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Details

Summary

Payer Name *

Mobile Number *

Phone Number

E-mail ID *

Payer Account Type *

Payer Account Number *

Re-Enter Account No *

Payer Bank Name *

Authentication Mode *

Amount *

Debit Amount Type *

Start Date *

End Date *

Frequency Of Deduction *

Payer PAN Number

Reference No

GSCB CBS ACCOUNT NO *

Debit Payer Account Number *

MICR CODE *

Verify Code *

Generate New Code

I agree,Terms & Conditions^*

Terms & Conditions

I/We authorize the User entity/ Corporate/YES Bank to debit my/our account based on the instruction as agreed and authorized by me/us.

I/We have understood that I/We are authorized to cancel/ amend this mandate by appropriately communicating the cancellation/ amendment request to user entity/Corporate or the bank where I have authorized the debit.

I/We confirm that this authorization will override any other previous authorization /consent given by me/us to debit my/our account and the bank (where I have authorized the debit) shall act in accordance with the authorization given by me/us under this request.

I/We confirm the accuracy and correctness of the details in the mandate including name, account number and other details included therein.

I/We agree and acknowledge that YES Bank shall in no way be responsible or liable for any loss incurred by me/us as a result of such information being provided in the mandate and for carrying out debit basis such information/details provided. Further, I/we shall keep YES Bank indemnified against any loss, claim or damages that it may have to incur/ suffer due to any erroneous or inaccurate details being provided by me/us in the mandate.

This is to confirm that the declaration has been carefully read, understood and made by me/us.

Terms and Conditions from Merchant:

AS PER AGREEMENT

Customer Information

Corporate information

Corporate Name

GOA SCB AADHAAR SETTLEMENT ACCOUNT

Utility Number

NACH00000000001702

Please Note:

Your in the process of registration of E-mandate. Please proceed to continue the registration process. In case of any discrepancy found in the above mentioned fields you may cancel or go back to edit the required fields