FORMAT F:17 [Mandate Form | Real Time Grane Settlement (RTGS) National Eicetronle fund transfer (NEFT) Mandate Porm | : : aulcant 1. Venariensiomer Naines POO 4 Dyivetiat | 2 Vendorienstomer Cote: JO 8032343 ft r “ + 3. Vendor /eontomer Addren: AG); pe Bo Giarrrhe she Bazee fabs pabor— 4. Venda r/eastonver e-mail idl: Vn Poragm gio araail Com S. Particulareof bank account "7 yon 1) Saineo tik, Berne oF Toh Bi Naineof branch; SOL «) Branch oode - * Atte @)) Adlest Gales oles Tahale Road Mie — ©) Felephone mumber: 991.444) ~ 2.2.03] 306) 329° 1) Type of vecount (curreniunving ticle exe ) Account Number Tao A) RTOS IFSC enue of RO Ba Yove\1o9 H)NEDT-IESC vou of the hh. branch ) Sdigit MICReade LS _O\D\ 0) We Seteby authorlce GATatia) Limited so iebeese any seroiwt dive: joo aniezign: lav dive baal | account ay mentioned above. | / We hereby ieslore that ibe particulars given above arc careet anal complete, {Fthe transaction fs delayed or Int iecaue of incomplete oF incorrect | information. we: wiuld twat hold the GAIL (Inia) Lira eesponaible — Pa Maen. (Signature OF vendor! cuntqicr) BANK CERTIFICATE We veaify CAG AL TCA, Accent ALO WAV GOSS 4 6 wand we contin “AVIA RRS above ace comect dy per our reginds, Bank