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7. DECLARATION UDC_FORMAT

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Kiran Mishra
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96 views

7. DECLARATION UDC_FORMAT

Uploaded by

Kiran Mishra
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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SELF-DECLARATION BY DRAWER FOR CHEQUE PROCESSING / STOP PAYMENT REQUEST

I, Mr/Ms. , S/O____________aged___, residing at [●] and holding a PAN


Card Number [●] linked to my Savings Bank account number: - in __________
BANK LIMITED at __________________ (Branch address) do hereby undertake and
declare the following:

That, I have issued high value undated cheques (UDC) as specifically mentioned hereunder
as Annexure- I as security and I am duly authorised to issue such cheques for and on behalf
of _____ (name of the entity) as the ______ (designation of the drawer) vide board
resolution dated ____. The correct specimen of the signature as per the bank record for the
account from which the said UDCs are issued is as below:

SIGNATURE of Account holder

I hereby affirm that any requests via any channel including electronic channels such as SMS,
Mobile app, internet banking, ATM, etc. to stop payments/processing of these high value
cheque as mentioned in Annexure- I will not be raised for the cheque numbers. I do hereby
inform, request and irrevocably instruct ______ Bank Limited not to accept any such cheque
stop request without prior written intimation and specific written approval of Electrifi
Mobility Pvt Ltd.

Mr/Ms.______________________________________ (Name of the Drawer)

Signature________________________________________ (Signature and seal)

Date ________________________________________
Annexure- I
Sl No. Cheque No. Issued by In favour of Amount of
cheque (In INR)
TO WHOMESOEVER IT MAY CONCERN

This is to Certify that Mr./Ms./M/s is maintaining Savings/Current Bank


account Number: - with us in the name of

We confirm the Signature of Mr. as appended below is as per our Bank


records and the mode of operation of this account is ___________.
We confirm that Bank will not accept Cheque stop request of the cheques mentioned in
Annexure-I without prior intimation and approval of Electrifi Mobility Pvt Ltd.

SIGNATURE of Account holder

This letter has been issued upon specific request received from the customer without any risk
or responsibility on part of the Bank or any of its signing authorities.

_______ BANK LIMITED

______________________ (Seal and Signature)

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