BTI Payments Pvt Ltd

Bank account change request Form

Request Date 03.01.2023

Partner / Landlord Name VINAY KUMAR PANDEY ATM ID (For LL) 45617304

Reason for change

MERGE BANK U B I

_______________________________________________________________________________________________

Existing Bank details New Bank details

Beneficiary Name Beneficiary Name

VINAY KUMAR PANDEY VINAY KUMAR PANDEY
(as per bank's record) (as per bank's record)
PAN APFPV7697N PAN APFPV7697N

Bank Name CORPORATION BANK Bank Name UNION BANK

Branch Name CIVIL LINES Branch Name CIVIL LINE

Account Number 520291014386440 Account Number 520291014386440

Account Type Account Type

SB SAVING
(SB/Current/OD etc) (SB/Current/OD etc)
IFSC Code CORP0001722 IFSC Code UBIN0542652

(Firm Name) _JAI MA SHARADA ENTERPRISES__________________________

Documents Enclosed checklist

(Authorised Signatory Name) REENA UPADHYAY NO Cancelled cheque

(Designation: Proprietor/ Self attested Latest Bank Statement / Passbook

PROPRIETOR Y
Partner etc) with beneficiary name & address

(Signature with date) ________________________________________

SCM / ZOM confirmation

The above request has been given by the authorised person of the aforesaid firm and genuineness of the request has been verified.

HEMENT SHINGH ID 10245

SCM/ZOM Name & Emp ID SCM / ZOM Signature Date

Finance Team

SAP Code

Request recd by Change approved by

SAP Change initiation date Approval date
(Name & Signature) (Name & Signature)