HYDERABAD METROPOLITAN WATER SUPPLY & SEWERAGE BOARD (HMWSSB) Bank Account Electronic Clearing Service (ECS)-Application Form. MANDATE FORM Consumer's option to make payment for water for Water & Sewerage cess through RBI ECS debit clearing Customer Details 4. Email : ............................................... 5. Particulars of Bank Account (Hyderabad 5.1 Bank Name ................................................ 5.2 Branch Name ................................................ 5.3 Nine digit MICR code number for number of the bank & branch appearing on the MICR cheque issued by the bank (Please 5.5 Account Number (as appearing on the cheque book) Please Note : AS RBI confirmation is required . All cheque/banks should be of Hyderabad local clearing. Account type codes: . Saving A/c:10 . Current A/c :11 . Cash Credit A/c :13 6. Effective date EC Date ............................................... I/We have read the instructions and hereby express my/our consent to debit payment of the monthly dues of the mentioned water & sewerage cess account number to my/our account through participation in the ECS of the National Clearing Cell of the Reserve Bank of India. I/We hereby unconditionally and irrevocably authorized H.M.W.S.&S Board to raise debit on such regular payments as referred to above against the above mentioned Bank Account through its authorization service Provider M/s Tech Process Solutions Limited. I/We hereby undertake that the aforesaid instruction shall not be revoked/ withdraw / cancelled except with the written intimation to HMWSSB for the payment of monthly water cess dues of the above mentioned Customer Account Number. II/We hereby declare that particulars given above are true, correct and completed. If any transaction is delayed or not effected at all for the reasons of incomplete or incorrect information, I/We shall not hold HMWSSB responsible for any loss / damage / inconvenience arising out of the same. So, fill the form and send it to us, at the earliest . We will acknowledge your instructions and activate the ECS payment with 4 weeks of receipt (............) Name in block letter ( .......................... ) Signature of A/C Holder Date :.......... ( ............ ) Signature of the Authorized / Official Certified that the particular of the bank account furnished are correct as per our records. from your bank Please ensure the bank signature before sending us the form Bank's Stamp: ...................... Designation Date : ..................(important) :................ Once enrolled in the ECS facility: You won't have to make the effort of issuing cheques every month. You won't have to worry about payments being lost or delayed in transit. Your payment will never be late. So, no late payment charges. Your payment will automatically be made even when you're out of the city /country. You get this service at no extra cost. For on Line payment please visit us at www.hyderabadwater.gov.in
