Format For Submission Of Bank Details Of Pbor'S To Pao printable pdf download

Format For Submission Of Bank Details Of Pbor'S To Pao

APPENDIX 'F'

Annexure A

NEFT MANDATE FORM

ARMY NO:

1. Beneficiary Details

A. Name of contact person

B. Address

C. Contact NO

2. Particulars of Bank account

A. Account title

B. Name of Bank

C. Name of the branch

Address

Telephone no

D. 11 digit IFSC CODE

E. 9 Digit MICR code number of the

bank and branch appearing on the

MICR Cheque issued by the bank:

F. Type of the account (S.B or current):

G. Account number (as appearing on

the cheque book)

(please attach a blank cancelled cheque or :

photocopy of a cheque)

I here by declare that the particulars given above are correct and complete. If the transaction is delayed or

not effected at all for reasons of incomplete or incorrect information, I would not hold the user institution

responsible. I have read the option invitation letter and agree to discharge the responsibility expected of me

as a participant under the scheme.

(..........................................)

Date:

Signature of Account holder

Certified that the particulars furnished above are correct as per our records.

Signature of the authorised Bank Manager with Rubber stamp

Date:

Format For Submission Of Bank Details Of Pbor'S To Pao