CA NO : CE (P) VIJAYAK/ /2012-13 Serial Page No : 01 ... - Bro.nic.in
CA NO : CE (P) VIJAYAK/ /2012-13 Serial Page No : 01 ... - Bro.nic.in
CA NO : CE (P) VIJAYAK/ /2012-13 Serial Page No : 01 ... - Bro.nic.in
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<strong>CA</strong> <strong>NO</strong>: <strong>CE</strong> (P) <strong>VIJAYAK</strong>/ /<strong>2<strong>01</strong>2</strong>-<strong>13</strong> <strong>Serial</strong> <strong>Page</strong> <strong>No</strong> : 99TENDER <strong>NO</strong>: <strong>CE</strong> (P) <strong>VIJAYAK</strong>/46/ 2<strong>01</strong>1-<strong>2<strong>01</strong>2</strong>Appendix ‘B’(Ref para-23 of Special Condition of contract)NEFT/RTGS MANDATE FORM(1) Name of firm/contractor as peraccount <strong>in</strong> the Bank(2) Beneficiary’s Account Number (Asappear<strong>in</strong>g on the Cheque Book)(3) Name of Bank where a/c is held(4) Name of Branch(5) Address of Branch(6) Telephone <strong>No</strong>. of Branch(7) IFSC Code of Branch(8) 9-Digit MICR Code Number of theBank & Branch(9) E-Mail ID of Contractor<strong>No</strong>tePlease attach a blank cancelled cheque for verification of the above particulars.I, hereby, declare that the particulars given above are correct and complete. If thetransaction is delayed or not effected due to <strong>in</strong>complete or <strong>in</strong>correct <strong>in</strong>formation of thebank details, I will not hold the payment releas<strong>in</strong>g authority responsible for it.Dated :<strong>CE</strong>RTIFI<strong>CA</strong>TE BY BANKSignature of the contractor(Seal)Certified that the particulars furnished above are correct as per our records.Seal of BankDated :Signature of the branch managerof the Bank
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