTGS favoring ____________________(Beneficiary Name) is enclosed. We authorize AXIS Bank to debit his/its account with the prevailing service charges. We agree to abide by the terms and conditions given /mentioned overleaf Details of Applicant Details of Beneficiary 1. Name :_____________ 1. Account Type & No/Cash ____________________ 2 Name ______________ 4. IFSC Code:______________________ 3. Telephone No _________ 5. A./c Type & No:___________________ 4. Address________________ 6. City:__________________________ ___________________ 7. Tel/Fax No. (if any):______________Applicants Signature/s : For Bank Use Only Fund Transfer Applicants Signature/s verified :Y/N Amount of Remittance Rs. __________ Bank Charges Rs. __________ Total Amount Rs. ___________ Cheque No. __________ dated ________________________ 2. Bank:__________________________ 3.Branch: _________________________
Message Transmission Transaction authorized & Funds remitted through RTGS as per details of Beneficiary given above. 1. RTGS Serial No _______________ 2. MF No: __________________
1. 2. 3. 4. 5.
6. Finacle Tran ID:______________ 1. Signature of 2. Signature of Maker:___________ Checker:___________ Sign:_____________ Date:_____________ Time:_____________ Maker Sign:_________________ Date:_________________ Time:________________ Checker
. Acknowledgement Received application from _____________________________________ A/c No: ____________ For Rs __________ on ___________at__ ___ am/pm for funds transfer under RTGS as detailed below Beneficiary Name _________________________________________________City :____________________ along with cheque no. ________________. Bank:______________________-Branch _________________________A/c Type & No.: _______________ IFSC Code _________________ Signature:______________ Seal:
Applicants Signature/s :