This document is an NACH mandate form authorizing Camden Town Technologies Pvt Ltd to debit amounts from a bank account for loan repayments. It contains instructions for filling out the form including providing sponsor bank code, utility code, bank account number, debit type and frequency, period, authorization details, and signature. The customer agrees to the debit of processing charges and providing contact details like phone number and email. It mentions that the maximum amount on the form allows prepayment of the loan and actual debits will be as per the EMI plan. The customer is instructed to take a print, sign in the given area, and upload a high quality scanned image of the signed form.

1. CREATE
UMRN
Sponsor Bank Code Utility Code
Bank a/c Number:
FREQUENCY
PERIOD
I/We, hereby authorize
Date
To debit (tick )
Tick ( )
MODIFY
CANCEL
SB / CA /CC SB-NRE /SB-NRO /Other
With Bank IFSC or MICR
An amount of Rupees
Mthly Qtly H-Yrly Yrly As & when presented DEBIT TYPE Fixed Amount Maximum Amount
Until cancelled
From
To
Or
.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 instruction 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.
Unique ID
Reference 2
Phone No.
Email ID
1. 2. 3.
I Agree for the debit of mandate processing charges by the bank whom I am authorizing to debit my accounts as per latest schedule of charges of the bank.
Please follow the instructions above.
Sign, click and upload the photo on app.zestmoney.in
Make sure to fit the below form completely inside the photo.
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Amount on the form is the maximum amount allowed to debit (helps us to preclose the loan in case you
wish to), however the actual amount debited would always be as per your EMI Plan.
ZestMoney is registered under the company ”Camden Town Technologies Pvt Ltd”
How to sign your NACH mandate
What is an NACH mandate ?
This is a one time instruction from you to
your bank allowing ZestMoney to auto
deduct EMI amount every month on the due
date.
Instructions
1. Take a print of the complete page
2. Sign in the area above your name and
sign only once
3. Make sure to match the signature
with your bank records
4. Scan or upload a high quality image of
the form below
3 1 0 1 2 0 1 9
Camden Town Technologies Pvt Ltd
1 1 4 8 0 1 5 5 6 9 4
ICICI Bank I C I C 0 0 0 1 6 5 1
thirty thousand rupees 30000.0
320598898 919756698018
guglanirahul45@gmail.com
3 1 0 1 2 0 1 9
RAHUL GUGLANI