Standing Order Form


Full Name : Address :
To The Manager :
Your Bank Name : Your Bank Address :
Bank Account No. : Your Bank Sort Code :
Standing Order Instruction
Please Pay
Payee Bank Name : Central Bank of India, Kamla Nagar Branch, Agra, Utter Pradesh, India. IFSC Code : CBIN0281419
Payee Account Name : Darul Uloom Agra Payee Sort Code :
Payee Account No. : 1234171972
Payment Amount : Frequency :
Date of First Payment : Reference :
Print Your Full Name : Signature :
This form should be completed and forwarded to your own Bank.