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To: The manager, The Hongkong and Shanghai Banking Corporation Limited RTGS / NEFT transaction request form * Date: D D M M Y Y Y Y Please select () one option (mandatory): RTGS NEFT We hereby request you to kindly make the transfer as per the details given below: Rupees * Amount to be remitted (` in figures): Paise * Amount to be remitted (` in words): ___________________________________________________________________________ ______________________________________________________________________________________________________________ Beneficiary details: * Beneficiary name: __________________________________________________________________________________________ * Beneficiary credit account number: * Beneficiary bank IFS code (mandatory 11 character field): Search for beneficiary bank and branch IFS Code * Beneficiary bank name: _____________________________________________________________________________________ * Branch name: ______________________________________________________________________________________________ * Is the destination account an NRE account? Yes No Applicant (remitter) details: * Account title / name: ________________________________________________________________________________________ * Debit account number: * Details / purpose of payments (maximum 140 characters): ______________________________________________________ ______________________________________________________________________________________________________________ Please tick ()(mandatory): * I am/We are aware of the RTGS / NEFT system launched by the Reserve Bank of India * I/We have read and understood the conditions printed overleaf / updated on the Bank’s website http://www.hsbc. co.in and agree to be bound by the same Stamp and signature(s) of authorised signatory For bank use only Signatures verified : _____________________________________________________________________________________ Fax indemnity received : _____________________________________________________________________________________ Agreement exists : _____________________________________________________________________________________ CBID code: * Please write in block letters Version 2 2012
