Investor Customer'S Option To Receive Payments Through: No/Ledger Folio No

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ELECTRONIC CLEARING SERVICE (CREDIT CLEARING)

MANDATE FORM
INVESTOR CUSTOMER'S OPTION TO RECEIVE PAYMENTS THROUGH
CREDIT CLEARING MECHANISM

S/No Particulars To be filled by Bidder


1. Bidder'sName BSNL
Particulars of Bank Account AO (Cash) BSNL
Mathura
281001 Branch Code 183800
(a) Bank Name
Punjab National Bank
(b) Branch Name Choki Bagh Bahadur
) Address Choki Bagh Bahadur Mathura
(i) IFSC Code PUNBO183800
() Telephone No
(c) 9-Digit code number of the Bank & Branch | 281024183
appearing of the MICR cheque issued by the
Bank.
(d) Account type(S.B. account/Current Account | Current
or Cash Credit) with Code 10/11/13
(e) Ledger No/Ledger Folio No
Account Number (As appearing on the 1838002102222753
cheque book)_
(In lieu of the bank certificate to be obtained as under. Please attach a blank|
cancelled cheque, or photocopy of a cheque, or front page of your savings bank

3.
passbook isSued by yourbank for verification ofthe aboveparticulars
Date of Effect

, hereby declare that the particulars given above are correct and complete. If the transaction
is delayed or not effected at all for reasons of incomplete or incorrect information. I would not
hold the user institution responsible I have read the option invitation letter and agree to
discharge the responsibility expected of me as participant under the scheme.

Dated: 11th March 22 (Signature of the Bidder

Certified that the particulars are furnished above are correct as per our records.

Bank's Stamp
rom theBankuhorted/otnP
Dated 11th March 22
183321ZL2753

Numier
Statement for Accourt
Account

Branch Details
MATHURA.CHOWKI BAGH BAHADUR

Branch Name
CHOWKI BAGH BAHADUR
Bank Address
MATHURAA es
Cty
281001
Pin
IFSC Code
PUNBO183800
Em)
Customer Details
COLLECTN
BASIC
O GMID MATHURA
AO CASH BSNL O
Customer Name MANAGER ESNL
OFFICE GENERAL
Customer Adaress
MATHURA

City
281001

Nominee
10/03/2022 to 11/03/2022
Statement Period
Dr Amount Crot
Chegue No
Branch Name
Txn Date Description
Txn No.
From 6478000100001733 PR
SO
11/03/2022 ADEEP KUMAR GUPTA
S79165747
GOP
NEFT_INHSBCNZ207028310

7/0023/ THE ORIENTAL 17


S76913868
11/03/2022 INSURANCE COMPANY LIMI

D1723778CR
501E254
10/03/2022
S56212640 TO2534002100354834
RAJPUR 471
VIJAY KUMAR RENWA
10/03/2022 VRINDAVAN
M1153690 -037610
NEFT_INPOSI220157e55622
I0031/ SL-OL-RTGS-NEFT
1.5 521B4
S61861249 10/03/2022 PMT ENSO

159446
NEFT_INPO69220157854969

O031/ SL-OLRTGS-NEFT
10/03/2022
S61855450
PMTENSS0
1 523 152575C
MB25491 10/03/2022 BYCASH
NEFT_IN RBIO70Z256404050
25 3E3
10030/ 1MATHURA
SE1012186 10/03/2022
TREASURY
REJECT659777 PAPER 50 900 00 1.12.5
10/03/2022
s60964241 NOT
RECEIVED
BY INST 659777 CTO261-1
S59610119 10/03/2022 DAY LAT
BYINST 3998 CTOZ61-1 124 0 1.1235
S59610119 10/03/2022
DAY LATI

Page
ITT: ebt ara aFTCR HJRT1838
ATa:8171989371T [email protected]

1838002102222753 is collection account maintained at ours


This is to certify that the account no.
in the name of AO (Cash) BSNL Mathura.

In the above account we can not issue Cheque Book.

Thanking You.
NatiopalBan?
Br. HeadFor Pupjab

Mathura
CBB,
HeadBO
BO CBR r

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