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1. Authorizer Details: Complete information of the person/entity giving authorization, including name, address, and contact details
2. Bank/Institution Details: Details of the collecting bank/financial institution being authorized
3. Account Information: Specific account details from which collections are to be made
4. Authorization Scope: Clear description of what is being authorized (e.g., direct debits, recurring payments, one-time collections)
5. Collection Parameters: Specific details about the collection including maximum amount, frequency, and duration
6. Declaration: Statement confirming the accuracy of information and understanding of terms
7. Signature Block: Space for authorized signatures, witness details, and date
1. Secondary Account Holder Authorization: Required when the account is jointly held and requires multiple authorizations
2. Standing Instructions: Include when specific recurring payment instructions need to be detailed
3. Cancellation Terms: Optional section detailing the process for revoking the authorization
4. Digital Payment System Details: Required when authorization includes digital payment systems like UPI or NACH
5. Corporate Authorization: Required for corporate accounts, including board resolution references
1. Schedule A - Payment Schedule: Detailed breakdown of payment dates, amounts, and frequencies if applicable
2. Appendix 1 - Supporting Documents: List of required supporting documents (ID proof, address proof, etc.)
3. Appendix 2 - Terms and Conditions: Detailed terms and conditions of the authorization
4. Appendix 3 - Bank Mandate Form: Standard bank mandate form as required by the collecting institution
Account Holder
Authorized Amount
Bank
Business Day
Collection Date
Collection Period
Collecting Institution
Due Date
Electronic Clearing System (ECS)
Financial Institution
Mandate
NACH (National Automated Clearing House)
Payment Instruction
Standing Instruction
UPI (Unified Payments Interface)
Valid Business Day
Working Hours
Maximum Amount
Authorized Signatory
Cancellation Notice
Collection Frequency
Effective Date
Payment Terms
Account Access
Collection Parameters
Mandate Duration
Cancellation Rights
Representations and Warranties
Amendment
Force Majeure
Dispute Resolution
Governing Law
Privacy and Data Protection
Notices
Electronic Authorization
Liability
Indemnification
Default
Bank Charges
Service Level
Regulatory Compliance
Banking
Financial Services
Insurance
Utilities
Telecommunications
Education
Healthcare
Real Estate
Retail
Professional Services
Non-Profit Organizations
Legal
Finance
Compliance
Operations
Treasury
Risk Management
Customer Service
Collections
Account Management
Documentation
Bank Manager
Financial Controller
Accounts Receivable Manager
Credit Controller
Compliance Officer
Legal Counsel
Treasury Manager
Collections Specialist
Relationship Manager
Operations Manager
Risk Management Officer
Customer Service Manager
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