ECS Mandate Form
ECS-I
Electronic Clearing Service (ECS) for Credit Clearing Mandate Form
(Account holder’s option to receive payment through Credit Clearing Mechanism)
1. Name of Account Holder(s) :-
Type of Account
SL.No. (MIS/SCSS/TD/ Account Number
RD)
01
02
03
2. Account Number
(MIS/TD/SCSS/RD etc) : -
3. Particulars of Bank Account in which
interest amount to be credited:
Name of the Bank :-
Name of the branch : -
Bank Account Number(Savings):-
9-DigitMICR Code :-
Note:-Please attach a blank cancelled cheque or self attested photocopy of front page of
your savings account passbook issued by your bank for verification of the above
particulars.
4. Mobile Number:-
5. Date of Effect:-
i) I hereby declare that the particulars given above are correct and complete. If the
transaction is delayed or not effected at all for reasons of incomplete or incorrect
information, I would not hold the PostOffice or Bank responsible. I have read the conditions
prescribed under Appendix I of POSB (CBS) Manual for ECS facility.
ii) In case of ECS returns due to any reason, I will take payment of ECS return amount
from the concerned Post Office.
Date :-
(……(………………………………….
Certified that the particular furnished above are correct as per our records.
Signature of the Account
holder(s)
……………………….
Signature of the APM/SPM/PM with
stamp
Date Stamp