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Customer ACkoo\vkldgoment Slip (Customer Copy)


Application for Customer Funds Transfer under DENA-RTGS I DENA-NEfT FACILITY

Application Form No. "'""~,-I.I-L-.J_L-l-L-1-JL-l.-.l-L-.J_L-l-L-,I-o..lI I I I I I I I-fiCO


UTA Ho.1 III III II III II II
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trom
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Received Application
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Amount to be ~In~ Rs. Plod oIl.:1omlly NO. (f fIOlI tlotcftWft .. IlclI( .....h'cJ\.<N b. ill!flIIa:blOlt ~I-'_J..._L-'_J..._L-'_J..._L-'_J....J
... det OENAATGSI IP~~ No.1f".I,Nlio./llII~ uoocu" t~oJTO:~ ail No.1CfIi1!"'- o! ~co!Io!llQ,~ fly ~ L'lNlii vI.O'I <krIa), It! flhOlQ9'llllh114
DENANEFf fat')' M~~$: __
RemillallCoe Ctusrges R.
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"'ode 01 Pltynwni
Debit 10 ltV( ae;:ount no (SBrc.vcClOj '!'SC COd" III IN> Bctl"rdillY Bank J Branch 111Clun)

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(for- nonCus.tomllf~) lnwords :
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