6-NEFT-RTGS-IMPS-Form (1)

Application for National Electronic Fund Transfer / Real-Time Gross Settlement Systems (NEFT/RTGS) DateTo, PANThe Branch Manager * To be provided by Allahabad Bank customer_____________________________ BranchDear Sir,Please remit through NEFT/RTGS a sum of ` _____________________ (Rupees in words) __________________________________________________________________________________________________________________________________________________________________ onlyas per details given below: Cash Cheque Debit my/our account*in case of cash, please fill in the pay-in-slip*To be filled by the Applicant in CAPITAL LETTERS DETAILS OF APPLICANT ( REMITTER )Account NumberCheque Number Cheque Date D D M M Y Y Y YRemitter's NameAddressMobile/Other Number DETAILS OF BENEFICIARYBeneficiary's NameAccount NumberReconfirm Account No.Bank NameIFS Code(11-digit)Branch AddressSender to Receiver information (if any) : ______________________________________________________________________________________ Terms & Conditions• This transfer is valid for a single transaction.• The fund transfer will be governed by the Terms and Conditions given on our website www.allahabadbank.in• Due care is taken while filling up the beneficiary account number & IFS code.• Transfer of an amount up to `49,999 in cash permissible using this facility.• Photo ID proof to be given by non customer for cash payment above ______________________• Please do not disclose your Account details/Internet Banking User ID and Passwords / ATM debit Card/Credit Card/ Mobile Banking/Personal Information to any person.• Do not fall prey to false promises; beware of dubious scheme. Declaration• I/We authorise ALLAHABAD BANK to recover charges as may be applicabvle by debiting my account as mentioned above.• I/We understand that as per the RBI Circular dated October 14, 2010, transfer of funds through electronic mode will be executed only on the basis of the account number of the beneficiary provided while initiating the transaction. Name will NOT be considered as a criteria for providing credit.• I/We understand that this facility is available only at select locations and banks covered under Electronic Funds Transfer facility offered by RBI. Customer Signature(s) Signature Signature Signature Name Name Name *(Primary Applicant) *(Joint Applicant 1) *(Joint Applicant 2) Customer AcknowledgmentDate: _________________________We acknowledge receipt of NEFT / RTGS instruction(s). Reference no. _________________________Branch : _________________________ Name and Signature of Bank Official _______________________________ With Date & Time of Request

Application for Immediate Payment System (IMPS) DateTo, PANThe Branch Manager_____________________________ BranchDear Sir,Please remit through IMPS a sum of ` _____________________ (Rupees in words) __________________________________________________________________________________________________________________________________________________________________ onlyas per details given below: Cash Cheque Debit my/our account*in case of cash, please fill in the pay-in-slip *To be filled by the Applicant in CAPITAL LETTERS DETAILS OF APPLICANT ( REMITTER )Account Number Cheque NumberCheque Date D DMMY Y Y Y Mobile/Other NumberRemitter's NameAddress DETAILS OF BENEFICIARYBeneficiary's NameAccount NumberReconfirm Account No.Bank NameIFS Code(11-digit) P2AP2P Mobile No. : MMID No. :P2U Aadhaar No. : (Aadhaar is required to be seeded with the account no. of the beneficiary.)Branch Address Terms & Conditions• The fund transfer will be governed by the Terms and Conditions given on our website www.allahabadbank.in• Photo ID proof to be given by non customer for cash payment above ______________________• Fund Transfer shall be effected only when the Destination Bank/Branch is participating in IMPS.• Sufficient clear funds in the Remitter's account must be available. Prior intimation must be given to Remitting Branch for remittance of `1 Crore & above.• The Application Form should be accompanied with the debit instrument for debiting the account.• Once the Account is debited and funds are remitted, the remitter cannot revoke the given mandate.• The Remitting Branch/Bank shall not be liable for delay/non-payments to the beneficiary if :-a) Incorrect and insufficient details of beneficiary are provided by the Applicant/Remitter. b) Dislocation of work due to the circumstances beyond the control of Remitting/Destination Banks like non-functioning of computer system, disruption of work due to natural calamities, strike, riot declared/undeclared holiday, etc., or internal problems or other causes beyond the control of the Branch/Bank resulting in disruption of• Mode of remittance:P2A:Account No. of Beneficiary & IFS code of receiving branch is required.P2P: Mobile No. & MMID of beneficiary is to be provided. P2U:Aadhaar No. seeded to the account of beneficiary is to be provided.• Maximum amount can be remitted per transaction : `2.00Lakh• PAN to be quoted/FORM 60 to be submitted for transaction exceeding `50,000/- in any one day. Declaration • I/We authorise ALLAHABAD BANK to recover charges as may be applicabvle by debiting my account as mentioned above. • I/We understand that as per the RBI Circular dated October 14, 2010, transfer of funds through electronic mode will be executed only on the basis of the account number of the beneficiary provided while initiating the transaction. Name will NOT be considered as a criteria for providing credit. • I/We understand that this facility is available only at select locations and banks covered under Electronic Funds Transfer facility offered by RBI. FOR BANK's USE ONLYTransactions entered as per details of Beneficiary as given above. Applicant's signature verified, transaction authorized & funds remitted throughPriority code (if any): _________________________ IMPS as per details of Beneficiary given above.Time: ___________ Date: __________________ IMPS Ref No.: ________________________ Journal No: _______________ Authorized Official (Maker) with SS No. Authorized Official (Checker) with SS No. Date Time Customer Signature(s) Signature Signature Signature Name Name Name *(Primary Applicant) *(Joint Applicant 1) *(Joint Applicant 2) Customer AcknowledgmentDate: _________________________We acknowledge receipt of IMPS instruction(s). Reference no. _________________________ With Date & Time of RequestBranch : _________________________ Name and Signature of Bank Official _______________________________