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EFT Payment Authorization Form

This document is an Electronic Fund Transfer (EFT) authorization form addressed to Bhartiya Rail Bijlee Co Ltd/NTPC Ltd, allowing them to make payments electronically. It requires the beneficiary to provide various details including name, vendor code, bank particulars, and contact information. The form also includes a section for bank certification to verify the beneficiary's account information.

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devi Jammana
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47 views2 pages

EFT Payment Authorization Form

This document is an Electronic Fund Transfer (EFT) authorization form addressed to Bhartiya Rail Bijlee Co Ltd/NTPC Ltd, allowing them to make payments electronically. It requires the beneficiary to provide various details including name, vendor code, bank particulars, and contact information. The form also includes a section for bank certification to verify the beneficiary's account information.

Uploaded by

devi Jammana
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

E.F.T.

Form
(TO BE RETURNED TO THE COMPANY)

To,
BHARTIYA RAIL BIJLEE CO LTD/NTPC LTD.,
Nabinagar, District- Aurangabad (Bihar), PIN- 824 302

Dear Sir,

REF: AUTHORISATION OF ALL OUR PAYMENTS THROUGH ELECTRONIC FUND TRANSFER


SYSTEM

We, hereby authorize Bhartiya Rail Bijlee Co Ltd / NTPC Ltd.,


___________________________________ to make all our payments through Electronic Fund
Transfer System. The details for facilitating the
payments are given below.
(TO BE FILLED IN CAPITAL LETTERS)

1. NAME OF THE BENEFICIARY

2. VENDOR CODE

3. ADDRESS

PIN CODE

4. TELEPHONE NO. (WITH STD CODE)

5. BANK PARTICULARS
A) BANK NAME

B) BANK TELEPHONE NO. (WITH STD CODE)

C) BRANCH ADDRESS

PIN CODE

D) BANK FAX NO. (WITH STD CODE)

E) BRANCH CODE

F) 9 DIGIT MICR CODE OF THE BANK BRANCH (ENCLOSE COPY OF A CANCELLED CHEQUE)
G) 11 DIGIT IFSC CODE OF THE BANK BRANCH

H) BANK ACCOUNT NUMBER

I) BANK ACCOUNT TYPE (TICK ONE)


SAVING CURRENT LOAN CASH CREDIT OTHERS

IF OTHERS, SPECIFY

6. PERMANENT ACCOUNT NUMBER (PAN)

7. E-MAIL Address (for intimation regarding release of payments)

I/We hereby declare that the particulars given above are correct and complete. If the transaction is
delayed or credit is not effected at all for reasons of incomplete or incorrect information, I/We would
not hold the Company responsible.

SIGNATURE
DATE

(AUTHORISED SIGNATORY)
Name:

OFFICIAL STAMP
BANK CERTIFICATION:

It is certified that above mentioned beneficiary holds a bank account no……………………….with


our branch and the Bank particulars mentioned above are correct.

SIGNATURE
DATE

(AUTHORISED SIGNATORY)

Authorization no.: ……………………..

Name:

OFFICIAL STAMP

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