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    Declaration Form (Pan Card, Payee Name and Hospital Name)

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    BOOKREADER_NOW
    This document declares that while the hospital name is MAXCARE SUPER SPECIALITY HOSPITAL, located in Ahmednagar, the Pan Card name and bank account holder name associated with the hospital is VARAD MULTISPECIALITY HOSPITAL PVT. LTD. It provides the Pan Card number, bank account details including account number, type, IFSC code, MICR number, and bank name and address for VARAD MULTISPECIALITY HOSPITAL PVT. LTD.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Declaration Form (Pan Card, Payee Name and Hospital Name)

    Uploaded by

    BOOKREADER_NOW
    2K views1 page
    This document declares that while the hospital name is MAXCARE SUPER SPECIALITY HOSPITAL, located in Ahmednagar, the Pan Card name and bank account holder name associated with the hospital is VARAD MULTISPECIALITY HOSPITAL PVT. LTD. It provides the Pan Card number, bank account details including account number, type, IFSC code, MICR number, and bank name and address for VARAD MULTISPECIALITY HOSPITAL PVT. LTD.

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    Declaration form ( Pan card, Payee name and Hospital name)

    Original Title

    Declaration Form ( Pan Card, Payee Name and Hospital Name)

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    © © All Rights Reserved

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    This document declares that while the hospital name is MAXCARE SUPER SPECIALITY HOSPITAL, located in Ahmednagar, the Pan Card name and bank account holder name associated with the hospital is VARAD MULTISPECIALITY HOSPITAL PVT. LTD. It provides the Pan Card number, bank account details including account number, type, IFSC code, MICR number, and bank name and address for VARAD MULTISPECIALITY HOSPITAL PVT. LTD.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    2K views1 page

    Declaration Form (Pan Card, Payee Name and Hospital Name)

    Uploaded by

    BOOKREADER_NOW
    This document declares that while the hospital name is MAXCARE SUPER SPECIALITY HOSPITAL, located in Ahmednagar, the Pan Card name and bank account holder name associated with the hospital is VARAD MULTISPECIALITY HOSPITAL PVT. LTD. It provides the Pan Card number, bank account details including account number, type, IFSC code, MICR number, and bank name and address for VARAD MULTISPECIALITY HOSPITAL PVT. LTD.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    Payee Name, Pan Card name and Hospital Name Declaration

    This is to inform / declare you that, we MAXCARE SUPER SPECIALITY HOSPITAL located at T.P. 4,
    SURVEY NO 189/1, BEHIND ZOPADI CANTEEN, OPP. ST. MONICA D. ED. COLLEGE, SAVEDI,
    AHMEDNAGAR according to company incorporation / proprietary concern our hospital name is
    MAXCARE SUPER SPECIALITY HOSPITAL and hospital Pan Card / existing Pan card VARAD
    MULTISPECIALITY HOSPITAL PVT. LTD. and bank account holder’s name is VARAD MULTISPECIALITY
    HOSPITAL PVT. LTD.

    All the IT returns will be filed on the following Pan Card number and name mentioned below :

    Name of the Company / Hospital : MAXCARE SUPER SPECIALITY HOSPITAL

    Name on the Pan Card : VARAD MULTISPECIALITY HOSPITAL PVT. LTD.

    Hospital account holders name / payee Name ( as per bank records ) : VARAD MULTISPECIALITY
    HOSPITAL PVT. LTD.

    Account No: 916020064728285

    Account type : CURRENT

    IFSC Code: UTIB0001853

    MICR No. : 414211003

    Bank Name: AXIS BANK LTD.

    Bank Address: GROUND FLOOR, KRISHNA KAVERI COMPLEX, NEAR ZOPADI CANTEEN, SAVEDI,
    AHMEDNAGAR

    Authorized Signatory

    Name:

    Designation:

    Contact No:

    Hospital / organization seal:

    Date:

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