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Pps Form Format

The document is a positive pay confirmation from an account holder to their bank branch. It lists cheque details including cheque number, amount, payee, date, and transaction code for cheques the account holder has issued on their account. It confirms the account holder understands the bank may reject cheques that do not match the provided details. It also confirms the account holder will maintain sufficient balance to cover the cheques. The document includes fields for the account holder's signature, name, and mobile number for verification purposes.

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Bansuri Wallah
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6K views

Pps Form Format

The document is a positive pay confirmation from an account holder to their bank branch. It lists cheque details including cheque number, amount, payee, date, and transaction code for cheques the account holder has issued on their account. It confirms the account holder understands the bank may reject cheques that do not match the provided details. It also confirms the account holder will maintain sufficient balance to cover the cheques. The document includes fields for the account holder's signature, name, and mobile number for verification purposes.

Uploaded by

Bansuri Wallah
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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The Branch Manager,

NKGSB CO-OP. Bank Ltd. Date:____________


Branch: ________________ Time:___________

Re : Positive Pay intimation for cheques presented in CTS Clearing.

I_______________________________________________________(Name of the account holder) having an


account________________________(A/C No.) in your branch_____________________ (Branch Name).

I hereby confirm that I have issued following cheque/s in the above mentioned account as per details given
below.

Sr. Cheque No. Amount Payee Name Cheque Transaction


No. Date Code *

(*) 2 Digits Transaction code is available on the right side of the MICR Band of the cheque.

I understand that the bank may reject any/all of the cheque/s at the time of presentment in clearing /payment
on counter due to any mismatch in the particulars of the cheque/s with the provided inputs as above .I also
confirm to maintain sufficient balance in the account to honour above cheque/s.

__________________________________________________(Seal/Signature must tally with Bank record)

_________________________________________________________(Name of the signature /signatories)

_________________________________________________________(Registered Mobile No)

Note –All authorized Signatories as per operational instruction in the account can provide this intimation.
Original signed forms will only be accepted during the banking hours of the branch.

For Office use only


Intimation entered at Date & Time Emp. Code of staff making entry

(Intimations entered up to 05.00 pm only will be processed for the next clearing session. Afterward all the
intimations will be processed for subsequent clearing session)
------------------------------------------------------Cut here -------------------------------------------------
Acknowledgement for Customer
Received intimation under ‘Positive Pay System’ for following cheques:
Sr. Cheque No. Amount Payee Name Cheque Transaction
No. Date Code *

Bank Official Stamp & Sign.: Date : ___________ Time :_________

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