|
ANDHRA PRADESH
CENTRAL POWER DISTRIBUTION COMPANY LIMITED |
MANDATE FORM |
| 1.
|
Consumer
Name (In Block Letters) |
: |
........................................................... |
| 2.
|
Service
Connection Number(s)* |
: |
| 1. |
..................................... |
2. |
..................................... |
| 3. |
..................................... |
4. |
..................................... |
| 4. |
..................................... |
6. |
..................................... |
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| 3.
|
Particulars
of Bank |
| |
| a) |
Bank Name
|
: |
....................................................................... |
| |
Bank Name &
Address |
: |
.......................................................................
....................................................................... |
| b) |
9 Digit Code
Number of the Bank Branch |
: |
|
|
|
(Apperaing on the MICR
Cheque issued by the bank. Please consult your banker) |
| |
| c) |
Account Types (S.B.
Account/Current Account/Cash Account) |
: |
..................................................................... |
| d) |
Account Number |
: |
..................................................................... |
| e) |
Ledger Folio (If
appearing on the cheque) |
: |
..................................................................... |
| f) |
Name of the Account
Holder |
: |
..................................................................... |
|
|
|
I/We here-by declare
that the particulares given above are correct and express my/willingness
to settle the payment of regular monthly Electricity bills referred to
above through participation in E.C.S. of Reserve Bank of India,
Hyderabad and here by authrorise Accounts Officer, Hyderabad Electricity
raise debits on such regular monthly Electricity bills as referred to
above through this scheme Electronically for adjustment against my/out
account in the event of my bank being unable to debit my/our account for
what so ever reasons, I/We pay the bills directly to Hyderabad
Electricity by cash. I/We will inform Hyderabad Electricity any changes
in my/our Bank Account |
I/We have given today standing instructions to my/our banks (Copy enclosed). |
|
Address |
| |
...................................................... .............. |
| |
.................................................................... |
| |
.................................................................... |
|
|
..................................................... |
|
(Signature of
Subscriber) |
|
..................................................... |
|
(In
Case name of Subscriber differs from that of A/C holder) |
|
|
|
The details Enclose above are correct
as per out records. |
|
Bank Stamp |
Authorised
Signatory |
|
|
..................................................... |
|
Name of the Account
Holder |
|
(In
Block Letters) |
|
|
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------------------------------------------------------
Tearable
--------------------------------------------------- |
|
Standing Instructions |
|
"Kindly accept any debit
raised by RBI against my account
no..................................... for service numbers
......................., ...........................,
.....................................................,
.......................................,
......................................., issued to
...........................................(Account Holder's Name) by AP
Transco Services". |
| |
................................................................................... |
| |
(Signature of the
Account Holder) |
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|