Bank Mandate Form For Electronic Payment 1. Vendor's/Contractor's
Bank Mandate Form For Electronic Payment 1. Vendor's/Contractor's
Bank Mandate Form For Electronic Payment 1. Vendor's/Contractor's
1. Vendor’s/Contractor’s
Name :
Address :
Phone No. :
Email ID for sending UTR number
by bank :
State :
Pin Code :
Telephone No. :
I/we hereby declare that the particulars given above are correct and complete. I/We request and authorize
you to effect payment by NEFT/RTGS to my/our above stated bank account. I/We confirm that I/We shall
bear the charges, if any levied by my/our bank for the credit in our above account through NEFT. If the
transaction is delayed or lost because of incomplete or incorrect information, we shall not hold MRF
Limited responsible.
Date :
Place:
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Authorised signature of the Vendor/ Contractor
Bank Certificate
We confirm that the details given above are correct as per our records.
Date :
Place : ------------------------------------------------------
Signature & Stamp of Authorized Bank Official