APPLICATION FOR INTERBANK TRANSFER UNDER

RTGS / NEFT
To,
Chief / Branch Manager,
Bank of Maharashtra,
Branch,

Mahabank RTGS/NEF Funds Transfer application form (To be filled in by the application only)
Sr. No. ./ CP / .(brcd /CP / xx) Date : .(4488)
Name of the Applicant. .A/c No. .(5500)
Please remit a sum of Rs. Rupees (4488)
Enclosed Cheque No. Date to be debited to my account

Details of the beneficiary:

1.Beneficiery Name (5561-1)
2.IFSC code (6516) 3.A/c No.and type (5561-1)
4.Bank Name & Branch .
5.City .
I authorize to debit my account with your branch along with the charges if any & remit the same fund as
per details given above. I / we agree to abide by the terms and conditions stipulated by RBI for
RTGS/NEFT fund remittance.

Branch seal and signature Applicants Signature/s

Note : Remittance would be effected as per RBIs ruls.
(for Office use only)
Amount of fund transfer Rs.: .
Date : Time: .
Credit to : 60005845072 (RTGS Rem. A/c)
With TIBB branch

Make Checker Authoriser

(To be treated as Credit voucher of CO a/c) Tm. Seq. / journal No. .
. .
Acknowledgement
Date : .
A/c No. .
Received form: .
Request to remit a sum of Rs. .(Rupees) .
. )in Mahabank RTGS / NEFT Fund Transfer on
IFSC Code .

Branch Seal & Signature