INDIAN OVERSEAS BANK APPLICATION FORM FOR NATIONAL ELECTRONIC FUNDS
TRANSFER

Branch Name & Code

Cash Remittance permissible upto Rs.50,000/- only
Quote PAN for amount of Rs.50,000/-
Where Applicable
To be filled by the Applicant in BLOCK LETTERS
PAN
Please remit through NEFT a sum of Rs._____________ Rs.(in words)___________________________________ only
against Cash Cheque Debit to my/our account with you/your_________________________________ Branch.
DETAILS OF APPLICANT(REMITTER) DETAILS OF BENEFICIARY
Amount to be Remitted Rs.
Charges/Commission Rs.
Services Tax Rs.
Total Amount to be debited Rs.
Type of Account SB CA CC
Account No.(15 digit)____________________________
Cheque Number_________________________________
Cheque Date _________________________________
Remitter’s Name ________________________________
Address :
Mobile No.___________________________
(or) E-Mail ID :
Centre :
Bank :
Branch :
IFSC :
Beneficiary’s Name :
Address :
Type of A/C : SB CD CC LOANS CREDIT
CARD
Account No.
Telephone/Mobile No.
Sender to Receiver Message (Brief):
I/We agree and abide by the Rules, that under the normal circumstances, the Beneficiary account would be credited by
Destination Bank/Branch on the same day at the Destination Centre subject to Terms & Conditions mentioned below &
NEFT Rules/Regulations enumerated by RBI.
Date : (Applicant’s Signature)
FOR BANK’S USE ONLY
Transactions entered as per details of Beneficiary as given
above.
UTR No.
Txn No.
IFSC Code:
Time :
_________________________________
Authorised Official (Maker)
Applicant’s Signature Verified. Transaction Authorized &
Funds Remitted through RTGS as per the details of
Beneficiary given above.
___________________ __________ ________
Authorized Official Date Time
TERMS & CONDITIONS FOR ACCEPTING THE REQUEST FOR FUNDS TRANSFER(FT)THROUGH NEFT
Funds Transfer shall be effected only when the Destination Bank/Branch is participating in NEFT.
Sufficient clear funds in the remitter’s account must be available.
The NEFT Customer/Applicant should verify the statement of account and confirm the correctness of remittance
made. In case of any discrepancy the customer/Applicant should intimate the bank immediately.
In Case of holidays at the destination branch the credit will be afforded on next working day.
Once the Account is debited and funds are remitted/NEFT transfer effected, the remitter cannot revoke the given
mandate.
The Remitting Branch/Bank shall not be liable for delay/non-payments to the beneficiary if :-
a) Incorrect and insufficient details of beneficiary are provided by the Applicant/Remitter.
b) Dislocation of work due to the circumstances beyond the control of Remitting/Destination Banks like non functioning of Computer system, disruption of work due to natural calamities, strike,riot declared/undeclared holidays, etc. or internal problems or other causes beyond the control of the Branch/Bank resulting in disruption of communication.
c) All payment instructions should be checked carefully by the remitter. Bank shall not be liable for crediting remittance amount to wrong beneficiary on account of incorrect information furnished by the customer in the application form.

INDIAN OVERSEAS BANK ______________________________ Branch CUSTOMER’S RECORD SLIP
Received from _________________________________________ by Cash/ Cheque (No.____________)/ debit
authority SB/CA/CC Account No_______________________________ for Rs.________________Rs.(in
words)_____________
_____________________ only on Date___________ at Time__________Hours for Fund Transfer under NEFT as
detailed below:
Remittance Amount Beneficiary Name
Commission IFSC
Service Tax Bank
Type of Account Branch & City
Account Number
Authorised Signatory : ______________________________
Bank’s Seal