CUSTOMER DETAILS: D D M M Y Y Y Y

**On boarding ID generated from IDP (N A fo r C B)

*Account Name as per Bank records

*Account No. for Credit/Debit Fund
*Account No. for debit charges
*Cust ID
*Contact Name
*Registered Mobile number
*Registered email ID
*Tech person Name (authorize d to give tech details) & contact no.
*Tech person email ID
* GSTIN
*Address
* PAN Number
*Email id for UPI Collection Merchant Dashboard access

Integration/Product Required: (Select API)

Collection Payment Others
eCollection API-Without validation (MIS) CIB Multimode Payment & Recon APIs Balance Check
eCollection API with validation(Message hold) CIB Bulk API Bank statement
UPI collection Composite Pay(CIB+IMPS+UPI +Penny Drop) OTP creation and validation
Dynamic VPA H2H IPAY payme nt / SFTP IPAY payment
eNACH Connected Banking
H2H eCollection / SFTP Collection
eSIGN
NACH
UPI 2.0

*Please select if TSP support is required (Rs. 15,000 in addition to setup Fee to be recovered)
Support Needed:  Yes  No
* Integration charges (Applicable for testing and TSP support valid for 60 days from the date of application form)
Set up /Product Availed Set Up/ Transact ion Charges
Implementat ion
E-Collect API Rs. NEFT - Rs. IMPS - Rs.
RTGS - Rs. UPI - Rs
FT - Rs.

UPI Collect API UPI collection via collect and QR Rs. B2C - Nil
B2B - Rs.0<=Rs.2,000 Rs.
>Rs.2,000 Rs.
CIB API Rs. NEFT - Rs. IMPS - Rs.0<=Rs.1,000 Rs.
RTGS - Rs. >Rs.1,000<=Rs.25,000 Rs.
FT - Rs. >Rs.25,000
Rs.
Composite API Modes Beneficiary Rs. NEFT - Rs.
(Ple ase note IMPS/UPI Validation RTGS - Rs.
payment via Composite UPI Payment IMPS - Rs.0<=Rs.1,000 Rs.
API is by design a STP with beneficiary >Rs.1,000<=Rs.25,000 Rs.
IMPS
i.e transaction will be validat ion >Rs.25,000 Rs.
honored without any NEFT/RTGS
checker auth /OTP/Grid Payment UPI - Rs.0<=Rs.1,000 Rs.
card) Limits without >Rs.1,000<=Rs.25,000 Rs.
UPI : beneficiary >Rs.25,000 Rs.
IMPS : validat ion
NEFT :
RTGS :

H2H/SFTP Rs. As per SOC (IPAY/Ecollection)

Connected Banking Aggre gator Name: Rs. As per SOC

*Please write NA where not applicable. In case of zero/no charges mention NIL
For NACH / ENAC H / eSIGN
Product Setup/ Implementation charges Mandate charges (Per mandate) Transaction charges (per transaction)

NACH

ENACH

eSIGN
As per NPCI Circular NPCI/2020-21/NACH/Circular No. 006, NPCI will levy AMC on Mandates stored in NPCI database. Charges levied by NPCI will be passed on to
Corporate on actual basis.
Fee (per mandate
Sl. No. Dormant period
a) Mandates which are unused in the past 6 months, i.e. registered during per annum)
the financial year & no transaction done in the next 6 months will attract 1 First year Re. 1/-
maintenance fees as per the defined schedule of charge for Dormant 2 Second year & third ye ar Rs. 2/-
Mandates.
3 Fourth & fifth year Rs. 3/-
b) Active mandates will be levied maintenance fee of @ Rs. 0.50 per
mandate per annum. 4 Sixth year onwards Rs. 5/-

UPI 2. 0 recurring m andate below is the applicable Mandate & Transaction charges

Quarterly Maintenance
Mandate Per Transaction Quarterly Maintenance MCCs Amount Slab
Charges/Mandate (Rs.)
Registration Mandate Value (Rs.) Charges/Mandate (Rs.)
MCCs: Recharges &
0 – 250 0 – 250 Above 250
Utility Bills: 4900,
Above 250 251 - 1,000 4814, 4899, 4784
*Annual Frequency Above 1,000
Loan RePay & MFs:
Above 250
7322, 6211, 6012

Please attach the technical Requisition document as per applicable product

H2H *Static Local IP
*Public IP for SFTP
CIB API *UAT Static IP (Please provide comprehensive list of
Composite API Ips that will be used for integration)
E Collect ion *Production Static IP (Please provide comprehensive
UPI Collect ion list of IPs required for live integration)
*UAT Callback URL (SSL Compliant https://)
*Production Callback URL (SSL Compliant https://)
CA Signed SSL Certificate with 4096 bit public key
*N ote SSL C er tificate to be issued on client name and public key to be 4096 bits
DECLARATION:
I / We(collectively herein referred to as “I”) hereby agree, declare and understand that :
➢ ICICI Bank can update it’s record placing reliance on all the particulars and information given in the Application by me including but not limited to GSTIN / UIN / SEZ number and the billing address
as they are true, correct, up-to-date and no information has been withheld.
➢ I have read, understood and hereby agree to the terms and conditions governing the "Cash Management Services", ”UPI”, ”IMPS” & “AEPS” “API Service” together with Terms and C onditions
pertaining to “Current Account” and “Corporate Internet Banking” as displayed on www.icicibank.com and agree to abide by the same. I understand that the said terms are subject to revision
from time to time and I agree to keep myself updated about such revision.
➢ I agree, undertake and authorize ICICI Bank / its group companies to exchange, share or part with all the information, data o r documents relating to my application to other ICICI group companies
/ banks / financial institutions / credit bureaus / agencies / statutory bodies / such other persons as ICICI Bank / its group companies may deem necessary or appropriate as may be requi red for
use or processing of the said information / data by such person(s) / or furnishing of the processed information / data / products thereof to other Banks / Financial Institutions / credit providers /
users registered with such persons and shall not hold ICICI Bank Ltd. / its Group companies liable for use of this informatio n.
➢ I hereby consent to receive and authorize the Bank and its affiliates/ group companies to reach me/send any communication in relation to various products, offers and services provided by ICICI
Bank /its group companies, through registered e-mail, phone, SMS.
➢ I am aware of charges applicable for banking services and I further authorize ICICI Bank to debit my our account(s)towards any charges for the selected services.
➢ I am duly empowered to avail of this API Service or terminate the same and at no point of time shall I challenge/question ICICI Bank fo r provision of this API Service or for doing any transactions
thereunder on my request.
➢ I hereby undertake to indemnify and hold ICICI Bank harmless against any claims including third party claims, losses, damages, costs, charges, expenses or liabilities arising from non-compliance
or breach of the terms herein any non-compliance/breach of applicable laws.
COLLECTION COMPLIANCE ANNEXURE
The Aggregator hereby agrees/understands/confirms that:
➢ The Aggregator and any of the merchants on-boarded by the Aggregator (“Merchants”) for the use of the Collection Facilities (defined below) does not directly provide any services or has any
dealings with any entity which has the below mentioned business profiles/does not deal with the following services: spa, escort services, friendship club, adult entertainment industry, network
marketing, lottery, multi-level marketing, or money transfer business (like accepting money and transferring to other beneficiari es/deposit into banks etc.); cryptocurrency/virtual currency, virtual
asset dealings; chitfund/nidhi company; fantasy games (except those which are purely subscription based and do not offer rewards, prize money, winning or any other consideration in cash/kind
to the player); betting; dealing in marijuana; unregulated/unlicensed money service business or money & value transfer servic es like exchange houses, remittance agents, or individuals running
such business, unlicensed financial institutions, foreign e xchange services, unlicensed banking activity, loan apps not having relevant licenses; shell entities/firms, money mules,
incorporated/registered or national of any jurisdiction included in the Financial Action Task Force “Black List”.
➢ “Collection Facilities” refers to collection product (like eCollection, UPI collection API) that facilitates Aggregators to get the funds via Virtual Account Number (Identifier for payer or transaction)
from Merchant through inward NEFT/RTGS/IMPS/FT/UPI in their account.
➢ Payments pursuant to the Collection Facility shall be directly settled into the Merchant accounts only. The Aggregator shall be responsible for KYC of the Merchants as per applicable laws and in
accordance with the guidelines shared by ICICI Bank. The Aggregator shall on-board such Merchants and more and shall without any delay share the KYC details to ICICI Bank time to time, as
and when required by ICICI Bank.
➢ The Aggregator would be responsible to retain the digital/physical KYC documents, as prescribed by ICICI Bank from time to time, in the event the Aggregator does not have a duly approved
policy for conducting Merchant KYC, and as required under applicable laws. ICICI Bank would monitor the prescribed KYC process by auditing the Aggregators records on a periodic basis,
analyzing a sample of the Merchants documents at sole cost of the Aggregator. ICICI Bank shall have the right to inspect and/or audit all records of Aggregator that relate to arrangement
captured and transactions processed under pursuant to Collection Facility, at any time and for such purposes the Aggregator s hall fully cooperate and support ICICI bank with requisite
records/information requested during such audit/inspection.
➢ ICICI Bank shall share a prescribed list of documents as per its internal policies and practices to be collected by the Aggregator at the time of Merchant onboarding. The Aggregator shall adhere
to the same in strict compliance.
➢ The Aggregator clearly understands that before extending the Collection Facility to the Merchant the Aggregator shall provide the complete list of Merchants to Bank in prescribed format and
obtain the prior approval from ICICI Bank for each Merchant.
➢ The Aggregator shall ensure that in the event Merchant fails to fulfill any of the criteria mentioned herein and/or process prescribed by ICICI Bank herein, the Collection Facility shall not be made
available to such Merchant by the Aggregator.
➢ The Aggregator understands that the Aggregator/Merchant shall be on-boarded by ICICI Bank in for provision of the Collection Facility through e -collection validation mode only. In the event an
Aggregator/Merchant requires the e-collection Facility extended to it in non-validation mode, the Aggregator/Merchant may request for such mode however, granting such request shall be at the
sole discretion of ICICI Bank. The Aggregator shall ensure that settlement of the collection amount will be done in the account of respective Merchant only on whose account amount is collected.
I / We hereby confirm that I/we have thoroughly reviewed and understood all the terms and conditions provided in the form and in the ICICI T&C website ->
Corporate Banking -> Terms & Conditions for API Integrators (Link: https://www.icicibank.com/content/dam/icicibank/india/managed-assets/docs/pdf/terms-condition-v2.pdf)