UMRN Date 1 6 1 1 2 0 2 4
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 3 2 1 1 5 3 2 8 2 3 1
with Bank STATE BANK OF INDIA IFSC/MICR SB I N 0 0 0 9 8 2 8
an amount of Rupees FOURTEEN THOUSAND EIGHT HUNDRED AND TWENTY ONLY 14820 /-
DEBIT TYPE Fixed Amount Maximum Amount FREQUENCY Monthly Quarterly Half Yearly Yearly As & when presented
Customer ID 0030866197 Prospect No. 3051CD0624661
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 1 2 2 0 2 4
To 0 3 1 1 2 0 5 4
Or Until Cancelled
Signature Primary Account Holder Signature Account Holder Signature Account Holder
Phone No. 9777322067
1. PURANJAN MANDALA 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
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 3051CD0624661
Snapshot of KYC Details
Prospect Number 3051CD0624661
Customer Name puranjan mandal
Employee/Dealership Name M S MOBILE INDIA
Employee Code/Dealership Code CD27993
OSV Esign DateTime 16-11-2024 01:03 PM
Id Proof - AADHAAR Prospect Number - 3051CD0624661 Id Proof Number - 6406
Original of Id Proof has been seen and verfied (Signature of Dealer/Employee) , as on 16/11/2024 01:21 PM
Lat/Long 20.4483749 86.6923352
Address Proof -
Prospect Number - 3051CD0624661 Address Proof Number - 6406
AADHAAR
Original of Address Proof has been seen and verfied (Signature of Dealer/Employee) , as on 16/11/2024 01:21 PM
Lat/Long 20.4483749 86.6923352
