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ECS Form

This document is an electronic clearing service (debit clearing) mandate form between a bank and its customer, Monster.com India Private Limited. It authorizes the bank to debit the customer's account for payments to Monster.com through ECS debit clearing. The key account details provided are the 9-digit bank code, account type, ledger/folio number, and account number. It also specifies payment details for an annual database access and job postings scheme, including an effective date, periodicity, installment amount, and total number of installments. The customer declares the information is correct and will not hold the service provider responsible for delays or failures due to incorrect details. This is an irrevocable

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Naveen Navi
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1K views2 pages

ECS Form

This document is an electronic clearing service (debit clearing) mandate form between a bank and its customer, Monster.com India Private Limited. It authorizes the bank to debit the customer's account for payments to Monster.com through ECS debit clearing. The key account details provided are the 9-digit bank code, account type, ledger/folio number, and account number. It also specifies payment details for an annual database access and job postings scheme, including an effective date, periodicity, installment amount, and total number of installments. The customer declares the information is correct and will not hold the service provider responsible for delays or failures due to incorrect details. This is an irrevocable

Uploaded by

Naveen Navi
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

MODEL MANDATE FORM

ELECTRONIC CLEARING SERVICE (DEBIT CLEARING)

Copy to the User Company


The Manager
(Bank Name)------------------ Name [Link] India Private Limited
Address 8-2-293/82/A/1024 & 1024/1.
(Branch Name)---------------- Road No. 45, Jubilee Hills, Hyderabad-500033
(Address) --------------------- Telephone No040-66116000 / 6100
Telephone No.--------------.
I hereby authorize you to debit my account for making payment to -------------------- (User
[Link]) through ECS (Debit) clearing as per the details given as under.
A. 9-DIGIT CODE NUMBER OF THE BANK & BRANCH:
(Appearing on the MICR cheque issued by the bank
B. ACCOUNT TYPE :
(S.B. Account/Current Account or Cash Credit)
C. LEDGER NO / LEDGER FOLIO NO. :
D. ACCOUNT NUMBER

Name of the Date of Periodicity Amount of Number of


Scheme effect installment/ Amt of installments/ Valid up
(M/BiM/Qly/etc.)
bill with upper limit to (in case of utility
bills)
Annual 15/06/2 9 Monthly 12281 Total 9 equal
Database 011 Installments Installments
Access + 101
Job Postings

E. Date of effect : 15/06/2011

I hereby declare that the particulars given above are correct and complete. If the transaction is
delayed or not effected at all for reasons of incomplete or incorrect information, I would not hold
the user institution responsible. I have read the option invitation letter and agree to discharge the
responsibility expected of me as a participant under the scheme.

This is an irrevocable ECS mandate.

(……………………..)

Date Signature of the


Customer.

Certified that the particulars furnished above are correct as per our records.
(Bank’s Stamp) ----------------------------------

Date Signature of the Authorized official from the


Bank
(Note:- Mandate to be obtained in 3 copies, Original for Bank, One for User Co and other for
customer)

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