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  • 1398933646342-Mandate Form

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    Vishal Dutta
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    This document is a mandate form providing banking details for electronic funds transfers. It contains fields for the name, address, phone number, email, PAN number, and bank account details of the firm/person. These include the bank name, branch address and phone number, account type (savings or current), account number, MICR and IFS codes. The party declares the information is correct and complete, and agrees to be responsible as a participant in the funds transfer scheme. A cancelled cheque or photocopy must be enclosed to verify the bank details.

    Original Description:

    For Bank account details government employee

    Original Title

    1398933646342-MANDATE FORM

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    This document is a mandate form providing banking details for electronic funds transfers. It contains fields for the name, address, phone number, email, PAN number, and bank account details of the firm/person. These include the bank name, branch address and phone number, account type (savings or current), account number, MICR and IFS codes. The party declares the information is correct and complete, and agrees to be responsible as a participant in the funds transfer scheme. A cancelled cheque or photocopy must be enclosed to verify the bank details.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    9 views1 page

    1398933646342-Mandate Form

    Uploaded by

    Vishal Dutta
    This document is a mandate form providing banking details for electronic funds transfers. It contains fields for the name, address, phone number, email, PAN number, and bank account details of the firm/person. These include the bank name, branch address and phone number, account type (savings or current), account number, MICR and IFS codes. The party declares the information is correct and complete, and agrees to be responsible as a participant in the funds transfer scheme. A cancelled cheque or photocopy must be enclosed to verify the bank details.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 1

    MANDATE FORM

    BY
    VENDOR/CONTRACTOR/EMPLOYEE FOR
    DFT/ECS/RTGS/NEFT PAYMENTS

    1. NAME OF THE FIRM/PERSON/PARTY:………………………………………………………………………………………………………


    2. ADDRESS:.……………………………………………………………………………………………………………………………………………………………………….
    ..……………………………………………………………………………………………………………………………………………………………………………….
    TELEPHONE NO & FAX NO: ……………………………………………………………………………………………………………………………………..
    CELL PHONE: …………………………………………………….......... E-mail: ………….……………………………………………………………………..
    3. P.A.N. NO. : ……………………………………………………………………………………………………………………………………………………………………….
    4. PARTICULAS OF BANK ACCOUNT: ……………………………………………………………………………………………………………………….
    (i) BANK NAME: …………………………………………………………………………………………………………………………………………………………….
    (ii) BRANCH NAME & ADDRESS: …………………………………………………………………………………………………………………………….
    ……………………………………………………………………………………………………………………………………………………………………………………..
    (iii) BANK BRANCH TELEPHONE NO:…………………………………………………………………………………………………………………..
    (iv) Account type(whether SB or Current):……………………………………………………………………………………………………………
    (v) ACCOUNT NO: …………………………………………………………………………………………………………………………………………………………...
    (vi) BANK’S MICR CODE ……………………………………………………………………………………………………………………………………………..
    (vii) BANK’S IFS CODE …………………………………………………………………………………………………………………………………………………..
    5. DECLARATION OF THE PARTY :
    I herby declare that the particulars given above are correct and complete. If the transaction
    is delayed or Not Affected at all for reasons of incomplete and incorrect information, the User
    Institution i.e., S.E.RAILWAY will not be held responsible. I have understood the scheme and agree
    to discharge the responsibility for which I am liable as a participate under the scheme.

    Date: Signature of the Supplier/Party/Employee

    N.B.: One cancelled Cheque/photocopy of the Cheque is to be enclosed.


    [Where the cheque does not carry IFS Code an attestation from Bank attesting the IFS Code should
    be given.]

    _________________________
    SIGNATURE OF BANK OFFICIAL
    (Where required)

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