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ICICI
Bank - Standing Instruction Mandate Form
(To be submitted to your branch with a copy of the allotment letter)
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| a) Name of the Customer |
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| b) Account Number |
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| c) Branch Name |
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| d) Scheme Number |
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| e) Form Number |
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| f) Allotment Number |
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| g) Type of payment Option |
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| h) Dates of make future payments
(Mention all the dates) |
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| i) Amounts for these payments |
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| i. Please set up a standing instruction to
debit my Savings account No.___________ at branch ___________ on the __________ day of
every month/quarter starting from date _______ and ending on __________ making a
total of ___________ installments, in lieu of payment of installment to Greater
Noida for purchase of land as per allotment number ______ and Scheme Number ________
credit the account of Greater Noida 3101005338 at ICICI Bank, Noida branch. |
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(Signature of all the account holders)
Date |
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| Terms and Conditions: |
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- I/We agree and accept the services provided by ICICI Bank Limited
("the bank) at my/our request to carry out my installment payments through
Infinity/Standing instructions on my/our account, given by me/us from time to time.
- I/We agree to provide my/our correct identification details as
registered with the Greater Noida. I/We agree to indemnify the Bank from any liability due
to incorrect information in this regard. I/We also agree to communicate any change in
identification details as registered with the Greater Noida to the Bank within the time
specified by the Bank.
- I/We have no objection whatsoever, to the Greater Noida providing
my/our installment details to the Bank.
- While the Bank will take all reasonable steps to ensure the accuracy
of the installment details, the Bank is not liable for any error and we shall not make
claim of any nature against the Bank for the same. I/We shall not hold the bank
responsible for any loss, damages, etc. that may be incurred/suffered by me/us if the
information contained turns out to be inaccurate/incorrect.
- I/We agree that any disputes on installment details will be
settled directly with the Greater Noida and the Banks responsibility is limited to
provision of information only.
- I/We agree that we will make installment amount payments as required
by the Greater Noida. I/We will not hold the Bank responsible for the Greater Noida
rejecting the installment amount because of incorrect or incomplete entries.
- I/We agree that the records of the instructions given and
transactions with the Bank shall be conclusive proof and binding for all purposes
and can be used as evidence in any proceeding.
- I/We agree that charges, if any, for the Installment Payment services
will be at the sole discretion of the Bank is at liberty to vary the same from time to
time, without giving any notice.
- I/We agree that the Bank is at liberty to withdraw at any time the
installment payment facility, or any services provided thereunder, in respect of any or
all the account(s) without assigning any reason whatsoever, without giving me/us any
notice.
- I/We agree that a failure to make installment payment on time would
incur penal charges as per the schedule of Greater Noida Authority terms and conditions.
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