Bharat Petroleum Corporation Limited

Mandate Form for RTGS/NEFT

I would like to transfer money through RTGS/NEFT in your RTGS/NEFT Collection Account as detailed below:

Beneficiary's Name Bharat Petroleum Corpn. Limited

Beneficiary's Bank Name State Bank Of India
Beneficiary's Branch Name CAG BRANCH
Beneficiary's Account Number 31233830855A219425
Beneficiary's Bank's IFSC Code SBIN0009995
Beneficiary's Business LPG

Further my bank accounts & other details for the purpose of remittance to BPCL are as under

Customer Code with BPCL (Payer) 0000219425 Customer Name M/s GLOSENT INDIA PRIVATE LIMITED
SBU LPG Address Odisha KHURDA BHUBANESWAR

Bank A/c Type

S. No. Customer Bank Name & Branch MICR IFSC Code Bank Account Number
(Current/Saving/Others)
1 ICICI BANK Current ICIC0000061 777705210714

(Details of all bank account from where remittance will be made to BPCL).
(Enclose cancelled cheque leaf of each bank account for record purpose).

Kindly update above details in your customer master for verification and posting of transaction in my SOA.

I/We hereby certify that the particulars furnished above are correct and pertains to the Distributorship/Firm/Partner/Proprietor to the best of
my knowledge.

For M/s GLOSENT INDIA PRIVATE LIMITED

Date 24-Oct-2020 10:07 AM