(A) (B) (C) (D) (E) (F) (G) (H) (I) (J) (K) : Certificate To Enable You To Verify The Details Mentioned Above

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Date :

To
Mott MacDonald Pvt. Ltd.

Dear Sir,
We hereby agree to accept the payment of our bills through Internet Payment System. For the same
our bank account details are given below :-
1 Beneficiary’s Name & Address

2 Vendor Code (To update by MOTT)


3 Particulars of the Bank
(a) Name of the bank

(b) Name of the Branch


(c) Branch Code
(d) Address
(e) City Name
(f) Pin Code
(g) Telephone No.
(h) IFSC Code (11 digits)
(i) 9 digit MICR code appearing on the cheque book
(j) Type of Account (10/11/13)
(k) Account No.
4 Vendor’s e-mail id
5 Permanent Account Number (PAN)
6 Service Tax Registration No.

Please find enclosed a photocopy of the cancelled cheque, PAN card and Service Tax Registration
Certificate to enable you to verify the details mentioned above.
We hereby declare that the particulars given above are correct and complete. If the transaction is
delayed or lost because of incomplete information, we would not hold the company responsible.

Stamp & Signature of the Vendor

Banker’s Certificate

We confirm that we are enabled for receiving RTGS/NEFT credits and we further confirm that the
Account No ___________________ of _____________________________, the signature of the
authorised signatory and the MICR/IFSC Codes of our branch mentioned above are correct.

Date :
Place :

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