Kindly submit the below form to initiate the request for mandate cancellation. You shall receive confirmation message once your request is processed. Name Loan Account Number * Customer Full Name * Registered Mobile Number * Comments * Consent This is to inform that the declaration has been carefully read, understood & made by me. I am authorizing the corporate to debit my account, based on the instructions as agreed and signed by me. I have understood that I am authorized to cancel this mandate by appropriately communicating the cancellation request to the corporate where I have authorized debit.