← Back SI request letter (blank) हिं EN
Tip: in the print window choose "Save as PDF" to create a PDF file. Keep the paper size A4.
Request letter for monthly deduction by S.I. (Standing Instruction) for Shiksha Kosh
To,
The Branch Manager,
Bank & branch name:  
District:  
Subject:— Monthly deduction from my bank account number   .
Sir/Madam,

With reference to the above subject, I hold a bank account in your bank, the details of which are given below. I hereby authorise a monthly S.I. (Standing Instruction deduction) of   rupees from the said account until further notice.

Details of my bank account —
  1. Bank account number —  
  2. Bank branch name & IFSC code —  
  3. Monthly deduction amount —   rupees per month
  4. Deduction date — every month on the  
I authorise the said amount to be credited to the following bank account —
  1. Bank account number — 41890539701
  2. Account holder — JAT CHARITABLE SEVA SANSTHAN BARMER
  3. Bank branch name & IFSC code — State Bank of India / SBIN0006095
  4. Monthly deduction amount —   rupees per month
Date:  
Yours faithfully,
(Signature)
Name:  
Designation:  
Address:  
Mobile no.:  
📌 Instructions for the member (this part will not be printed): Sign this request letter and submit it at your bank branch in person, by post or by email.
Shiksha Kosh — Jat Samaj Barmer-Balotra