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DEMAND DRAFT / MANAGER’S CHEQUEAPPLICATION FORM
(Application Form to accompany with cheque)
Date :
Please Issue :
Demand Draft payable at
Manager's Cheque
Customer Name Signature
For Bank Use Only
Processed By:
Charges RecoveredRs.:
DD/MC No.:
Authorised By:
Ref. No.:
Day end Checked By:
In favour of
For Amount : Rs. (In figures)
In Words Rs.
Enclosed is Cheque No. drawn
on my/ our account for Rs.
Branch :
favouring HDFC Bank Ltd towards the above DD/BC
issuance. I/We further authorise you to debit my/our said
account for the service charges, as applicable. I/ We
acknowledge that, in case I/We have issued single
cheque/instruction for debit to my/our account for issuing
more than one demand draft/pay order then the same will
effect as multiple debit entries in my/our account.
Ban
kSe
al
For
HD
FC B
ank
Cus
tom
ers
Cop
y :
(To
be p
rodu
ced
by c
usto
mer
whi
le c
olle
ctin
g D
D/M
C fr
om B
ank)
DD
/ M
C f
or R
s.
Dra
wn
On
Cus
tom
er N
ame
:
C
hequ
e N
o.
Cus
tom
er A
ccou
nt N
o
Dat
e :
Please deliver the D
emand D
raft / Manager's C
heque to
the bearer Mr. / M
s.w
hose signature is appended below.
I acknowledge receipt of the D
D/ M
Cas requested overleaf
Bearer's S
ignatureS
ignature of Account
Holder(s)
Signature of R
ecipient
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