You are on page 1of 2

DMRK Food Services

N 16/65 A Sudamapur Badi Gaibi Road, Varanasi -221010


Date. 15/12/2022

Account to Account / National Electronic Fund Transfer Annexure -1

MANDATE FORM

( Mandate form for EFT/NEFT- Addition/ deletion / Modification )


1 VENDOR NAME DMRK Food Services

2 VENDOR CODE (P
le a
s 3 CONTACT PERSON WITH MOB. NO. 7007117293, 9839014268 e

4 PARTICULAR OF THE BANK ACCOUNT

A NAME OF THE BANK BANK OF BARODA

B NAME OF THE BANK BRANCH NADESAR, VARANASI

C BANK ADDRESS D-58/30-C, SIGRA, VARANASI

D BANK BRANCH TELEPHONE NO.

E ACCOUNT TYPE (Saving A/C / Current A/C /Cash CURRENT A/C


Credit Account)
F IFSC CODE ( NEFT ) (applicable for the bank branch NEFT BARB0NADEBS
enabled)

G IFSC CODE ( RTGS ) (applicable for the bank branch Rtgs BARB0NADEBS
enabled)

H BANK ACCOUNT NO. 28620200001119


(as appearing on the cheque book. Please ensure to mention
the complete account no. as allotted by the bank)
i Email id - (for sending the payment advice / bill Details) motimahalvaranasi@gmail.com
attach a blank cancelled cheque or photocopy of the cheque of the abovesaid account for verification of the above particulars.)

Signature of the Vendor

(along with rubber stamp)

____________________________________________________________________

BANK CERTIFICATE

We hereby certify that __DMRK FOOD Services____ has an Account No. __ 28620200001119____with as and we confirm that the
details given above are correct as per our records.

Signature of the Bank

(along with Rubber Stamp)

----------------------------------------------FOR HMCL USE ONLY-------------------------------------

Recommendation of Materials Department

Siganture
DMRK Food Services
N 16/65 A Sudamapur Badi Gaibi Road, Varanasi -221010

Date. 15/12/2022

Account to Account / National Electronic Fund Transfer

MANDATE FORM
(Mandate form for EFT/NEFT- Addition/ Deletion / Modification )

Undertaking

We, DMRK Food Services., hereby request Hero Motocorp Limited (HMCL) to make payments into our Bank
account number as mentioned in Annexure –1 via National Electronic Funds Transfer System.

We hereby agree to intimate HMCL at least 30 days in advance before any change is made in our account
number/status/name etc.. Intimation of any such change shall be sent to Finance department (Head Office) and
the department with whom the supplies deals during the regular course of his business eg Material, HR, IT etc

We shall continue to be responsible for all the transaction made through NEFT till 30 days from the date we
request HMCL for terminating the NEFT arrangement.

We understand that the credit into our account depends upon the Beneficiary Banks’ processing of the payment
and shall not hold HMCL responsible for any delay for reasons beyond its control.

Signatures

Authorised Signatory

Name

Seal/Stamp

You might also like