UMRN Date 2 3 0 5 2 0 2 3
Utility Code Create Modify Cancel
Sponsor Bank Code I/We hereby authorize TVS Credit Services Limited
to debit (tick ) SB/CA/CC/SB-NRE/SB-NRO/Other Bank a/c number 4 2 1 8 0 2 0 1 0 9 2 1 4 9 1
with Bank UNION BANK OF INDIA IFSC/MICR UB I N 0 5 4 2 1 8 1
an amount of Rupees TWELVE THOUSAND FIVE HUNDRED ONLY 12500 /-
DEBIT TYPE Fixed Amount Maximum Amount FREQUENCY Monthly Quarterly Half Yearly Yearly As & when presented
Customer ID 0024980526 Prospect No. 3038CD0225322
1.I agree for the debit of mandate processing charges by the bank whom I am authorizing to debit my account as per latest schedule of charges of the bank. 2.This is to confirm that the declaration
has been carefully read, understood & made by me/us. I am authorizing the User entity / Corporate to debit my account. 3.I have understood that I am authorized to cancel/amend this mandate by
appropriately communicating the cancellation / amendment request to the User entity / corporate or the bank where I have authorized the debit.
From 0 3 0 7 2 0 2 3
To D D M M Y Y Y Y
Or Until Cancelled
Signature Primary Account Holder
Signature Account Holder Signature Account Holder
Phone No. 8896244287 VINOD KUMAR
1. 2. Name as in bank records 3. Name as in bank records
VISHWAKARMA
UMRN Date D D M M Y Y Y Y
Utility Code Create Modify Cancel
Sponsor Bank Code I/We hereby authorize TVS Credit Services Limited
to debit (tick ) SB/CA/CC/SB-NRE/SB-NRO/Other Bank a/c number
with Bank IFSC/MICR
an amount of Rupees
DEBIT TYPE Fixed Amount Maximum Amount FREQUENCY Monthly Quarterly Half Yearly Yearly As & when presented
Customer ID Prospect No.
1.I agree for the debit of mandate processing charges by the bank whom I am authorizing to debit my account as per latest schedule of charges of the bank. 2.This is to confirm that the declaration
has been carefully read, understood & made by me/us. I am authorizing the User entity / Corporate to debit my account. 3.I have understood that I am authorized to cancel/amend this mandate by
appropriately communicating the cancellation / amendment request to the User entity / corporate or the bank where I have authorized the debit.
From D D M M Y Y Y Y
To D D M M Y Y Y Y
Or Until Cancelled
Signature Primary Account Holder Signature Account Holder Signature Account Holder
Phone No.
1. Name as in bank records 2. Name as in bank records 3. Name as in bank records
UMRN Date D D M M Y Y Y Y
Utility Code Create Modify Cancel
Sponsor Bank Code I/We hereby authorize TVS Credit Services Limited
to debit (tick ) SB/CA/CC/SB-NRE/SB-NRO/Other Bank a/c number
with Bank IFSC/MICR
an amount of Rupees
DEBIT TYPE Fixed Amount Maximum Amount FREQUENCY Monthly Quarterly Half Yearly Yearly As & when presented
Customer ID Prospect No.
1.I agree for the debit of mandate processing charges by the bank whom I am authorizing to debit my account as per latest schedule of charges of the bank. 2.This is to confirm that the declaration
has been carefully read, understood & made by me/us. I am authorizing the User entity / Corporate to debit my account. 3.I have understood that I am authorized to cancel/amend this mandate by
appropriately communicating the cancellation / amendment request to the User entity / corporate or the bank where I have authorized the debit.
From D D M M Y Y Y Y
To D D M M Y Y Y Y
Or Until Cancelled
Signature Primary Account Holder Signature Account Holder Signature Account Holder
Phone No.
1. Name as in bank records 2. Name as in bank records 3. Name as in bank records
TVS Credit Services Limited
Consumer Durables Loan
OSV Declaration
I hereby confirm that I have verified the original KYC document of the below customer, and that
the documents and details given below pertain to verification of Loan Number 3038CD0225322
Snapshot of KYC Details
Prospect Number 3038CD0225322
Customer Name Vinod Kumar Vishvakarma
Employee/Dealership Name Ansari watch house and mobile center
Employee Code/Dealership Code CD45692
OSV Esign DateTime 23-05-2023 06:48 PM
Id Proof - PAN Card Prospect Number - 3038CD0225322 Id Proof Number - BQCPV1344K
Original of Id Proof has been seen and verfied (Signature of Dealer/Employee) , as on 23/05/2023 07:10 PM
Lat/Long 25.9982484 83.10065725
Address Proof - AADHAAR Prospect Number - 3038CD0225322 Address Proof Number - 2319
Original of Address Proof has been seen and verfied (Signature of Dealer/Employee) , as on 23/05/2023 07:10 PM
Lat/Long 25.9982484 83.10065725
