UMRN Date 1 6 0 6 2 0 2 5
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 5 3 5 2 8 4 6 4 3 1
with Bank STATE BANK OF INDIA IFSC/MICR SB I N 0 0 1 2 3 5 4
an amount of Rupees SIX THOUSAND TWO HUNDRED AND FIFTY ONLY 6250 /-
DEBIT TYPE Fixed Amount Maximum Amount FREQUENCY Monthly Quarterly Half Yearly Yearly As & when presented
Customer ID 0043079596 Prospect No. 3208CD1003161
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. [Link] 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 5
To 0 3 0 6 2 0 5 5
Or Until Cancelled
Signature Primary Account Holder Signature Account Holder Signature Account Holder
Phone No. 6297149047
1. BELI KHATUN 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. [Link] 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. [Link] 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 3208CD1003161
Snapshot of KYC Details
Prospect Number 3208CD1003161
Customer Name Beli Khatun
Employee/Dealership Name PARUL ENTERPRISE
Employee Code/Dealership Code CD15530
OSV Esign DateTime 16-06-2025 02:15 PM
Id Proof - AADHAAR Prospect Number - 3208CD1003161 Id Proof Number - 3208
Original of Id Proof has been seen and verfied (Signature of Dealer/Employee) , as on 16/06/2025 02:30 PM
Lat/Long 24.2573897 88.5506026
Address Proof - Prospect Number - 3208CD1003161 Address Proof Number -
Officially Valid document (OVD) collected through E-KYC with Reference ID 3208CD1003161 dated 16/06/2025 and no physical OVD
collected
