Tick

CREATE

MODIFY

CANCEL

UMRN

Date

Sponser Bank Code

RATN0TREASU

UTILITY CODE

NACH00000000019187

I/We hereby authorize

PRIDE FINANCIAL SERVICES PRIVATE LIMITED

to debit

SB✅/CA/CC/SB NRE/SB-NRO/Other

account_number)); ?>

Bank a/c number

{!! $account_number[$i] or ' ' !!}

with Bank

{!! $user['bank_details']->bank_name !!}

ifsc_code); ?>

IFSC	{!! $ifsc[$i] or ' ' !!}

or MICR

an amount of rupees

{!! \App\Http\Controllers\Admin\ConsumerDocument::convertAmountToWords($user['consumer_emi']->emi) !!}

₹	{!! money_format('%!i',$user['consumer_emi']->emi) !!} /-

FREQUENCY

Mthly

Qtly

H-Yrly

As & when presented

DEBIT TYPE

Fixed Amount

Maximum Amount

Reference 1

Phone No.

Reference 2

Email ID

I agree for the debit of mandate processing charges by the bank whom I am authorizing account as per latest schedule of charges of the bank

PERIOD

emi_date)); $emi_month = date('m',strtotime($user['consumer_emi']->emi_date)); $emi_year = date('Y',strtotime($user['consumer_emi']->emi_date)); $emi_day = array_map('intval', str_split($emi_day)); $emi_month = array_map('intval', str_split($emi_month)); $emi_year = array_map('intval', str_split($emi_year)); ?>

From

{!!$emi_day[0] !!}

{!! $emi_day[1] !!}

{!!$emi_month[0] !!}

{!! $emi_month[1] !!}

{!!$emi_year[0] !!}

{!! $emi_year[1] !!}

{!! $emi_year[2] !!}

{!! $emi_year[3] !!}

Or Until Cancelled

Signature	__________________	__________________	__________________
Customer Name	1. {{$user['bank_details']->name}}	2. __________________	3. __________________

. This 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, based on the instructions as agreed and signed by me. . 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.