Scb Online Form PDF Details

Are you in need of a simple, easy to use online form? Are you looking for a way to securely collect customer contact information and make sure it's stored safely? Look no further than SCB Online Form! This secure online platform is designed with both users and customers in mind. With data protections like personalized control settings and an encrypted SSL connection, you can easily create forms tailored to your specific needs without worrying about fraud or mishandling of confidential data. Plus, its intuitive user interface makes creating the perfect form fast and easy even for those who don't have any coding experience. In this blog post, we'll take a look at how SCB Online Form works so that you can start collecting customer information right away.

QuestionAnswer
Form NameScb Online Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesstandard chartered credit card application form, standard chartered bank form, standard chartered bank remittance form, overseas remittance application form standard chartered bank

Form Preview Example

ELECTRONIC DEBIT AUTHORISATION TO BANK ACCOUNT

 

( To be filled in by the Customer if repayment is through ECS)

 

To

SL No.

The Manager Operations,

 

Centralised Loan Processing Unit (CLPU), Standard Chartered Bank, 58, Armenian Street, Chennai – 600 001

 

Dear Sir,

Re : AUTHORISATION TO PAY LOAN INSTALMENT AMOUNTS TO CLPU, STANDARD CHARTERED BANK THROUGH THE ELECTRONIC DEBIT CLEARING MECHANISM. Please arrange to incorporate a standing instruction to debit my Bank Account towards payment of my / our loan instalments and / or any overdue / late charges / cheque bounce charges as per the details given below :

STANDARD CHARTERED BANK Loan account number

Loan account number

Particulars of Bank Account

Name : ___________________________________________

A. Name of Account Holder : _____________________________________________________

B. Bank Name : __________________________________________________________

C. Branch Address

: ____________________________________________________________________________________________________________________________________________

 

_____________________________________________________ D . A c c o u n t

N u m b e r : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

I / We, having a STANDARD CHARTERED BANK loan account as mentioned above, hereby express my unconditional consent to debit payments of my Loan instalment dues and / or any overdue / late charges / cheque bounces charges referred to above through participation in the ECS of the National Clearing Cell of the Reserve Bank of India and hereby unconditionally and irrevocably authorise Standard Chartered Bank to raise the debits on such regular payments as referred to above, against my / our Bank Account Number ________________________ with _________________ Bank.

I/We hereby declare that the particulars given above are correct and complete and if the transaction is delayed or not effected at all for reasons of incomplete or incorrect information. I we would not hold STANDARD CHARTERED BANK responsible. I / we agree and understand that my Bank shall be informed of these debits as per the enclosed letter . I / we shall advise them of the same and I / we understand that the instruction cannot be withdrawn / cancelled except with the written consent of Standard Chartered Bank, for the payment of the loan instalment dues and / or any over due / late charges / cheque bounce charges.

Signature of Sole / First Account Holder

 

 

Signature of Second / Joint Account Holder

 

Name : ________________________________________________________________

N a m e : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

(Please Note : To be signed by all account holders as per mandate on your savings / current a/c with your Bank).

 

 

ELECTRONIC DEBIT AUTHORISATION TO BANK ACCOUNT

 

( To be filled in by the Customer if repayment is through ECS)

 

To

SL No.

The Manager Operations,

 

Centralised Loan Processing Unit (CLPU), Standard Chartered Bank, 58, Armenian Street, Chennai – 600 001

 

Dear Sir,

Re : AUTHORISATION TO PAY LOAN INSTALMENT AMOUNTS TO CLPU, STANDARD CHARTERED BANK THROUGH THE ELECTRONIC DEBIT CLEARING MECHANISM. Please arrange to incorporate a standing instruction to debit my Bank Account towards payment of my / our loan instalments and / or any overdue / late charges / cheque bounce charges as per the details given below :

STANDARD CHARTERED BANK Loan account number

Loan account number

Particulars of Bank Account

Name : ___________________________________________

A. Name of Account Holder : _____________________________________________________

B. Bank Name : __________________________________________________________

C. Branch Address

: ____________________________________________________________________________________________________________________________________________

 

_____________________________________________________ D . A c c o u n t

N u m b e r : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

I / We, having a STANDARD CHARTERED BANK loan account as mentioned above, hereby express my unconditional consent to debit payments of my Loan instalment dues and / or any overdue / late charges / cheque bounces charges referred to above through participation in the ECS of the National Clearing Cell of the Reserve Bank of India and hereby unconditionally and irrevocably authorise Standard Chartered Bank to raise the debits on such regular payments as referred to above, against my / our Bank Account Number ________________________ with _________________ Bank.

I/We hereby declare that the particulars given above are correct and complete and if the transaction is delayed or not effected at all for reasons of incomplete or incorrect information. I we would not hold STANDARD CHARTERED BANK responsible. I / we agree and understand that my Bank shall be informed of these debits as per the enclosed letter . I / we shall advise them of the same and I / we understand that the instruction cannot be withdrawn / cancelled except with the written consent of Standard Chartered Bank, for the payment of the loan instalment dues and / or any over due / late charges / cheque bounce charges.

Signature of Sole / First Account Holder

 

 

Signature of Second / Joint Account Holder

 

Name : ________________________________________________________________

N a m e : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

(Please Note : To be signed by all account holders as per mandate on your savings / current a/c with your Bank).

 

 

Electronic Funds Transfer Form

Your name(customer):

Your Account No.:

Account Type: Savings

Current

(Please tick)

 

 

 

 

Your Bank name :

 

 

 

 

 

Your Bank Code (M.I.C.R):

 

 

 

 

 

 

Address of Branch:

 

 

 

SL No.

Loan Account No:

(For Office use only)

Amount* (INR):

*Amount as sanctioned by Standard Chartered Bank towards my loan application.

I am desirous of availing the Electronic Funds Transfer (EFT) facility / Special Electronic Funds Transfer (EFT) facility (SEFT) through Reserve Bank of India (RBI) EFT/SEFT system. I hereby agree to and undertake to abide by the following terms and conditions and the RBI EFT Regulations 1996.

Remarks: (if any)

Signature:

(customer)

Page 3

ELECTRONIC CLEARING SERVICE (Debit Clearing) MANDATE FORM

Authorization of Customer to remit funds/payments to Standard Chartered Bank (SCB)through Electronic Clearing Service

I/We hereby, authorize SCB and their authorized service providers, to debit my/our following bank account by ECS (Debit Clearing)

S C B

Utility Code- 6009068 (All Regions except Surat, Bhopal, Baroda, Indore & Lucknow) (All Regions except Surat, Bhopal, Baroda, Indore & Lucknow)

 

 

 

 

 

SCB Utility Code Surat 3951054

CUSTOMER'S NAME

Applicant Name :

Co-Applicant Name :

Indore 4529010

Bhopal 4629011

Lucknow 2269013

Baroda 3909101

(Form to be filled up in capital letters only)

PARTICULARS OF BANK ACCOUNT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Account holder/s Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Account No. :

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

as in Bank Account (All

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Account holders)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Account Type :

Savings Current

Cash Credit Over Draft

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9 Digit MICR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Bank Name :

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Branch Name :

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Codes :

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Bank City :

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ECS w.e.f

D

D

M

M

Y

Y

Y

Y

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PARTICULARS OF DEBIT INSTRUCTIONS :

UPPER LIMIT

 

 

 

 

 

 

 

 

 

 

 

 

 

DEBIT REFERENCE No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(loan, cell, phone,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FOR ECS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DEBIT (IN INR)

 

 

 

 

 

 

 

 

 

 

 

 

 

policy no. etc)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BANK / UTILITY NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EXPIRY DATE :

D

D

M

M

Y

Y

Y

Y

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DECLARATION AND SIGNATURE/S : I/We hereby declare that the particulars given above are correct and complete. If the transaction is delayed or not affected at all for reasons of incomplete or incorrect information, I/we would not hold the user institution responsible. I/We have read all the terms and conditions as are applicable for availing of this ECS Debit service and agree to discharge the responsibility expected of me/us as a participant under the scheme. I/We also hereby authorize our representative carrying this ECS Debit Mandate Form to get it verified and executed by my/our Bank.

First Account Holder

Second Account Holder

Third Account Holder

Fourth Account Holder

All Signatures as in the Bank Records. All Joint Account holders are required to sign

 

 

For use by Customer/Account Holder's Bank : We hereby certify that the particulars of

the customers furnished above are correct as per our

records, and we hereby declare that a copy of

this mandate form, duly complete and signed, has been submitted to us.

 

 

Bank Stamp :

 

Signature of Authorised Official of the Bank :

 

Name :

Designation :

Branch :

Date :

ELECTRONIC CLEARING SERVICE (Debit Clearing) MANDATE FORM

Authorization of Customer to remit funds/payments to Standard Chartered Bank (SCB)through Electronic Clearing Service

I/We hereby, authorize SCB and their authorized service providers, to debit my/our following bank account by ECS (Debit Clearing)

 

 

 

 

 

 

 

 

 

 

 

S C B

Utility Code- 6009068 (All Regions except Surat, Bhopal, Baroda, Indore & Lucknow) (All Regions except Surat, Bhopal, Baroda, Indore & Lucknow)

 

 

 

 

 

 

 

 

 

 

SCB Utility Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Surat 3951054

 

 

 

Indore 4529010

 

 

 

 

Bhopal 4629011

 

 

 

Lucknow 2269013

 

 

Baroda

3909101

 

 

 

 

 

 

 

 

 

 

 

CUSTOMER'S NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Form to be filled up in capital letters only)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Applicant Name :

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Co-Applicant Name :

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PARTICULARS OF BANK ACCOUNT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Account holder/s Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Account No. :

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

as in Bank Account (All

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Account holders)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Account Type :

Savings Current

Cash Credit Over Draft

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9 Digit MICR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Bank Name :

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Branch Name :

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Codes :

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Bank City :

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ECS w.e.f

D

D

M

M

Y

Y

Y

Y

 

PARTICULARS OF DEBIT INSTRUCTIONS :

DEBIT REFERENCE No. (loan, cell, phone, policy no. etc)

BANK / UTILITY NAME

UPPER LIMIT FOR ECS DEBIT (IN INR)

EXPIRY DATE :

D D M M Y Y Y Y

DECLARATION AND SIGNATURE/S : I/We hereby declare that the particulars given above are correct and complete. If the transaction is delayed or not affected at all for reasons of incomplete or incorrect information, I/we would not hold the user institution responsible. I/We have read all the terms and conditions as are applicable for availing of this ECS Debit service and agree to discharge the responsibility expected of me/us as a participant under the scheme. I/We also hereby authorize our representative carrying this ECS Debit Mandate Form to get it verified and executed by my/our Bank.

First Account Holder

Second Account Holder

Third Account Holder

Fourth Account Holder

All Signatures as in the Bank Records. All Joint Account holders are required to sign

 

 

For use by Customer/Account Holder's Bank : We hereby certify that the particulars of

the customers furnished above are correct as per our

records, and we hereby declare that a copy of

this mandate form, duly complete and signed, has been submitted to us.

 

 

Bank Stamp :

 

Signature of Authorised Official of the Bank :

 

Name :

Designation :

Branch :

Date :

ElectronicElectronicFundsFundsTransfer FormTermsTermsand CoanditionsConditions

l The Customer shall be responsible for the accuracy of the particulars given in the EFT Request and shall be liable to compensate Standard Chartered Bank ("the Bank") for any loss arising on account of any error in his EFT Request. l The Customer shall be bound by any EFT Request executed by the Bank if the Bank had executed the EFT Request in good faith and in compliance with the security procedure. "Security Procedure" means a procedure established by agreement between the Bank and the Customer for the purpose of verifying that the EFT Request or communication amending or canceling an EFT Request transmitted electronically is that of the Customer or for detecting error in the transmission for the content of the payment order or communication. A security procedure may require the use of algorithms or other codes identifying words or numbers, encryption, callback procedures or similar security devices l The Customer shall ensure availability of funds in his account properly applicable to the EFT Request before the execution of the EFT Request by the Bank. Where however, the Bank executes the EFT Request without properly applicable funds being available in the customer's account, the customer shall be bound to pay to the Bank the amount debited to his account for which an EFT was executed by the Bank pursuant to his EFT Request together with the charges including interest payable to the Bank. l The Customer hereby authorizes the Bank to debit to his account with any liability incurred by him/her to the Bank for execution by the Bank of any EFT Request issued by it.lThe Customer agrees that the EFT Request shall become irrevocable when it is executed by Bank and the Bank may at its sole discretion accept any revocation of the EFT Request prior to execution by the Bank and that the Bank is not bound by any notice of revocation. lThe Customer agrees that he shall not be entitled to make any claim against any party in the RBI EFT Scheme. l The Customer agrees that in the event of any delay in the completion of the Funds Transfer or any loss on account of error in the execution of the Funds Transfer pursuant to a EFT Request, the Bank's liability shall be limited to the extent of payment of interest at the Bank rate for the period of delay in the case of delayed payment and the refund of the amount together with interest at the Lending rate upto the date of refund, in the event of loss on account of gross negligence or fraud on the part of any employee of the Bank.

The Bank shall execute an EFT Request issued by the customer duly authenticated by him as verified by the security procedure, unless:

l The funds available in the account of the customer are not adequate or properly applicable to comply with the EFT Request and the customer has not made any other arrangement to meet the payment obligation. l The EFT Request is incomplete or it is not issued in the agreed form. l The EFT Request is attached with notice of any special circumstances. l The Bank has reason to believe that the EFT Request is issued to carry out an unlawful transaction. l The EFT Request cannot be executed under the RBI EFT Scheme. l No EFT Request issued by the customer shall be binding on the Bank until the Bank has accepted it. l The Bank shall, upon execution of every EFT Request executed by it, be entitled to debit the designated account of the customer, the amount of the funds transferred together with charges payable thereon, whether or not the account has sufficient balance.

Standard Chartered Bank shall not be liable for any loss of damage arising or resulting from delay in transmission delivery or non-delivery of Electronic messages or any mistake, omission, or error in transmission or delivery thereof or in deciphering the message from any cause whatsoever or from its misinterpretation received or the action of the destination Bank or any act or even beyond control. EFT Request received after cut-off time will be sent on the next working day. Standard Chartered Bank is not responsible for any charges/commission levied/charged by the Beneficiary Bank.

Page 6