Application form for RTGS/NEFT

Date

To
IDBI Bank Ltd
KG Marg Branch

A/c Number
A/c Name

Please debit my above account against cheque no…….. …….. dated……………and remit
value of Rs. ___________ (Rupees _____ _______ Only) to the
below beneficiary’s account on ____/____/200__________

Beneficiary’s Details:

Name Bank Name Branch Account No. Account Beneficiary

of Name Type Bank’s IFSC
Beneficiary Code

Please find enclosed cheque no _______ dated _______ for Rs ________

* I agree to the terms and conditions set out in the IDBI Bank Ltd’s RTGS terms & conditions document and
will be bound by them.

Customers Signature