NACH Mandate Cancellation Request Form

Dear customer please fillup the following form for NACH mandate cancellation request

NACH Mandate Final
Loan Account Number (LAN)*
Please enter your name (same as the applicant name for your loan with capital india)
We will contact you here with an update
Please provide an email id if you have. It helps communicating better
Name of the bank for which the mandate to be cancelled
Account number for the above bank mandate to be cancelled
MICR number of above bank account