CCMS APPLICATION For Bank's use Customer Code : ________________________________________ Limit Sanctioned by : ________________________________________ Sanction Ref No. : ________________________________________ Dated : ________________________________________ CCMS Exposure limit : ________________________________________ Agreement No. : ________________________________________ Dated : ________________________________________ Review Date : ________________________________________ Renewal Date : ________________________________________ Partial recoveries of returned amount allowed ? : Yes No Withhold credit till dues are recovered ? : Yes No   Customer Name : ________________________________________ Address : ________________________________________ Product : LCC UCC Limit Required : ________________________________________ Service Commencement Date : ________________________________________ Service Expiry Date : ________________________________________   For UCC i) Day-One Definition (BASE Day) D- Date of Deposit __________________________________ I - Instrument date __________________________________ S- Despatch date __________________________________ ii) Proceeds to be created a) i) Date of Deposit : ______ days from the day-one (BASE Day) ii) Instrument date : ______ days from the day-one (BASE Day) b) Holiday I- TO BE INCLUDED   E- TO BE EXCLUDED   For LCC i) Day-One Definition (BASE Day) D- Date of Deposit __________________________________ P- Date of Presentation in Clearing __________________________________ C- Date of Credit @ Clearing House __________________________________ I - Instrument date __________________________________ S- Despatch date __________________________________ ii) Proceeds to be created a) Proceeds to be credited on ____ day from Base day. b) Holidays I- TO BE INCLUDED   E- TO BE EXCLUDED

Restricted to RBI Clearing : Yes No Restricted to Inter Bank Clearing : Yes No Restricted to High Value clearing : Yes No   For Upcountry collections Pick up of Cheques by Bank : Yes No Forwarding(Covering) Schedule preparation by Customer : Yes No Despatch by Customer : Yes No Separate Forwarding(Covering) Schedule : Yes No Interest to be charged if realisation is delayed beyond : __________ days Interest to be charged if Returns is delayed beyond (if the Drawee centre is outside the network) : __________ days Reversal(Re-presentation) to collection required : Yes No Reversal(Re-presentation to collection after no. of days from Day-one(BASE day) : __________ days   LOCATION REQUIRED (Pick up Location for UCC) Sl.No Location       LOCATION WISE ARRANGEMENTS - UCC/LCC Sl.No Location Arrangement (days)

POOLING (CREDITING) INSTRUCTIONS Sl.No Pooling A/c No. & Type Bank / Branch Mode of Pooling A/c trf/PO/DD Pooling % Pooling Slab Min Amount                 LOCATION WISE POOLING Sl.No Collection Location Use Pooling Serial No           CUSTOMER MIS INFORMATION DETAILS REQUIRED Required on Request Mandatory Required at Deposit Slip/instrument level (D/I) Customer Division * Yes No   Yes No ____ Customer Hierarchy ** Yes No   Yes No D Instrument Details Yes No Yes No NA Drawer Required Yes No Yes No I Additional Info Yes No Yes No NA Sub Customer Yes No Yes No ____

ADDITIONAL INFORMATION REQUIRED Sl.No Deposit Slip / Instrument Level (D/I) Information Legend (particulars required) Size of Info (No. of Characters) Type of Info T-Text; I-Integer; D-Date; A-Amount Mandatory               CUSTOMER REPORT Nil Report required : Yes No Report Mode : Fax E-Mail Floppy   RETURNED INSTRUMENTS Treament of Physical Returned Instruments : Send to Customer Send to specified Hierarchy* of Customer (* RO/DO etc ) Send/Return to Depositor Others _____________________________ Return cheques to Address(Hierarchy) : _______________________________________ Return cheque to Others(Address) : _______________________________________ Recover Returned Amount from : Out of Collections Out of Collections from Division Level Out of Collections from Hierarchy Level (RO/DO etc.) Out of Pooling to Location Separate Payment by Customer by cheque/PO/DD

RETURNED INSTRUMENTS (continued) Send Return Information to : Customer Division of Customer Hierarchy of Customer (RO/DO etc.) Depositor Others _____________________________ Send Return Information to (Address) :   Recover, Return Reason Specific charges : Yes No   Customer Signature Designation : Date :   i) Separate division of the business group ii) Branch Office/Divisional Office/Regional Office etc. *****************************************