SUPPLIER BANK ACCOUNT DETAILS

1 Supplier / Beneficiary's Photograph

2 Supplier / Beneficiary's Name 3 Supplier / Beneficiary's Address 4 Supplier / Beneficiary's Bank & Branch Name & Address 5 Supplier / Beneficiary Bank Account No. 6 RTGS IFSC Code ( 11 digit no.) of Supplier / Beneficiary Bank Branch 7 Type of Account ( Saving / Current / CC) 8 Supplier / Beneficiary's Contact Person Name 9 Supplier / Beneficiary's Contact person's e-mail address 10 Supplier / Beneficiary Telephone Number

Project And Design Vill-Gopalnagar,PO.-Sripally,PS.-Burdwan Sadar United Bank of India (UBI) Address-Ghordourchatti, Burdwan

1024050010145 UTBI0GDCD20
Current

Barun Kumar Das & Jharna Das (Partner)

projectndesign@gmail.com

9434834211 11 Supplier / Beneficiary Fax Number 12 Supplier / Beneficiary PAN No. AAIFP9418P Specimen Signature of Supplier / Beneficiary Attested By Bank Date Name Please Sign with Official seal Official Seal ====================================================================================== Important Notes 1 Kindly attach a cancelled cheque along with this RTGS form (Mandatory) 2 Above RTGS form must be printed on Vendor's letterhead and details types (not handwritten) prior to bank attestation 3 Vendor will be responcible for immediately informing any change , in absence of such change Information , GTL Infrastructure Ltd will consider above information as final and process payments 4 Photograph of Owner/Prioprioter/Partner (any one) is mandatory , Pvt Ltd and Public compnaies are exempted from submitting photograph 5 Above information is contrused as true and GTL Infrastructure Ltd has all rights to verify above details N/A