To send Money from Punjab National Bank (PNB) to Everest Bank Ltd, Nepal via Indo Nepal Remittance

Please visit PNB branches or PNB-Business Correspondents (BCs).

Fill up the attached form of Indo Nepal remittance.

Transfer EBL Account Transfer Cash Payment Mode Other than EBL Transaction
Mode (ID payment) (Pay Order)
Account No. Name of beneficiary/Address/ Account No.
Details to Beneficiary Name Beneficiary ID Type/ ID No Beneficiary Name
Address Mode of payment: Cash Payment Address
be filled
Mode of payment: Everest Bank A/c Remitter’s Detail Mode of payment: Other Bank
Remitter’s Detail Amount Name of bank & Branch
Amount Remitter’s Detail
Amount

Contact Address in India:

EVEREST BANK LIMITED

Representative Office, 9th Floor, Antriksh Bhawan
K G Marg, New Delhi – 110001
Phone: 0091-11-23710327, Email: eblrepdelhi@gmail.com

Mr. Deepak Chopra Mr. Bharat Karki

Chief Representative Dy. Chief Representative
(Mobile No. 0091-8826148787) (Mobile No. 0091-9871264092)
 Customer Copy Bank Copy

punjab national bank_ Date : punjab national bank_ Date :

INDO NEPAL REMITTANCE INDO NEPAL REMITTANCE
BENEFICIARY’S DETAILS (*fields are Mandatory)
BENEFICIARY’S DETAILS
Account No.
Account No.
*Name
*Address *Name
*Address
Name of Bank & Branch
*Mode of Everest Bank Cash Other Name of Bank & Branch
Payment Account Payment Bank *Mode of Everest Bank Cash Other
Payment Account Payment Bank
*Beneficiary ID Type *ID No
Phone/Cell Email *Beneficiary ID Type *ID No
REMITTER’S DETAILS Phone/Cell Email
REMITTER’S DETAILS
PNB Account No.
PNB Account No.
*Name
*Address *Name
*Phone/Cell PAN No *Address
*Remitter ID Type *ID No *Phone/Cell PAN No
Cash Deposit: Cheque Deposit: *Remitter ID Type *ID No

Denomination Rs. Ps Chq No Date of Chq Rs. Ps Cash Deposit: Cheque Deposit:
1000 * Denomination Rs. Ps Chq No Date of Chq Rs. Ps
500 * Name of Bank Branch 1000 *
100 * 500 * Name of Bank Branch
50 * 100 *
20 * AMOUNT TO BE REMITTED 50 *
10 * Amount - 20 * AMOUNT TO BE REMITTED
5* Commission - 10 * Amount -
Coins * Total amount . 5* Commission -
Total Coins * Total amount .
Amount (in words): Rs. -------------------------------------------------------------------------- Total
Amount (in words): Rs. ------------------------------------------ ---------------------------------
Signature :
……………………………………………………………………………………………
…………………………………………………………………………………………………
Cashier Authorised Officer Remitter’s ID verified from original

UIN No UIN No
P.S. If remittance is for any bank other than EBL, Rs.100/- additional charge will be levied Authorised Officer