7/21/2019 NEFT Mandate Form.effective From Aug 2012

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Annexure – 7 National Electronic Fund Transfer(NEFT) Mandate Form

 (Mandate for receiving payments through NEFT from Bharat Petroleum Corporation Ltd)

!endor Name

" !endor Code

#Permanent $ccount Num%er(P$N)

(to %e same as per $nne&ure ')

Particulars of Ban* $ccount

$+ Name of the Ban*

B+ Name of the Branch

C+ Branch Code

,+ $ddress

E+ City Name

F+ Telephone No

-+NEFT .F/C Code

0+ 1 digit M.C2 code appearingon the che3ue %oo*.+ Type of $ccount (4' /avings$ccount5 6 Current $ccount 5#' Cash Credit $ccount)

 7+ Core Banking $ccount No+

!endor8s e'mail id(to %e same as per $nne&ure')

9 ,ate of e:ect5$ccount opened on

(Please enclose a photocopy of the cancelled che3ue to ena%le us to verify thedetails mentioned a%ove)

;e here%y declare that the particulars given a%ove are correct and complete+ .f thetransaction is delayed or lost %ecause of incomplete or incorrect information< =e

=ould not hold the company responsi%le+

 >>>>>>>>>>>>>>>>>>> /ignature of the !endor

Bank Certicate

;e certify that >>>>>>>>>>>>>>>>>>>> has an $ccount No >>>>>>>>>>>>>>> =ith us and=e con?rm that the details given a%ove are correct as per our records+

,ate@ >>>>>>>>>>>>>>>>>>>>>>>> Place@ $uthorised Acial of Ban*

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