Details required for payment through Electronic Fund Transfer (EFT)

1)

Companys Registered Name (full) :

2)

Registered Office Address

3)

E Mail ID for contact & sending Payment details: ___________

4)

Contact Person Details:

Name
:
Telephone No.
:

5)

Companys PAN

___________________
___________________

_________________
_______________

: ______________

6) Bank Details:
Bank Account no : ________________
Banks Address
: __________
Bank Branch
: ___________
MICR Code
: ______________
IFSC CODE
: ________________
SWIFT code
: ______________
Please provide a cancelled cheque of the above bank for confirmation of Bank details.