Authorization Letter

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ANNEXURE-1
AUTHORIZATION LETTER
I, ___________________________________________________would like to receive
the sums disbursed by the (Department) ______________________________________ in my
bank account electronically as per details given below.
1.
Name of the payee as in bank
account
2.
Address
3.
Telephone Number with STD code.
4.
Fax No.
5.
E-mail Address (If any)
6.
Name of the Bank
7.
Name of Branch (full address)
8.
Bank account No.
9.
Account Type
10.
Mode of Electronic
Transfer available in Bank Branch
(RTGS/NEFT/ECS/CBS)
11.
IFSC Code
12.
MICR Code.
Account numbers verified by me
Signature:
Name of the student:
(Bank Branch maintaining the account)
Name of the Institute:
Selected for the Year:
ANNEXURE-II
ACQUITTANCE/PRE-STAMPED RECEIPT (PSR)/
PRE-RECEIPT/ADVANCE RECEIPT
(Form of Acquittance for amount to be received by electronic transfer)
Received a sum of_________ (Rupees ______________________________________
only) electronically from (DDO) ______________________________, on account of the above
amount sanctioned by the ______________________________________ (office/department)
vide letter No. _________________________________ dated ________________.
Signature:
Revenue
Stamped
Date:
Name of Student:
Place: -
Name of the Institute:
Selected for the Year:

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