CANARA BANK – RTGS REQUEST FORM Date: _____________ Branch: _____________
Mobile No.: _____________________________
Purpose of Transfer: ____________________
Remitter Name: _________________________ Remitter A/c No.: _______________________
Amount (in figures): ₹ __________________ Amount (in words): Rupees ________________

CANARA BANK – RTGS REQUEST FORM Date: _____________ Branch: _____________
Mobile No.: _____________________________
Purpose of Transfer: ____________________
Remitter Name: _________________________ Remitter A/c No.: _______________________
Amount (in figures): ₹ __________________ Amount (in words): Rupees ________________