FORMAT FOR GIVING CONSENT AND BANK DETAILS ON LETTERHEAD

Date:
To


Dear Sir,

We hereby agree to accept the payment of our bills through direct credit to our below mentioned
_______________________ Bank through Internet banking.


1 Beneficiarys Name
2 Branch Name
3 Address of the Branch
4 STD Code & phone no. of Branch
5 Branch Code
6 9 Digit MICR code Branch as appearing
on the cheque (copy of cancelled cheque
may be enclosed)*

7 Bank Account No.
8 Account Type (SB/CA/CC)
9 Branch IFSC code


* Please attach a blank cancelled cheque or photocopy of a cheque issued by your bank
relating to your above account for verifying the accuracy of the 9 digit MICR code.

I/We hereby declare that the particulars given above are correct and complete.



(Signature of authorized person with seal)


Note: The original copy also has to be submitted.