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RTGS APPLICATION CUM VOUCHER

TO IFSC CODE
THE MANAGER

__________________________________BRANCH DATE

Dear Sir / Madam,


Please remit funds as per details given below and I/We authorise you to debit the amount along with your charges to my/our account with you.
We agree to abide by the terms and conditions given overleaf.
DETAILS OF THE APPLICANT DETAILS OF THE BENEFICIARY
NAME NAME

ACCOUNT TYPE CITY


ACCOUNT NUMBER BRANCH NAME AND ADDRESS

CUSTOMER ID:
IFSC CODE
TELEPHONE NO
ACCOUNT TYPE
AMOUNT OF REMITTANCE Rs.
ACCOUNT NUMBER
BANK CHARGES Rs.

TOTAL AMOUNT Rs. CUSTOMER ID


PAN NO

APPLICANTS SIGNATURE TELEPHONE / FAX NO

FOR OFFICE USE ONLY (REMITTING BRANCH) RTGS CENTRE


1. Applicants signature verified and amount debited to the account . Charges Transaction entered as per details of beneficiary given above
recovered. 2. All the operational guidelines relating to RTGS have been
observed without deviation. .
SIGNATURE OF MAKER CODE NO
TRANSACTION AUTHORISED REF NO
SIGNATURE OF MAKER CODE NO Remitted through RTGS as per details of beneficiary given above


SIGNATURE OF CHECKER CODE NO SIGNATURE OF CHECKER CODE NO
DATE TIME UTR SR NO
REASONS FOR REJECTION, IF ANY:


AUTORISED SIGNATORY

---------------------------------------------------------

ACKNOWLEDGEMENT( TO BE FILLED IN BY THE APPLICANT)


For funds transfer under R T G S as per details given below
RECEIVED FROM AMOUNT Rs.

ACCOUNT NUMBER BENEFICARYS NAME

BANK BRANCH CITY

IFSC CODE BENEFICARYS


ACCOUNT NO
DATE TIME FOR THE KARUR VYSYA BANK LTD

AM / P M
AUTORISED SIGNATORY
TERMS AND CONDITIONS OF RTGS REMITTANCE
1. Funds Transfer shall be effected only when the destination
Bank/ Branch is participating in RTGS. 9.The Karur Vysya Bank Limited shall not be liable for delay/
non-payments to the beneficiary if :
2. It is the responsibility of the RTGS Customer to ensure a. Incorrect and Insufficient details of beneficiary are provided
sufficient clear funds in their Account to carry out the by the applicant/ remitter.
payment instructions given by the RTGS Customer (including b. Dislocation of work due to the circumstances beyond the
service charges) control of Remitting/ Destination Banks like non-functioning of
computer system, disruption of work due to natural
3. Application Form must be received before the cut off time. calamities, strike, riot etc or Netware or internet problem or
If application is received after cut off time, then transfer of other causes beyond the control of the Branch/ Bank
funds shall be effected on the next working day. resulting in disruption of communication. It will be settled on
the next working day when RTGS is functioning properly.
4. It is the responsibility of The RTGS Customer to ensure the
correctness of the message; especially the IFSC code of the 10. The RTGS Customer hereby irrevocably authorises the
recipient branch & account number of the beneficiary. The Karur Vysya Bank Limited to debit his account with the
collecting bank as well as the receiving bank will get the valid prevailing service charges.
discharge if the amount is credited to correct account number
even if the name of the beneficiary account holder differs. 11. The provisions of this Agreement shall always be subject
The Karur Vysya Bank Limited shall not assume any liability to any rules, terms, conditions and administrative guidelines
arising out of incorrect message. issued by RBI that may be enforced from time to time in
respect of operations of RTGS account.
5. It is the responsibility of The RTGS Customer to ensure the
genuineness of the transactions conducted through RTGS & 12. The RTGS Customer hereby agrees and undertakes to
to ensure that no illegal transactions/money laundering indemnify and keep indemnified the Karur Vysya Bank
transactions are conducted through RTGS. Karur Vysya Bank Limited from time to time against all losses, damages, costs
Limited shall not assume any liability to anyone just because (including legal fees), penalties and consequences arising in
such transactions are routed through the Karur Vysya Bank pursuance of maintaining the said RTGS accounts or/ and by
Limited. virtue of the Karur Vysya Bank Limited acting for and on
behalf of The RTGS Customer in pursuance of this
6. Once the account is debited, the remitter cannot revoke agreement.
the given mandate. No Stop Payment instruction will be
entertained by the Bank after debiting the account. The Karur Vysya Bank Limited shall not be liable for delay/
non-payments to the beneficiary if
7. If there is a holiday at the centre where the recipient a) Incorrect and Insufficient details of beneficiary are provided
branch is situated then the credit will be passed on to the by the applicant/ remitter.
beneficiary on next working day b) .Dislocation of work due to the circumstances beyond the
control of Remitting/ Destination Banks like non-functioning of
8.In the event of any transaction, which cannot be settled for computer system, disruption of workdue to natural calamities,
the fault of The RTGS Customer, the Karur Vysya Bank strike, riot etc or Netware or internet problem or other causes
Limited will endeavour to advise the RTGS Customer of such beyond the control of the Branch/ Bank resulting in disruption
non-settlement on phone/ fax, but the Karur Vysya Bank of communication. It will be settled on the next working day
Limited is not bound to do so. It is expressly understood that when RTGS is functioning properly. This acknowledgement is
the Karur Vysya Bank Limited will not incur any liability to The subject to the Terms and Conditions agreed upon by the
RTGS Customer, or to any counterparty under such customer, while making request for RTGS and other Terms
circumstances. and conditions issued by RBI from time to time.

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